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Year : 2001  |  Volume : 14  |  Issue : 2  |  Page : 295-303

Selective Training and Cross-year Clinical Tutoring as Educational Influences on Generalist Career Choice

University of Brasilia, Faculty of Medicine, Brazil

Correspondence Address:
Dejano T Sobral
University of Brasilia, Faculty of Medicine, CP 04569, 70919-97 0 Brasilia, DF
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Source of Support: None, Conflict of Interest: None

Context: This study was undertaken with all 299 graduates of 12 consecutive classes ( in 6 years ) of a Brazilian medical school. Purpose: To appraise the relationships of gender, early preference for a career, the experience of selective training ( a form of elective clerk ship ) and student preceptor ship ( cross-year clinical tutoring by peers ), with the career choices of graduates. Method: Data were obtained at three points: at the beginning of medical studies, on career preference; at the end of medical studies, on selective traineeship and student preceptor ship; and after graduation, on medical residency selected. Chi-square tests and logistic regression analysis were done on the data of the graduates, grouped in terms of choice, or not, of frontline care specialties ( internal edicine, pediatrics or obstetrics-gynecology ). Results: Findings are presented on 299 graduates, of whom 48.5% were female, and 53.8% preferred frontline care ( FC ) specialties at the beginning of the program. After graduation, 50.2% of the subjects chose FC specialties, among which two-thirds had kept their early preference for a specific specialty. Logistic regression analysis predicted 86.7% of the graduates' choices of FC specialties. Female gender, early preference, student preceptor ship and, mostly, selective traineeship in the same broad area were significant factors. Conclusion: In this study a strong association was found between selective traineeship and career choice of FC specialties in relation to three additional predictive factors. It also revealed student preceptor ship as a factor of potential educational significance in the career decision process and as a matter of institutional concern.

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