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Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution
BACKGROUND: Idealism declines in medical students over the course of training, with some studies identifying the beginning of the decline in year 3 of US curricula. PURPOSES: This study tested the hypothesis that a decline in medical student idealism is detectable in the first two years of medical s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Co-Action Publishing
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3750194/ https://www.ncbi.nlm.nih.gov/pubmed/23968751 http://dx.doi.org/10.3402/meo.v18i0.21194 |
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author | Morley, Christopher P. Roseamelia, Carrie Smith, Jordan A. Villarreal, Ana L. |
author_facet | Morley, Christopher P. Roseamelia, Carrie Smith, Jordan A. Villarreal, Ana L. |
author_sort | Morley, Christopher P. |
collection | PubMed |
description | BACKGROUND: Idealism declines in medical students over the course of training, with some studies identifying the beginning of the decline in year 3 of US curricula. PURPOSES: This study tested the hypothesis that a decline in medical student idealism is detectable in the first two years of medical school. METHODS: We sought to identify differences in survey responses between first-year (MS1) and second-year (MS2) medical students at the beginning (T1) and end (T2) of academic year 2010 on three proxies for idealism, including items asking about: (a) motivations for pursuing a medical career; (b) specialty choice; and (c) attitudes toward primary care. Principle component analysis was used to extract linear composite variables (LCVs) from responses to each group of questions; linear regression was then used to test the effect of on each LCV, controlling for race, ethnicity, rural or urban origins, gender, and marital status. RESULTS: MS2s placed more emphasis on status/income concerns (β=0.153, p<0.001), and much less emphasis on idealism as a motivator (β=−0.081, p=0.054), in pursuing a medical career; more likely to consider lifestyle and family considerations (β=0.098, p=0.023), and less likely to consider idealistic motivations (β=−0.066, p=NS); and were more likely to endorse both negative/antagonistic (β=0.122, p=0.004) and negative/sympathetic (β=0.126, p=0.004) attitudes toward primary care. CONCLUSIONS: The results are suggestive that idealism decline begins earlier than noted in other studies, implying a need for curricular interventions in the first two years of medical school. |
format | Online Article Text |
id | pubmed-3750194 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Co-Action Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-37501942013-08-23 Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution Morley, Christopher P. Roseamelia, Carrie Smith, Jordan A. Villarreal, Ana L. Med Educ Online Research Article BACKGROUND: Idealism declines in medical students over the course of training, with some studies identifying the beginning of the decline in year 3 of US curricula. PURPOSES: This study tested the hypothesis that a decline in medical student idealism is detectable in the first two years of medical school. METHODS: We sought to identify differences in survey responses between first-year (MS1) and second-year (MS2) medical students at the beginning (T1) and end (T2) of academic year 2010 on three proxies for idealism, including items asking about: (a) motivations for pursuing a medical career; (b) specialty choice; and (c) attitudes toward primary care. Principle component analysis was used to extract linear composite variables (LCVs) from responses to each group of questions; linear regression was then used to test the effect of on each LCV, controlling for race, ethnicity, rural or urban origins, gender, and marital status. RESULTS: MS2s placed more emphasis on status/income concerns (β=0.153, p<0.001), and much less emphasis on idealism as a motivator (β=−0.081, p=0.054), in pursuing a medical career; more likely to consider lifestyle and family considerations (β=0.098, p=0.023), and less likely to consider idealistic motivations (β=−0.066, p=NS); and were more likely to endorse both negative/antagonistic (β=0.122, p=0.004) and negative/sympathetic (β=0.126, p=0.004) attitudes toward primary care. CONCLUSIONS: The results are suggestive that idealism decline begins earlier than noted in other studies, implying a need for curricular interventions in the first two years of medical school. Co-Action Publishing 2013-08-21 /pmc/articles/PMC3750194/ /pubmed/23968751 http://dx.doi.org/10.3402/meo.v18i0.21194 Text en © 2013 Christopher P. Morley et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Morley, Christopher P. Roseamelia, Carrie Smith, Jordan A. Villarreal, Ana L. Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
title | Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
title_full | Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
title_fullStr | Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
title_full_unstemmed | Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
title_short | Decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
title_sort | decline of medical student idealism in the first and second year of medical school: a survey of pre-clinical medical students at one institution |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3750194/ https://www.ncbi.nlm.nih.gov/pubmed/23968751 http://dx.doi.org/10.3402/meo.v18i0.21194 |
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