Download as pdf or txt
Download as pdf or txt
You are on page 1of 8

Hin Hin Ko, MD, Tim K.

Lee, PhD, Yvette Leung, MD, Bruce Fleming, MD, Elena Vikis, MD,
Eric M. Yoshida, MD, MHSc

Factors influencing career


choices made by medical
students, residents, and
practising physicians
A recent survey reveals what motivates trainee and physician
career choices, and suggests various strategies that might be used
to encourage more trainees to pursue a career in primary care.

The past few years have seen shortages


ABSTRACT were identified as most influential in Background

of family physicians in urban


Background: Physicians’ specialty this career choice. Respondents with

and remote areas throughout Canada.


choices have a direct impact on the mentorship experience considered

Problems caused by the projected


health care workforce. To determine this more influential than those with-

shortfall in the number of family phy -


which factors influenced career out such experience (P = .008). While

sicians practising over the next few


choices made by medical students, physicians appreciated mentorship

years will be exacerbated by an aging


residents, and practising physicians, more than students (P = .02478),

population that requires more health


we conducted a survey in 2005. their interest in pursuing mentorship

care services. Although there is an


was significantly lower than stu-

increasing demand for primary care


Methods: Between April and July dents’ interest (P = .0079).

physicians, fewer graduating medical


2005 we distributed 327 question-

students are choosing family medi-


naires to University of British Colum- Conclusions: Results of this study
bia medical students, residents, and suggest that increasing primary care
BC physicians. exposure during training and select-
ing students interested in primary Dr Ko is a gastroenterology fellow at the
Results: Of those asked to complete care might be ways to increase the University of British Columbia. Dr Lee is
a questionnaire, 118 (36%) respond- number of primary care physicians. the computer scientist for Cancer Control
ed. This group included 35 students, Students appreciated mentorship Research at the BC Cancer Agency, clinical
44 residents, and 39 physicians. In least, suggesting either that they are assistant professor in Dermatology and
the subgroup of students, 10 (29%) less influenced by mentors or that Skin Science, UBC, and adjunct professor
ranked family medicine as their first the benefits of mentorship are not in Computing Science, Simon Fraser Uni-
choice of a future career. “Personal appreciated until later in a physi- versity. Dr Leung is a gastroenterology fel-
interests” and “previous experiences” cian’s career. low at the University of Calgary. Dr Fleming
is the associate dean for the MD Under-
graduate Program at UBC. Dr Vikis is a
senior general surgery resident at UBC. Dr
Yoshida is an associate professor and head
of the Division of Gastroenterology, UBC,
and medical director of the Liver Transplant
Program, BC Transplant Society.

482 BC MEDICAL JOURNAL VOL. 49 NO. 9, NOVEMBER 2007


Factors influencing career choices made by medical students, residents, and practising physicians

cine. Canadian Resident Matching ed were chosen based on a literature


Service (CaRMS) data indicate that review 5,6,8 and discussions with med- The response rate was 36.1%, with
Results

40% of Canadian medical school grad- ical students, residents, and physi- 327 survey packages distributed and
uates made family medicine their first cians. 118 completed and returned. Of the 118
choice in 1982. By 1996, the propor- respondents, 29.7% (35/118) were
tion had declined to 32% and by 2005 medical students, 37.3% (44/118) were
to only 28%. 1 Similar trends were The study population included medical internal medicine or general surgery
Study population

observed in the United States, where students, internal medicine and gener- residents, and 33% (39/118) were
there was decreasing interest in prima- al surgery residents, and physicians physicians. The response rate was
ry care and increasing interest in sub- currently practising in British Colum- 25.0% (35/140) for the medical stu-
specialties. 2-4 bia. A total of 327 individuals received dents, 93.6% (44/47) for the residents,
As medical science and technology the survey package: 140 third-year Uni- and 27.9% (39/140) for the physicians.
have become more sophisticated, the versity of British Columbia medical Of the respondents 54.2% were male.
university spotlight has been focused students, 36 internal medicine resi- The demographic characteristics of all
on subspecialties. Consequently, dents, 11 general surgery residents, and respondents is shown in Table 1 .
many medical students appear to find 140 physicians randomly selected
primary care less appealing than other from the College of Physicians and
specialties. What further complicates Surgeons of British Columbia physi-
Factors influencing

