title: General pediatrics resident perspectives on training decisions and career choice.
abstract: OBJECTIVE
  Little is known regarding at what point during the training period residents in pediatrics make decisions on their future career choices. As part of a dedicated process of reexamining the structure of residency training in pediatrics, the American Board of Pediatrics sought information to better understand the influences, process, and sequencing of both residency program selection and career decision-making among residents.
  
  
  METHODS
  All pediatrics resident physicians in all training programs in the United States and Canada (N = 8290) received the survey as part of the general pediatrics in-training examination. The survey focused on exploring how and when pediatrics residents make career choices and assessed perceived flexibility of their individual pediatrics residency program.
  
  
  RESULTS
  The response rate was 95%. Location was the most important factor in selecting a residency program for 42% of all residents. Almost half of the pediatrics residents planned to pursue fellowship training after residency, a proportion that changed little across the 3 training years (level 1: 47%; level 2: 49%; level 3: 47%). Those who planned to pursue a general pediatrics career (either with or without inpatient care) were more likely than those who intended to pursue fellowship training to report that lifestyle was the most important factor in their career choice (63% vs 21%).
  
  
  CONCLUSIONS
  Not surprisingly, different priorities motivate pediatricians to pursue specific programs for training and specific career options. The finding that those with the highest priority regarding lifestyle are more likely to pursue generalist training has implications for the generalist workforce, because those persons may also be more likely to seek part-time employment. Lifestyle concerns may need to be addressed in subspecialty training and subsequent subspecialty careers to ensure a continued flow of residents into fellowship training.
authors.affiliation: Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor, MI 48109-0456, USA. gfreed@med.umich.edu
authors.forename: Gary L
authors.initials: GL
authors.lastname: Freed
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Dunham
authors.forename: M Douglas
authors.initials: MD
authors.lastname: Jones
authors.forename: Gail A
authors.initials: GA
authors.lastname: McGuinness
authors.forename: Linda
authors.initials: L
authors.lastname: Althouse
mesh_terms: D001291:Attitude of Health Personnel; D002170:Canada; D002321:Career Choice; D005257:Fellowships and Scholarships; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008019:Life Style; D008297:Male; D010372:Pediatrics / Q000193:education*; D011365:Professional Practice Location; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014481:United States