Odds of Selecting a Primary Care-Related Residency and the Medical Student’s View of Medicine as a Calling, Personal Characteristics, and Medical School Social Mission Ranking
| Variable | Primary Care-Related Residency (n = 257) | ||||
|---|---|---|---|---|---|
| No. (%) | Unadjusted OR (95% CI) | P Value | Adjusted OR (95% CI) | P Value | |
| Practice of medicine is a calling | |||||
| Strongly disagree/ disagree/neither agree nor disagree | 32 (34) | 1.00 [Reference] | … | 1.00 [Reference] | … |
| Agree | 107 (45) | 1.58 (0.97–2.60) | .07 | 1.52 (0.92–2.52) | .10 |
| Strongly agree | 118 (53) | 2.26 (1.37–3.72) | .001 | 2.16 (1.30–3.59) | .003 |
| Personal characteristics | |||||
| Male | 115 (41) | … | … | 1.00 [Reference] | .08 |
| Female | 142 (51) | … | … | 1.36 (0.96–1.93) | |
| Non-white | 115 (51) | … | … | 1.00 [Reference] | .06 |
| White | 142 (43) | … | … | 0.71 (0.50–1.01) | |
| Age (y) | N/A | … | … | 0.97 (0.91–1.03) | .33 |
| Medical school social mission rank | |||||
| Low (20 schools with lowest rank scores) | 24 (34) | … | … | 1.00 [Reference] | |
| Intermediate | 194 (46) | … | … | 1.70 (0.99–2.93) | .06 |
| High (20 schools with highest rank scores) | 39 (57) | … | … | 2.75 (1.35–5.59) | .005 |
Note: Primary care-related residencies include family medicine, internal medicine, pediatrics, combined internal medicine and pediatrics residency programs. Medical school social mission rank as determined by percentage of graduates who practice primary care, work in health professional shortage areas, and are underrepresented minorities.4