Does teaching by family physicians in the second year of medical school increase student selection of family practice residencies?
retrospective_cohort · Level III
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Abstract
BACKGROUND AND OBJECTIVES: Most educators feel that early instruction by family physician teachers increases the probability of students selecting family practice residencies. METHODS: To examine this hypothesis, a retrospective cohort study was performed to evaluate residency selection of students who received their second-year Introduction to Clinical Medicine (ICM) teaching either from family physicians or other specialists (most commonly, internists). RESULTS: For the 971 students who could be followed to residency, 13.6% of those having family physicians as instructors and 15.7% of those having other specialists as instructors chose family practice residencies. The difference is not significant. CONCLUSION: It is probable that the effect of having a family physician as a second-year ICM instructor is not significant enough to be detected by a study of this size and is simply "washed out" by other factors. It is also possible that no positive effect of second-year teaching by family physicians on residency selection exists.