Factors Influencing Subspecialty Choices of Internal Medicine Residents in Canada
Author Information
Author(s): Leora Horn, Katina Tzanetos, Kevin Thorpe, Sharon E. Straus
Primary Institution: University of Toronto
Hypothesis
What factors influence internal medicine residents in Canada when choosing their subspecialty?
Conclusion
Internal medicine trainees, especially males, are increasingly opting for procedure-based specialties, while non-procedure-based specialties are losing appeal.
Supporting Evidence
- 78% of positions in procedure-based specialties are occupied by men.
- Residents choosing procedure-based specialties are more likely to have applied to multiple programs.
- 38% to 41% of residents developed an interest in their future specialty during medical school.
Takeaway
Doctors in training are picking specialties that are exciting and fit their personalities, but many are choosing procedures over general medicine.
Methodology
The study involved a web-based survey and focus group discussions with Canadian internal medicine residents.
Potential Biases
Potential bias due to self-reported data and the timing of the survey.
Limitations
The survey was conducted after residents had matched to their subspecialty programs, which may affect the motives reported.
Participant Demographics
110 PGY3 residents, with a significant gender difference in specialty choice.
Statistical Information
P-Value
0.006
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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