the problem is the reimbursement gap cian directory. Respondents were asked to rank seven
career choices

between the generalists and the spe- factors that influenced their career
cialists. choices. “Personal interests” was
Given the declining interests in Between April and July 2005, survey ranked first among all the respondents,
Survey procedures

primary care, an understanding of the materials were mailed to the medical followed by “previous positive experi-
factors that influence career choices students and physicians in practice, ence,” “personal reasons,” and “job
made by medical students, residents, and distributed to the residents (who opportunities.” Selection factors that
and physicians is essential. Although might not have a permanent address) at were considered less important were
many variables (e.g., level of educa- their academic half days. “influence from a mentor,” “lifestyle
tional debt, mentorship experiences, The survey packages were com- and financial rewards,” and “geograph-
income prospects, lifestyle) have been pleted anonymously and participation ical location.” The career choices and
investigated in previous studies, 5-7 lit- in the study was entirely voluntary. A selection factors for the medical stu-
tle research has been done to compare cover letter sent with the survey pack- dents, residents, and physicians were
the relative importance of different fac- age explained that completion and further analyzed separately. A summa-
tors affecting career choice, and the fac- return of the material implied consent ry of these findings is shown in
tors that have the greatest influence to participate. Completed forms and Table 2 .
thus remain unclear. The purpose of questionnaires were returned by fax or
the study described here was to identi- mail, and were destroyed after data Medical students. Family medicine
fy the different factors and the relative analysis. The study was reviewed and was selected as the top choice for a
importance of each in career selection approved by the Behavioural Research future career by 28.6% of students,
in order to gain some insight into what Ethics Board of the University of while 22.9% expressed interest in in -
might enhance interest in primary care British Columbia. ternal medicine, and 8.6% were in-
as a career choice. terested in surgical specialties. The re-
maining 37.1% of students were
Chi-square analysis was used to deter- interested in other specialties, such as
Analysis

A one-page questionnaire was designed mine the frequency count variables. anesthesia, emergency medicine,
Methods

to identify the factors influencing The mean and median of the ranking pathology, pediatrics, public health,
career choice (see Appendix A and variables were computed and reported. psychiatry, radiology, and radiation
Appendix B). Respondents were asked Becau s e t h e s u b g ro u p s i zes oncology (one student did not answer,
to provide demographic data and to were small, the nonparametric Mann- so percentages do not total 100%).
rank the factors that influenced their Whitney U test was applied to the Students ranked “personal inter-
residency choice. The factors present- ranking variables.

VOL. 49 NO. 9, NOVEMBER 2007 BC MEDICAL JOURNAL 483


Factors influencing career choices made by medical students, residents, and practising physicians

ests” as the most important factor in- rewards.” Factors that were considered cording to those who were and were
fluencing their residency selection. relatively less influential were “future not interested in family medicine and
This was followed by “previous posi- job opportunities,” “geographical loca- compared their career choice factors,
tive clerkship experience,” “personal tions,” and “influence from a mentor.” there were significant differences for
reasons,” and “lifestyle and financial When we grouped the students ac - certain variables. Students who were
interested in family medicine ranked
“personal reasons” (P = .0329) and job
opportunities (P = .0051) higher than
Table 1. Demographic characteristics of 118 respondents.

other students. Those students not


interested in family medicine ranked
Students (N = 35) Residents (N = 44) Physicians (N = 39)
n (%) n (%) n (%)

