The Significance of Experiencing Clinical Responsibilities for Specialty Career Choice
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ORIGINAL RESEARCH
The Significance of Experiencing Clinical Responsibilities for Specialty Career Choice Sophie Querido 1,2
&
Marlies De Rond 3 & Lode Wigersma 4 & Sjoukje van den Broek 5 & Olle ten Cate 2
# The Author(s) 2019
Abstract Aim Medical trainees make career choices in the final year of medical school or after graduation, if they do not continue with residency directly. Most Dutch medical students are trained in vertically integrated (VI) curricula, with early clinical experience and a gradual increase in clinical responsibilities. Students in such curricula have been reported to make career choices at an earlier stage than graduates from more traditionally designed curricula. Many Dutch graduates build further clinical experience after graduation as physicians-not-in-training (PNITs) before beginning residency. We explored how students make career choices and whether pre-residency clinical responsibilities influence this choice. Method A qualitative study with a phenomenology approach was used. The authors conducted a longitudinal interview study of medical students with two intervals over a 2-year period. The interview questions covered how trainees establish career preferences and which factors affect preference and choice over time. Results Experiencing clinical responsibility was a key factor for career preference during all interview rounds. Being a PNIT who makes diagnostic and therapeutic decisions, have their own patients and have significant patient care responsibilities creates opportunities to build an image of a future context of employment. Some participants mentioned that their experience of having full responsibility as a PNIT was pivotal in a career preference change. Conclusion Clinical responsibility as a student or a PNIT appears to be important for career preference and choice. The experience of responsibility as a medical doctor forces trainees to reflect on personal needs and to consider which career preference fits best. Keywords Career preference . Clinical responsibility . Specialty choice . Qualitative interview study
Abbreviation PNIT Physician-not-in-training
* Sophie Querido [email protected] 1
Central Board for Specialty training in Elderly Care Medicine in the Netherlands (SOON), P.O. Box 19025, 3501, DA Utrecht, The Netherlands
2
Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands
3
Royal Dutch Medical Association (KNMG), Utrecht, The Netherlands
4
Dutch Association of Public Health Physicians (VAV), Utrecht, The Netherlands
5
Center of Education and Training, Unit of Medical Education, University Medical Center Utrecht, Utrecht, The Netherlands
Introduction Medical trainees need to make an important career choice about a specialty when they face the transition from medical school to residency. When they feel urged to make this choice depends on the structure and length of medical training in the country [1]. In the Netherlands, the duration of undergraduate medical education is usually 6 ye
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