Likelihood of contact with AIDS patients as a factor in medical students' residency selections.

Important note: Information in this article was accurate in 1990. The state of the art may have changed since the publication date.

Likelihood of contact with AIDS patients as a factor in medical students' residency selections.

Acad Med. 1989 Oct;64(10):588-94. Unique Identifier : AIDSLINE MED/90000159
Ness R; Killian CD; Ness DE; Frost JB; McMahon D; School of Public Health, Columbia University, New York, New York.

Abstract: Results from the National Resident Matching Program for the years 1980, 1983, and 1987 were used to examine changes over time in the matches of U.S. medical students to residencies in cities with high concentrations of patients with acquired immunodeficiency syndrome (AIDS) and to specialties in which the care of AIDS patients was most concentrated. Medical students seeking postgraduate training in categorical surgery residency programs were less likely to be matched with programs located in areas where the numbers of reported AIDS cases were high in 1987 as compared with the pre-AIDS years of 1980 or 1983. This trend was more pronounced for students from medical schools located in cities with high numbers of AIDS cases. There was a decline in matches to residencies in categorical internal medicine nationally, regardless of location; this decline was also greater among the students coming from medical schools in cities with high numbers of AIDS cases. The authors discuss the implications for medical educators of declines in matches to specialties in which the care of AIDS patients is most concentrated. The imperfect nature of available measures of students' exposure to AIDS patients makes the data of this study preliminary, and further studies are being undertaken. However, the finding of significant effects in spite of the imprecision of some measures suggests that future work will confirm the results of this study.

Keywords: Acquired Immunodeficiency Syndrome/*PSYCHOLOGY *Career Choice Comparative Study Human Internship and Residency/*STATISTICS & NUMER DATA Professional Practice Location *Specialties, Medical/EDUCATION/MANPOWER Students, Medical/*PSYCHOLOGY Support, Non-U.S. Gov't United States Urban Population JOURNAL ARTICLE
900130
M9010519

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