“previous positive clerkship experi-


ence” (P = .0003) and “influence from
Gender

a mentor” (P = .0142) as more impor-


Male 15 (42.9%) 23 (52.3%) 26 (66.7%)

tant factors.
Female 20 (57.1%) 21 (47.7%) 13 (33.3%)


5-year age group

— Residents. As a group, the residents


21–25 11 (31.4%) 1 ( 2.3%)

— identified “personal interests” as the


26–30 21 (60.0%) 31 (70.5%)

— — most important reason for selecting


31–35 3 (8.6%) 7 (15.9%)

their specialty. This was followed by


36–40 5 (11.4%)

“previous positive clerkship experi-


— — ence,” “influence from a mentor,” and
10-year age group

— — “future job opportunities.” Factors


30–39 11 (28.2%)

— — that were perceived as less important


40–49 9 (23.1%)

— — were “personal reasons,” “lifestyle and


50–59 12 (30.8%)

financial rewards,” and “geographical


60–69 7 (17.9%)

— location.”
Graduate from

— — When responses from residents


Canadian 36 (81.8%) 37 (94.9%)

were analyzed according to specialty,



US 1 ( 2.6%)

“personal interests” ranked first among


the internal medicine residents, fol-
Others 8 (18.2%) 1 ( 2.6%)

— lowed by “previous positive clerkship


Specialty

experience,” “influence from a men-


Family medicine 10 (28.6%) 13 (33.3%)

tor,” “job opportunities,” “lifestyle


Internal 8 (22.9%) 33 (75.0%) 6 (15.4%)

— and financial rewards,” and “geograph-


Surgery* 3 (8.6%) 11 (25.0%) 4 (10.3%)

ical location.” Similarly, “personal


Others† 13 (37.1%) 16 (41.0%)

— — interests” was considered as the most


Year of Residency

influential factor among the surgery


— —
PGY-1 18 (40.9%)

residents, followed by “previous posi-


— —
PGY-2 14 (31.8%)

tive clerkship experience,” “influence


— — — from a mentor,” “job opportunities,”
PGY-3 10 (22.7%)

— — “lifestyle and financial rewards,” and


PGY-4

“personal reasons.” “Geographical


PGY-5 2 ( 4.5%)

— — location” was ranked as the least influ-


Years of Practice

— — ential selection factor. The differences


0–5 5 (12.8%)

— — between the two specialties were not


6–10 9 (23.1%)

significant.
— —
11–15 8 (20.5%)

— —
16–20 2 ( 5.1%)

Physicians. Along with the students


and the residents, the physicians iden-
20+ 14 (35.9%)

tified “personal interests” as the most


*Surgery includes cardiac surgery, general surgery, pediatric general surgery, and plastic surgery

Others includes anesthesia, emergency medicine, neurology, ophthalmology, palliative medicine,
pathology, pediatrics, public health, psychiatry, radiology, and radiation oncology

484 BC MEDICAL JOURNAL VOL. 49 NO. 9, NOVEMBER 2007


Factors influencing career choices made by medical students, residents, and practising physicians

important reason for selecting a spe-


cialty, followed by “previous positive
Table 2. Scores assigned by respondents asked to rank factors influencing career choices

clerkship experience,” “influence from


from 1 (most important) to 7 (least important).

a mentor,” and “personal reasons.”


Factors that were less influential were
Students Residents Physicians All respondents
Median (mean) Median (mean) Median (mean) Median (mean)

“lifestyle and financial rewards” and


“job opportunities.” Again, “geo-
Personal interests 1.0 (1.2) 1.0 (2.2) 1.0 (1.9) 1.0 (1.8)

graphical location” was considered the


Previous positive

least important selection factor.


