title: A Longitudinal Study of Determinants of Career Satisfaction in Medical Students.
abstract: BACKGROUND
  There is evidence of significant career dissatisfaction among practicing physicians and those considering medicine as a profession. Most research on career satisfaction has examined practicing physicians. This study was undertaken to look at determinants of satisfaction in those at the earliest stage of their medical careers - medical students.
  
  
  METHODS
  As part of a larger study, students comprising one class at the University of Washington School of Medicine were surveyed three times over the course of their medical education. For the present study we examined measures specifically related to determinants of career satisfaction.
  
  
  RESULTS
  Over time, students' sense of the importance of most measured determinants of satisfaction showed significant change, the majority of which were in the direction of decreased importance. However, most of the change was relative. That is, factors that students considered to be most important at the start of medical school continued to be most important throughout the educational experience and those factors students considered to be least important at Year 1 continued to be least important at Years 2 and 4.
  
  
  CONCLUSIONS
  These findings have implications for medical education, a time when students are forming expectations that will impact their career satisfaction. In addition to information on career satisfaction, students should understand the professional values of medicine, their own values and expectations, current practice patterns, economics, and the role of advocacy.
authors.affiliation: a The Center for Educational Outcomes at Dartmouth, The Department of Psychological & Brain Sciences , Dartmouth College, and the The Department of Community & Family Medicine Dartmouth Medical School.
authors.forename: Virginia A
authors.initials: VA
authors.lastname: Reed
authors.affiliation: a The Center for Educational Outcomes at Dartmouth, The Department of Psychological & Brain Sciences , Dartmouth College, and the The Department of Community & Family Medicine Dartmouth Medical School.
authors.forename: G Christian
authors.initials: GC
authors.lastname: Jernstedt
authors.affiliation: b University of Washington School of Medicine.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: McCormick
keywords: career choice; job satisfaction; medical education