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      Associations between hematology/oncology fellows’ training and mentorship experiences and hematology-only career plans

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          Key Points

          Clinical, research and mentorship experiences in hematology are positively associated with fellows' plans to pursue hematology-only careers.

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          The role of medical school culture in primary care career choice.

          Clese Erikson, Sana Danish, Karen C Jones … (2013)
          To examine individual-level and medical-school-level factors, including the school's primary care culture, that are associated with medical students' likelihood of practicing primary care.
          Article 0 comments Cited 34 times – based on 0 reviews     Review now
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            Graduate Medical Education, 2017-2018

            Sarah E Brotherton, Sylvia I Etzel (2018)
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              Is Open Access

              Factors affecting senior medical students’ career choice

              Sophie Querido, Sjoukje van den Broek, Marlies De Rond … (2018)
              Objectives To gain insight into factors affecting career preference and career choice during the final phase of medical school, above and beyond a model that was presented by Bland and colleagues in 1995 (the "Bland model"). Methods A qualitative study was conducted. One-hour semi-structured interviews were conducted with final-year medical students about career preference and the factors influencing preference and choice. The interviews were transcribed and a thematic analysis was applied, to identify patterns and interrelationships in the data and to compare and contrast these with the Bland model. Results Twenty-four students participated. Three critical sets of factors, not present in the Bland model, emerged from the interviews: (a) factors arising from student-initiated information collection, (b) patient population characteristics of a specialty domain, and (c) the characteristics of teams and colleagues within a specialty. Conclusions Students appear to actively match and calibrate perceptions of different specialty characteristics with their current personal needs and expected future needs, and to include cues from self-initiated information collection about a speciality. This agency aligns with Billett's workplace learning theory. Next, specialty patient population features appear to be taken into account; this was not unexpected but not included in the Bland model. Finally, the characteristics of teams and colleagues of a specialty were stressed in the interviews. These three components broaden the applicability of the Bland model--originally created for primary-care careers--to medical specialties in general.
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                Author and article information

                Journal
                Title: Blood Advances
                Publisher: American Society of Hematology
                ISSN (Print): 2473-9529
                ISSN (Electronic): 2473-9537
                Publication date Created: November 12 2019
                Publication date (Print): November 12 2019
                Publication date (Electronic): October 31 2019
                Volume: 3
                Issue: 21
                Pages: 3278-3286
                Affiliations
                [1 ]Department of Health Policy and Management, Milken Institute School of Public Health, and
                [2 ]Fitzhugh Mullan Institute for Health Workforce Equity, The George Washington University, Washington, DC;
                [3 ]Hematology Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA;
                [4 ]Division of Hematology/Oncology, Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, PA;
                [5 ]Department of Pathology & Laboratory Medicine, University of North Carolina School of Medicine, Chapel Hill, NC;
                [6 ]Division of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN;
                [7 ]Division of Hematology, Department of Medicine, Johns Hopkins University, Baltimore, MD;
                [8 ]Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL;
                [9 ]Jane Anne Nohl Division of Hematology, Keck School of Medicine, University of Southern California, Los Angeles, CA;
                [10 ]Division of Hematology/Oncology, Department of Medicine, University of Florida, Gainesville, FL;
                [11 ]Transfusion Medicine Fellowship Program, Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN;
                [12 ]Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, NY; and
                [13 ]Section of Hematology, Department of Internal Medicine, Yale School of Medicine, New Haven, CT
                Article
                DOI: 10.1182/bloodadvances.2019000569
                PMC ID: 6855099
                PubMed ID: 31698456
                SO-VID: c5dd55ea-5497-4e12-a9db-a13ffcc84c9e
                Copyright © © 2019
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