3.0 (3.2) 2.0 (2.7) 2.0 (3.0) 2.0 (2.9)
clerkship experience

Personal reasons 4.0 (3.8) 4.0 (4.3) 4.0 (4.0) 4.0 (4.1)

Respondents were asked to consider


Mentorship Job opportunities 5.0 (4.5) 4.0 (4.2) 4.5 (4.5) 4.0 (4.4)

the influence of mentors on their selec-


tion of a career. Of those respondents
Influence from a
6.0 (5.3) 3.0 (3.8) 4.0 (3.9) 4.5 (4.3)

with mentors who answered this ques-


mentor

tion (57/118), more than 60% (38/57)


Lifestyle and
4.0 (4.4) 5.0 (4.6) 5.0 (4.3) 5.0 (4.5)

said their mentors had “some influ-


financial rewards

ence” or a “strong influence” on their


Geographical
5.0 (5.0) 5.0 (4.8) 6.0 (5.0) 5.0 (4.9)
location

choice of residency. Approximately


40% of respondents in both the stu-
dent and resident subgroups found their
mentors “somewhat helpful” or “pret-
Table 3. Number of respondents agreeing with one of four statements about degree of
mentor influence on residency choice.

ty helpful.” Respondents with and


without mentors ranked “general guid-
Respondents
Students Residents Physicians

ance” and “career counseling” as the


with mentors
(N = 21*) (N = 20) (N = 16)

kinds of support from mentors that


(N = 57)
n (%) n (%) n (%)
n (%)

they valued most.


Not surprisingly, when we com-
No influence 10 (17.5%) 8 (34.8%) 2 (12.5%)

pared those respondents who had men-


tors with those who had never had
Minor influence 9 (15.7%) 4 (17.4%) 5 (25%)

mentors, those who had worked with


at least one mentor during their med-
Some influence 24 (42.1%) 6 (26.1%) 12 (60%) 6 (37.5%)

ical training ranked “influence from a


mentor” significantly higher than
Strong influence 14 (24.6%) 3 (13.0%) 3 (15%) 8 (50%)

those without mentors, and the differ-


*2 of 23 students with mentors did not answer this question.

ence was statistically significant (P =


.008).When we compared mentor in-
fluence for students and physicians,
Table 4. Scores assigned by respondents asked to rank relative importance of different

there was significant difference be-


kinds of support provided by mentors from 1 (most important) to 5 (least important).

tween the two groups (P = 0.02478).


When we compressed the degree of
Students Residents Physicians All Respondents

influence into two subgroups—“no”


Median (mean) Median (mean) Median (mean) Median (mean)

or “minor” influence and “some” or


General guidance 1.0 (1.4) 2.0 (2.4) 2.0 (2.1) 2.0 (2.0)

“strong” influence—the difference was


Career

even more significant (P = .00554).


2.0 (2.5) 1.0 (1.8) 2.0 (2.3) 2.0 (2.2)
counseling

Table 3 summarizes the degree of


Professional

influence mentors had on respondents,


3.0 (2.7) 2.0 (2.3) 2.5 (2.5) 3.0 (2.5)
support

and Table 4 summarizes the respon-


Emotional support 4.0 (3.9) 5.0 (4.1) 4.0 (3.4) 4.0 (3.8)

dents’ ranking of the different kinds of


support provided by mentors.
Research project 5.0 (4.3) 3.0 (2.8) 5.0 (4.4) 4.0 (3.7)

VOL. 49 NO. 9, NOVEMBER 2007 BC MEDICAL JOURNAL 485


Factors influencing career choices made by medical students, residents, and practising physicians

by “professional support” and “gener- process, additional research involving


Medical students. Of the 35 student al guidance.” Mentor roles that were input from other regions and residents
respondents, 23 currently had a men- considered less important were “assis- from other specialty training programs
tor. Among these students, 30% found tance on research projects” and “emo- would be needed.
their mentors “very helpful” and tional support.”
21.7% found their mentor “not at all Despite the small number of resi-
helpful.” The rest of the students, dents with mentors, the majority of The results of this study illuminate
Conclusions

