Association between medical student debt and choice of specialty: a 6-year retrospective study
Association between medical student debt and choice of specialty: a 6-year retrospective study
复制标题
DOI：
10.1186/s12909-019-1797-2
复制
发表时间：
2019-10-28
影响因子：
3.6
通讯作者：
Braman, Jonathan P.
中科院分区：
文献类型：
--
作者：
Fritz, Erik M.;van den Hoogenhof, Suzanne;Braman, Jonathan P.
背景资料：迅速增加的学生债务对医学生最终职业计划的影响，对希望加强招聘的住院医师项目（包括初级保健专业）特别感兴趣。以往对医学生的调查研究表明，学生债务的数额影响医学专业的选择。迄今为止，有关该主题的研究仍不清楚，很少有研究将不同专业的平均收入纳入分析中。本研究的目的是观察是否实证数据表明毕业医学生的债务和专业到学生match.Methods：这是一个回顾性的横断面研究，包括2010年至2015年毕业的数据的公共机构之间的关联。对于每一个包括学生，总教育债务在毕业和匹配的专业。并得出了各专业的平均收入。进行统计假设检验以分析各专业之间平均债务的差异;进行子分析以评估初级保健（PC）与非初级保健（NPC）专业的债务。学生债务和平均专业income之间的相关性也evaluated.Results：一千三百一十名学生符合纳入标准，178被排除在最终的研究人口1132（86%）。平均债务为182，590美元。平均负债在不同专业之间无显著差异（P = 0.576）。PC和NPC专业之间的平均债务没有显著差异（PC $182，345 +/-$64，457，NPC $182，868 +/-$70，420，P = 0.342）。平均专业收入和毕业负债之间没有相关性（斯皮尔曼的rho = 0.021，P = 0.482）。结论：在我们的机构，学生负债并没有出现影响匹配的医学专业，债务和平均专业收入之间没有相关性。有兴趣招收更多学生或增加多样性的不同子专业和住院医生计划可能会考虑解决可能对学生选择产生更大影响的替代因素。
Background: The effect of rapidly increasing student debt on medical students' ultimate career plans is of particular interest to residency programs desiring to enhance recruitment, including primary care specialties. Previous survey studies of medical students indicate that amount of student debt influences choice of medical specialty. Research on this topic to date remains unclear, and few studies have included the average income of different specialties in analyses. The purpose of this study is to observe whether empirical data demonstrates an association between debt of graduating medical students and specialties into which students match.Methods: This was a retrospective cross-sectional study of a public institution including data from graduation years 2010-2015. For each included student, total educational debt at graduation and matched specialty were obtained. Average income of each specialty was also obtained. Statistical hypothesis testing was performed to analyze any differences in average debt among specialties; subanalysis was performed assessing debt for primary care (PC) versus non-primary care (NPC) specialties. Correlation between student debt and average specialty income was also evaluated.Results: One thousand three hundred ten students met the inclusion criteria and 178 were excluded for a final study population of 1132 (86%). The average debt was $182,590. Average debt was not significantly different among the different specialties (P = 0.576). There was no significant difference in average debt between PC and NPC specialties (PC $182,345 +/- $64,457, NPC $182,868 +/- $70,420, P = 0.342). There was no correlation between average specialty income and graduation debt (Spearman's rho = 0.021, P = 0.482).Conclusions: At our institution, student indebtedness did not appear to affect matched medical specialty, and no correlation between debt and average specialty income was observed. Different subspecialties and residency programs interested in recruiting more students or increasing diversity may consider addressing alternative factors which may have a stronger influence on student choices.