BACKGROUND: Hospital medicine is a rapidly growing field of internal medicine. However, little is known about internal medicine residents' decisions to pursue careers in hospital medicine (HM). OBJECTIVE: To identify which internal medicine residents choose a career in HM, and describe changes in this career choice over the course of their residency education. DESIGN: Observational cohort using data collected from the annual Internal Medicine In-Training Examination (IM-ITE) survey. PARTICIPANTS: 16,781 postgraduate year 3 (PGY-3) North American internal medicine residents who completed the annual IM-ITE survey in 2009-2011, 9,501 of whom completed the survey in all 3 years of residency. MAIN MEASURES: Self-reported career plans for individual residents during their postgraduate year 1 (PGY-1), postgraduate year 2 (PGY-2) and PGY-3. KEY RESULTS: Of the 16,781 graduating PGY-3 residents, 1,552 (9.3 %) reported HM as their ultimate career choice. Of the 951 PGY-3 residents planning a HM career among the 9,501 residents responding in all 3 years, 128 (13.5 %) originally made this decision in PGY-1, 192 (20.2 %) in PGY-2, and 631 (66.4 %) in PGY-3. Only 87 (9.1 %) of these 951 residents maintained a career decision of HM during all three years of residency education. CONCLUSIONS: Hospital medicine is a reported career choice for an important proportion of graduating internal medicine residents. However, the majority of residents do not finalize this decision until their final year.
BACKGROUND: Hospital medicine is a rapidly growing field of internal medicine. However, little is known about internal medicine residents' decisions to pursue careers in hospital medicine (HM). OBJECTIVE: To identify which internal medicine residents choose a career in HM, and describe changes in this career choice over the course of their residency education. DESIGN: Observational cohort using data collected from the annual Internal Medicine In-Training Examination (IM-ITE) survey. PARTICIPANTS: 16,781 postgraduate year 3 (PGY-3) North American internal medicine residents who completed the annual IM-ITE survey in 2009-2011, 9,501 of whom completed the survey in all 3 years of residency. MAIN MEASURES: Self-reported career plans for individual residents during their postgraduate year 1 (PGY-1), postgraduate year 2 (PGY-2) and PGY-3. KEY RESULTS: Of the 16,781 graduating PGY-3 residents, 1,552 (9.3 %) reported HM as their ultimate career choice. Of the 951 PGY-3 residents planning a HM career among the 9,501 residents responding in all 3 years, 128 (13.5 %) originally made this decision in PGY-1, 192 (20.2 %) in PGY-2, and 631 (66.4 %) in PGY-3. Only 87 (9.1 %) of these 951 residents maintained a career decision of HM during all three years of residency education. CONCLUSIONS: Hospital medicine is a reported career choice for an important proportion of graduating internal medicine residents. However, the majority of residents do not finalize this decision until their final year.
Authors: Sunil Kripalani; Allison C Pope; Kimberly Rask; Kimberly Hunt; Daniel D Dressler; William T Branch; Rebecca Zhang; Mark V Williams Journal: J Gen Intern Med Date: 2004-01 Impact factor: 5.128
Authors: Ann S O'Malley; Eugene C Rich; Alyssa Maccarone; Catherine M DesRoches; Robert J Reid Journal: J Gen Intern Med Date: 2015-08 Impact factor: 5.128
Authors: Jingkun Yang; Surbhi Singhal; Yingjie Weng; Jason P Bentley; Neel Chari; Teresa Liu; Karina Delgado-Carrasco; Neera Ahuja; Ronald Witteles; Andre Kumar Journal: J Grad Med Educ Date: 2020-04