43.5%, found their mentors “some- resident respondents (38/44) expressed some key factors that influenced the
what helpful” or “pretty helpful” (one their interests in a mentorship pro- career choices made by medical stu-
student did not answer, so percentages gram in the future. dents, residents, and practising physi-
do not total 100%). cians. “Personal interests” and “previ-
In terms of mentor influence on Physicians. Of the 39 physician re- ous positive clerkship experience”
residency choice, only 13% of the stu- spondents, 16 had had mentors during were the two most important factors
dents found their mentors had a “strong their residency. Among those who had for the students, residents, and physi-
influence” on their career choices. mentors, 8 were strongly influenced cians when selecting their specialty,
“General guidance” was the most by their mentors when choosing their while “lifestyle and financial rewards”
important benefit students expected careers. and “geographical location” did not
from their mentors, followed by “ca- As a physician and mentor, pro- attain significance as predictors of a
reer counseling” and “professional viding “general guidance” to the men- career choice. It was somewhat sur-
support.” Providing “emotional sup- tees was perceived as most important, prising to see that “lifestyle and finan-
port” and “assistance on research pro- followed by “career counseling,” “pro- cial rewards” had minimal influence
jects” was considered less important. fessional support,” “emotional support,” on the career choices since previous
When asked whether they would be and “assistance on research projects.” studies 9,10 have shown that the odd
interested in a mentorship program in While 97.1% of student respon- ratios for selecting a residency other
the future, the majority of student dents and 86.4% of resident respon- than primary care increased as the con-
respondents (34/35) expressed interest. dents were interested in a mentorship cern about student indebtedness
program, only 69.3% of physicians increased. Moreover, comments in the
Residents. Among the 44 responding were interested, a statistically signifi- Vancouver media have suggested that
residents, 20 had mentors prior to res- cant difference (P = .0079). the decline in physician interest in pri-
idency; however, this number dropped mary care, especially family medicine,
significantly during residency, to 11. is in part due to income disparity
When the residents were analyzed by There were several limitations to this between primary care physicians and
Study limitations

speciality, 36% of internal medicine study. The sample size was small and specialists. 11,12
and 73% of surgery residents had men- the participant rate was low. The study The results of this study regarding
tors during medical school. During res- relied on the respondents to self-report mentorship were also somewhat sur-
idency, only 27% of internal medicine what influenced their career choices and prising. Other studies have reported
residents and 18% of surgery residents these responses, especially in that role models or mentors influence
had mentors. the case of residents and physicians, a medical student’s selection of resi-
Among those residents who had would be subject to recall or nondisclo- dency. 7,13 In our study, both the resi-
mentors prior to residency, only 15% sure bias. Furthermore, this study dents and physicians ranked “influence
found their mentors had a “strong looked at only seven career-choice selec- from a mentor” third, after “personal
influence” on their residency choices. tion factors; other factors such as mar- interests” and “previous positive clerk-
For those residents who currently had ital status, level of educational debt, ship experiences.” However, when
mentors, 27.3% found their mentors and desire to work with people, were asked about mentors specifically, very
“very helpful,” 27.3% “somewhat not considered. Lastly, the study sam- few respondents felt that mentors did
helpful,” and 45.5% found them “pret- ple was drawn from students, residents, not provide any influence. In fact, the
ty helpful.” and physicians from a single Canadian perceived value of mentors appeared to
“Career counseling” was ranked as province and may not be generalizable be greatest among the practising
the most important benefit residents to other provinces and countries. To physicians. This is in contrast to the
expected from their mentors, followed better understand the career-choice responses of medical students, who

486 BC MEDICAL JOURNAL VOL. 49 NO. 9, NOVEMBER 2007


Factors influencing career choices made by medical students, residents, and practising physicians

perceived that having a mentor did not a predictor for later generalist prac-
have any significant influence on res- tice. 14,15 Therefore, selecting medical
family medicine: What influences med-

idency selection. We concede that it is students who express an interest in pri-


ical students? Can Fam Physician 2003;

possible this finding may be due to the mary care might be helpful.
49:1131-1137.

limitations of our study: the study Promoting interest in primary care


6. Newton DA, Grayson MS, Whitley TW.

looked only at third-year medical stu- will require substantial effort. Various
What predicts medical student career

dents from a single university and only strategies—including increasing expo-


choice? J Gen Intern Med 1998;13:200-

65.7% of these students had mentors. sure to primary care during training,
203.

