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Decision to enter pulmonology: motives and implications
Journal of Medical Education
|November 1, 1978
Summary
Most American-trained pulmonary specialists choose their subspecialty during residency, influenced by clinical rotations and faculty mentors. Early medical school exposure to pulmonology remains limited, despite the field
Area of Science:
- Pulmonary Medicine
- Medical Education
- Career Development
Background:
- Pulmonary disease is an established and growing subspecialty.
- Understanding the timing and influences on subspecialty choice is crucial for recruitment.
Purpose of the Study:
- To determine when American-trained pulmonary specialists decide on their subspecialty.
- To identify factors influencing this subspecialty decision.
Main Methods:
- A survey was distributed to pulmonary fellows, faculty, and practitioners in two California counties.
- Data from 171 respondents (60.8% response rate) were analyzed.
Main Results:
- Subspecialty decisions for pulmonology are typically made during residency.
- Key motivators include pulmonary rotations and interaction with faculty.
- Exposure to pulmonology during medical school is minimal.
Conclusions:
- Residency is the critical period for pulmonary subspecialty decision-making.
- Effective faculty mentorship and clinical exposure are vital for attracting trainees.
- Increasing early exposure in medical school may be necessary to foster interest in pulmonology.
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