How do doctors decide on tests and treatments for their patients? Most people would like to believe that such decisions are made on the basis of available evidence, and that only appropriate investigations and interventions are done. But often this is not the case, with many widely used tests and procedures unsupported by evidence, duplicative of others already used, unnecessary and wasteful, o...

Abstract: Introduction: After the residency in Internal Medicine, most graduates choose to undergo a new selection process obtain second specialty. The phenomenon of early specialization is encouraged as undergraduate course. Despite this, demand for general practitioners growing. Objective: To investigate factors that lead newly graduated clinician undertake residency. Method: This cross-secti...

BACKGROUND Currently, there are more residents enrolled in cardiology training programs in Canada than in immunology, pharmacology, rheumatology, infectious diseases, geriatrics and endocrinology combined. There is no published data regarding the proportion of Canadian internal medicine residents applying to the various subspecialties, or the factors that residents consider important when decid...

FORUM FOR INTERNAL MEDICINE On the lesser importance of internal medicine Introduction Internal medicine constitutes a unique medical specialty. Not only does it include both outand in patient care, but also involves acute cases and life -threatening conditions. Subjectively, in my view, internal medicine is the essence of medicine, and all the attempts at the reduction of the physician’s role ...

The results of the 2009 National Resident Matching Program (NRMP) reflect a persistently low level of student interest in family medicine residency training in the United States. Compared with the 2008 Match, 70 fewer positions (with 89 fewer US seniors) were filled in family medicine residency programs through the NRMP in 2009, at the same time that 18 fewer positions were filled in primary ca...

BACKGROUND Specialty selection by medical students determines the future composition of the physician workforce. Selection of career specialties begins in earnest during the clinical rotations with exposure to the clinical and intellectual environments of various specialties. Career specialty selection is followed by choosing a residency program. This is the period where insight into the decisi...

BACKGROUND Choosing a medical specialty requires medical students to match their interests and social-cultural situations with their perceptions of the various specialties. OBJECTIVES Examine Israeli 6th-year medical students' perceptions of six key specialties: pediatrics, orthopedic surgery, anesthesiology, obstetrics/gynecology, general surgery and family medicine. METHODS Questionnaires...

INTRODUCTION Choosing a residency program is a stressful and important decision. Doximity released residency program rankings by specialty in September 2014. This study sought to investigate the impact of those rankings on residency application choices made by fourth year medical students. METHODS A 12-item survey was administered in October 2014 to fourth year medical students at three schoo...

BACKGROUND AND OBJECTIVES The Future of Family Medicine report advocated experimentation with 4-year residency training models. This study examines residency applicants' opinions about extending the length of residency training and seeks to determine which features of an extended program would be most desirable to applicants. METHODS We conducted a cross-sectional, descriptive, self-administe...

BACKGROUND Human resources management in health often encounters problems related to workforce geographical distribution. The aim of this study was to investigate the internship workplace preferences of final-year medical students and the reasons associated with their choices. METHOD A total of 204 out of 240 final-year medical students at Zagreb University Medical School, Croatia, were surve...