Student Loan Debt Does Not Predict Female Physicians' Choice of Primary Care Specialty

Overview

Journal J Gen Intern Med

Publisher Springer

Specialty General Medicine

Date 1999 Jun 3

PMID 10354254

Citations 3

Authors

E Frank

S Feinglass

Affiliations

Soon will be listed here.

Abstract

Objective: There has never been a conclusive test of whether there is a relation between ultimately choosing to be a primary care physician and one's amount of student loan debt at medical school graduation.

Design/setting/participants: To test this question, we examined data from the Women Physicians' Health Study, a large, nationally representative, questionnaire-based study of 4,501 U.S. women physicians.

Measurements And Main Results: We found that the youngest physicians were more than five times as likely as the oldest to have had some student loan debt and far more likely to have had high debt levels (p <.0001). However, younger women physicians were also more likely to choose a primary care specialty (p <.002). There was no relation between being a primary care physician and amount of indebtedness (p =.77); this was true even when the results were adjusted for the physicians' decade of graduation and ethnicity (p =.79).

Conclusions: Although there may be other reasons for reducing student loan debt, at least among U.S. women physicians, encouraging primary care as a specialty choice may not be a reason for doing so.

Citing Articles

Application of career related research in Pakistan: The case of apples vs mangoes.

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Medical student debt and major life choices other than specialty.

Rohlfing J, Navarro R, Maniya O, Hughes B, Rogalsky D Med Educ Online. 2014; 19:25603.

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A retrospective analysis of the relationship between medical student debt and primary care practice in the United States.

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References

Rubeck R, Donnelly M, Jarecky R, Harrell P, Schwartz R . Demographic, educational, and psychosocial factors influencing the choices of primary care and academic medical careers. Acad Med. 1995; 70(4):318-20. DOI: 10.1097/00001888-199504000-00016. View

Brotherton S . The relationship of indebtedness, race, and gender to the choice of general or subspecialty pediatrics. Acad Med. 1995; 70(2):149-51. DOI: 10.1097/00001888-199502000-00020. View

Bland C, Meurer L, Maldonado G . Determinants of primary care specialty choice: a non-statistical meta-analysis of the literature. Acad Med. 1995; 70(7):620-41. DOI: 10.1097/00001888-199507000-00013. View

Kassebaum D, Szenas P . Specialty intentions of 1995 U.S. medical school graduates and patterns of generalist career choice and decision making. Acad Med. 1995; 70(12):1152-7. View

Kassebaum D, Szenas P, Schuchert M . Determinants of the generalist career intentions of 1995 graduating medical students. Acad Med. 1996; 71(2):198-209. DOI: 10.1097/00001888-199602000-00030. View

Colquitt W, Zeh M, Killian C, Cultice J . Effect of debt on U.S. medical school graduates' preferences for family medicine, general internal medicine, and general pediatrics. Acad Med. 1996; 71(4):399-411. DOI: 10.1097/00001888-199604000-00023. View

Schieberl J, Covell R, Berry C, Anderson J . Factors associated with choosing a primary care career. West J Med. 1996; 164(6):492-6. PMC: 1303624. View

Rosenthal M, Marquette P, Diamond J . Trends along the debt-income axis: implications for medical students' selections of family practice careers. Acad Med. 1996; 71(6):675-7. DOI: 10.1097/00001888-199606000-00024. View

Frank E, Rothenberg R, Brown W, Maibach H . Basic demographic and professional characteristics of US women physicians. West J Med. 1997; 166(3):179-84. PMC: 1304115. View

10.

Bazzoli G . Medical education indebtedness: does it affect physician specialty choice?. Health Aff (Millwood). 1985; 4(2):98-104. DOI: 10.1377/hlthaff.4.2.98. View

11.

Dial T, Elliott P . Relationship of scholarships and indebtedness to medical students' career plans. J Med Educ. 1987; 62(4):316-24. DOI: 10.1097/00001888-198704000-00003. View

12.

Lieu T, Schroeder S, Altman D . Specialty choices at one medical school: recent trends and analysis of predictive factors. Acad Med. 1989; 64(10):622-9. View

13.

Rosenthal M, Turner T, Diamond J, Rabinowitz H . Income expectations of first-year students at Jefferson Medical College as a predictor of family practice specialty choice. Acad Med. 1992; 67(5):328-31. DOI: 10.1097/00001888-199205000-00012. View

14.

. AAMC policy on the generalist physician. Acad Med. 1993; 68(1):1-6. View

15.

Fox M . Medical student indebtedness and choice of specialization. Inquiry. 1993; 30(1):84-94. View

16.

Berg D, Cerletty J, Byrd J . The impact of educational loan burden on housestaff career decisions. J Gen Intern Med. 1993; 8(3):143-5. DOI: 10.1007/BF02599760. View

17.

SPAR I, Pryor K, Simon W . Effect of debt level on the residency preferences of graduating medical students. Acad Med. 1993; 68(7):570-2. DOI: 10.1097/00001888-199307000-00017. View

18.

Kassebaum D, Szenas P . Factors influencing the specialty choices of 1993 medical school graduates. Acad Med. 1994; 69(2):163-70. DOI: 10.1097/00001888-199402000-00027. View

19.

Rosenthal M, Diamond J, Rabinowitz H, Bauer L, Jones R, Kearl G . Influence of income, hours worked, and loan repayment on medical students' decision to pursue a primary care career. JAMA. 1994; 271(12):914-7. View

20.

Petersdorf R . It's report card time again. Acad Med. 1994; 69(3):171-9. DOI: 10.1097/00001888-199403000-00001. View