It may also be possible that students selecting students who express inter-
7. Wright S, Wong A, Newill C. The impact

tend to meet their mentors after they ests in primary care, and improving
of role models on medical students. J

have decided on a career path, and that satisfaction among family physicians
Gen Intern Med 1997;12:53-56.

the true value of mentorship is per- —might encourage more trainees to


8. Senf JH, Kutob R, Campos-Outcalt D.

ceived only long after the mentorship pursue a career in primary care. How-
Which primary care specialty? Factors

has been completed and not immedi- ever, all these will require a coordinat-
that relate to a choice of family medicine,

ately afterward or during the course of ed and interdisciplinary approach


internal medicine, combined internal

mentorship. Mentorship may in fact among the policymakers, physicians,


medicine-pediatrics, or pediatrics. Fam

be of great benefit, even if those stu- and academics. Although this study
Med 2004;36:123-130.

dent respondents with mentors do not provides some insight, studies that
9. Kiker BF, Zeh M. Relative income expec-

appreciate this right away. Another involve multiple centres and a larger
tations, expected malpractice premium

possibility is that the difference in the sample are still needed to provide bet-
costs, and other determinants of physi-

perceived value of mentorship in our ter understanding of the relative impor-


cian specialty choice. J Health Soc Behav

study reflects a cohort or temporal tance of various career-choice factors.


1998;39:152-167.

effect. It may be that the generation of


10. Rosenthal MP, Marquette PA, Diamond

students we surveyed is less affected


JJ. Trends along the debt-income axis:

by mentorship than those of previous


Acknowledgments Implications for medical students’ selec-

years. If this is true, then increasing


We thank Dr Jessica Mills for all her help tions of family practice careers. Acad

exposure to mentors will be of limit-


with the distribution of surveys. Med 1996;71:675-677.

ed benefit. Since there appeared to be a


11. Rosser WW. The decline of family medi-

gradient in perceived value of mentor-


Competing interests cine as a career choice. CMAJ 2002;

ship from students to residents to prac-


None declared. 166:1419-1420.

tising physicians, and since the age


12. Sullivan P. Family medicine in crisis?

gap between students and residents is


References CMAJ 2003;168:881-882.

not that great (i.e., most respondents


1. Canadian Resident Matching Service. R- 13. Burack JH, Irby DM, Carline JD, et al. A

within both groups were between 20


1 match report–2005. Ottawa, ON: Cana- study of medical student’s specialty-

and 30 years of age), we do not feel


dian Resident Matching Service, 2005. choice pathway: Trying on possible

that this was the reason.


www.carms.ca/eng/operations_R1 selves. Acad Med 1997;72:534-541.

Despite the limitations of this


reports_05_e.shtml (accessed 10 Sep- 14. Rabinowitz HK, Paynter NP. The role of

study, our findings suggest there might


tember 2007). the medical school in rural graduate med-

be ways to influence students to pur-


2. Skinner BD, Newton WP. A long-term per- ical education: Pipeline or control value. J

sue careers in primary care. One way


spective on family practice residency Rural Health 2000;16:249-253.

might be to increase exposure to pri-


match success: 1984–98. Fam Med 15. Pathman DE, Steiner BD, Jones BD, et al.

mary care experiences during the first


1999;31:559-565. Preparing and retaining rural physicians

and second years of medical school,


3. Kahn NB, Schmittling GT, Graham R. through medical education. Acad Med

and to emphasize primary care ambu-


Results of the 1999 National Resident 2002;77:475-480.

