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Factors Influencing the Choice of Selective Training during Medical Internship

Abstract:

The purpose of this study was to examine the pattern of choice of selective training at the University of Brasilia Medical School by appraising factors antecedent to or derived from clinical experience. The target population consisted of 511 graduates (55.6% males) from nine years of consecutive classes (1994-2002). Data obtained at the end of the first and the sixth years were analyzed by several statistical procedures. The results showed striking differences among five areas of selective training choice: clinical surgery, internal medicine, pediatrics, obstetrics-gynecology, and community medicine. Significant associations were found between choice of selective training and gender, learning style, early career preference, academic achievement, and peer tutoring experience. Separate logistic regression analysis showed a peculiar explanatory pattern for each choice. In conclusion, the study revealed significant differences in the choice of selective training that were associated with distinct predictive factors. The differences may reflect aspects of the search for personal compatibility, including experiential features and expectations regarding later professional work.

Key-words:
Education, medical; Evaluation; Schools, medical; Learning; Internship

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