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Specialty choice: development of a questionnaire

R M Fincher1, L A Lewis

  • 1Medical College, Georgia School of Medicine, Augusta 30912.

Medical Education
|September 1, 1993
PubMed
Summary

Medical students

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Area of Science:

  • Medical Education
  • Health Professions Education

Background:

  • Understanding factors influencing medical students' specialty choices is crucial for curriculum development.
  • A specialty choice questionnaire was developed and administered annually from 1988 to 1991.

Purpose of the Study:

  • To present reliability and validity data for a medical specialty choice questionnaire.
  • To identify key factors influencing the selection of primary care versus non-primary care specialties.

Main Methods:

  • A specialty choice questionnaire was administered to senior medical students.
  • Multiple discriminant function analysis was used to assess variable significance.
  • Cronbach's alpha and test-retest methods evaluated questionnaire reliability.

Main Results:

  • Desire for longitudinal patient care and monetary rewards significantly influenced specialty choice.
  • Cronbach's alpha coefficients indicated varying internal consistency over the years (0.71, 0.59, 0.46).
  • Test-retest reliability coefficients for the 1991 questionnaire ranged from 0.51 to 0.81.

Conclusions:

  • The questionnaire demonstrates acceptable reliability and validity for assessing factors in medical specialty selection.
  • Key drivers for specialty choice include patient care continuity and financial incentives.

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