latory experiences during clerkship


Matching Program: Family practice. Fam

years. Another way to increase the


Med 1999;3:551-558.

number of primary care physicians


4. Pugno PA, McPherson DS, Schmittling

might be through the medical student


GT, et al. Results of the 2000 National

selection process. Explicit interest in


Resident Matching Program: Family prac-

primary care by a student applicant is


tice. Fam Med 2000;32:543-550.
5. Jordan J, Brown JB, Russell G. Choosing

VOL. 49 NO. 9, NOVEMBER 2007 BC MEDICAL JOURNAL 487


Factors influencing career choices made by medical students, residents, and practising physicians

Appendix A. Factors influencing medical students’ residency choice.*

1. What is your gender?


Male Female

2. What is your age?


21–25 26–30 31–35 36–40 41–45

3. Which residency program do you plan to apply? _________________________________________________

4. Rank the following factors that influenced your choice of residency program:
(1 = most important; 7 = least important; please use each number only ONCE)
___ Personal interests
___ Personal reasons (e.g. family, friends, etc.)
___ Geographical location
___ Previous positive clerkship experience
___ Influence from a mentor
___ Lifestyle and financial rewards
___ Future job opportunities in that field

5. Did you have a mentor during your medical school training?


If Yes, please go to Question #6
If No, please go to Question #8

6. Did your mentor have any influence on your residency choice?


No influence
Minor influence
Some influence
Strong influence

7. How helpful is your mentor?


Not at all helpful
Somewhat helpful
Pretty helpful
Very helpful

8. Rank the following areas that you expect to benefit from the mentor:
(1 = most important; 5 = least important; please use each number only ONCE)
___ General guidance
___ Career counseling
___ Assistance & support surrounding professional issues
___ Emotional support surrounding personal or non-work related issues
___ Assistance on research project

9. Are you interested in a mentorship program during residency?


Yes
No

*Medical students received this questionnaire, while practising physicians received the questionnaire in Appendix B. Residents received a questionnaire
similar to this one, except it gathered information on the medical school graduated from, current speciality, and year of residency.

488 BC MEDICAL JOURNAL VOL. 49 NO. 9, NOVEMBER 2007


Factors influencing career choices made by medical students, residents, and practising physicians

Appendix B. Factors that influenced physicians’ career choice

1. What is your gender?


Male Female

2. What is your age?


30–39 40–49 50–59 60 – 69 70+

3. Which medical school did you graduate from?


Canadian US UK Other

4. What is your specialty? ____________________________________________________________________

5. How many years have you been in practice?


0–5 6–10 11–15 16–20 20+

6. Rank the following factors that had motivated you to choose the current specialty:
(1 = most important; 7 = least important; please use each number only ONCE)
___ Personal interests
___ Personal reasons (family, friends, etc.)
___ Geographical location
___ Previous positive clerkship or rotation experience
___ Influence from a mentor
___ Lifestyle and financial rewards
___ Future job opportunities in that field

7. Did you have a mentor during your residency or fellowship training?


If Yes, please go to Question #9
If No, please go to Question #8

8. Looking back, would you feel you could have benefited from having a mentor?
Yes No
(Skip Question #9, go to Question #10)

9. How much influence did your mentor have on your career?


No influence at all Minor influence Some influence Strong
influence

10. Are you interested in mentoring a medical student or resident or fellow in the future?
Yes No

11. If answered “Yes” in the above question, please rank the following that you feel a good mentor should offer to
the mentee: (1 = most important; 5 = least important)
Please use each number only ONCE
___ General guidance
___ Career counseling
___ Assistance & support surrounding professional issues
___ Emotional support surrounding personal or non-work related issues
___ Assistance on research project

VOL. 49 NO. 9, NOVEMBER 2007 BC MEDICAL JOURNAL 489

You might also like