title: Medical students' attitudes toward underserved populations: changing associations with choice of primary care versus non-primary care residency.
abstract: The number of medical students entering primary care residencies continues to decrease. The association between student attitudes toward underserved populations and residency choice has received little attention even though primary care physicians see a larger proportion of underserved patients than most other specialists. We evaluated attitudes toward underserved populations in 826 medical students using a standardized survey, and used logistic regression to assess the effect of attitudes, along with other variables, on selection of a primary care residency. We compared results between two groups defined by year of entry to medical school (1993-99 and 2000-05) to determine whether associations differed by time period. Students' attitudes regarding professional responsibility toward underserved populations remained high over the study period; however, there was a statistically. significant association between positive attitudes and primary care residency in the early cohort only. This association was not found in the more recent group.
authors.affiliation: Office of Program Evaluation, Education, and Research, University of New Mexico School of Medicine (UNMSOM), Albuquerque, NM 87131-0001, USA. Swayne@salud.unm.edu
authors.forename: Sharon
authors.initials: S
authors.lastname: Wayne
authors.forename: Craig
authors.initials: C
authors.lastname: Timm
authors.forename: Lisa
authors.initials: L
authors.lastname: Serna
authors.forename: Brian
authors.initials: B
authors.lastname: Solan
authors.forename: Summers
authors.initials: S
authors.lastname: Kalishman
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D015331:Cohort Studies; D003625:Data Collection; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D008507:Medically Underserved Area; D011320:Primary Health Care; D012737:Sex Factors; D012941:Social Responsibility; D013337:Students, Medical / Q000523:psychology*; D000078329:Workforce; D055815:Young Adult