?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Impact+of+Generalist+Physician+Initiatives+on+Residency+Selection%0A%0A&rft.creator=+Malloy+MD%2C+Michael+H.&rft.creator=+Stroup-Benham+PhD%2C+Christine+A.&rft.subject=MEO+Peer+Reviewed&rft.description=Objective%3ATo+compare+the+residency+selection+choices+of+students+who+experienced+courses+resulting+from+generalist+physician+initiatives+to+choices+made+by+students+prior+to+the+implementation+of+those+courses+and+to+describe+the+characteristics+of+students+selecting+primary+care+residencies.%0A%0ABackground%3AIn+the+fall+of+1994+a+first+year+Community+Continuity%0A%0AExperience+course+was+initiated+and+in+the+summer+of+1995+a+third+year+Multidisciplinary+Ambulatory+Clerkship+was+begun+at+the+University+of+Texas+Medical+Branch+in+Galveston.+These+courses+were+inserted+into+the+curriculum+to+enhance+and+promote+primary+care+education.%0A%0ADesign%2FMethods%3AWe+examined+the+residency+selections+of+cohorts+of+graduating+medical+students+before+(1992-1996)+and+after+(1997-1999)+the+implementation+of+the+primary+care+courses.+Survey+information+on+career+preferences+at+matriculation+and+in+the+fourth+year+of+medical+school+were+available+for+students+graduating+after+the+programs+began.+We+compared+the+career+preferences+and+characteristics+of+those+students+who+selected+a+primary+care+residency+to+those+who+did+not.%0A%0AResults%3APrior+to+the+implementation+of+the+programs%2C+45%25(425%2F950)+of+students+graduating+selected+primary+care+residencies+compared+to+45%25+(210%2F465)+of+students+participating+in+the+programs+(p%3D0.88).+At+matriculation%2C+45%25+of+students+had+listed+a+primary+care+discipline+as+their+first+career+choice.+Among+the+students+who+had+indicated+this+degree+of+primary+care+interest+61%25+ended+up+matching+in+a+primary+care+discipline.+At+year+4%2C+31%25+of+students+indicated+a+primary+care+discipline+as+their+first+career+choice+and+92%25+of+these+students+matched+to+a+primary+care+residency.+By+univariate+analysis%2C+minority+students+(53%25)+were+more+likely+to+select+a+primary+care+residency+than+non-minority+students+(40%25)%3B+students+in+the+two+lowest+grade+point+average+quartiles+(55%25+and+50%25)+selected+primary+care+residencies+compared+to+37%25+and+38%25+of+students+in+the+top+2+quartiles%3B+and+students+who+stated+that+income+potential+had+little+or+no+impact+on+their+choice+were+more+likely+to+select+a+primary+care+residency+(48%25)+than+those+who+said+income+potential+was+important+(37%25).%0A%0AConclusions%3AWe+observed+no+significant+trend+towards+higher+proportions+of+graduating+students+selecting+primary+care+discipline+residencies+as+a+result+of+implementing+courses+that+emphasized+primary+care.+Those+students+expressing+an+interest+in+a+primary+care+discipline+at+their+entrance+into+medical+school+were+more+likely+to+select+a+primary+care+residency.+A+more+significant+impact+on+graduating+students+interested+in+primary+care+may+be+made+through+the+medical+student+selection+process+than+by+altering+the+curriculum.%0A&rft.date=2001-10&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F2385%2F1%2Fres00019.pdf&rft.identifier=+++Malloy+MD%2C+Michael+H.+and++Stroup-Benham+PhD%2C+Christine+A.++(2001)+Impact+of+Generalist+Physician+Initiatives+on+Residency+Selection.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F2385%2F