great article re specialty choice & debt/salary

[Fiona Gispen]

Hi guys, found & attached an awesome article about specialty choice and money. I was wrong- turns out money does seem to matter quite a bit!

"Our results, not surprisingly, found that money really does matter.  Whether its impact is analyzed as that of anticipated debt, anticipated income, or the self-rated importance of income, in each instance, higher values on the outcome variables studied were associated with the choice of a higher paying career rather than one in the lower-paying PC fields."

Interesting points:

• First year students pursuing high paying non-primary care specialties anticipated 1) significantly greater debt than those pursuing primary care 2) higher income after graduation.  They also placed more value on income.
  
• Fourth year students had this same profile.

Interest in PC over time: "Switchers vs Sustainers" (students interested in PC at year 1 either remained interested in PC at yr 4( sustainers) or changed to HPNPC specialty at yr 4(switchers).

• Switchers anticipated significantly more debt at yr 4 than did sustainers.
• Switchers were more likely to report than income was an important factor in their lives (though at year one, switchers and sustainers placed a similar value on income -- when they were all planning to go into PC).
• At year 4, sustainers actually placed a LOWER value on income than they did at year 1. **

**There's an interesting discussion of cognitive dissonance on pg 989 that attempts to explain this change in valuation of income among the 2 groups.

Hope you guys are having great nights!

Fiona

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Fiona Gispen

Johns Hopkins University School of Medicine 

M.D. Candidate, MS I

fgis...@jhmi.edu

662.801.6363

[Sneha Shah]

This is awesome Fiona!

Are you all free to meet tonight? I put up a few ideas for how we could structure our draft on the google doc, let me know what you think/feel free to edit. I have another meeting at 7pm, but I can meet either before (between speaker series and 7pm) or at 8pm until whenever.

Best,

Sneha

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[Fiona Gispen]

I've actually got speaker series, then an associated reception and dinner until 9ish.  I can meet after this if necessary.  So sorry for the super-busy schedule!

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[Sneha Shah]

Ok, why don't we meet at 8pm in Ameb, and Fiona just come when you can?

Best,

Sneha

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[Juliana Macri]

That works for me! Thanks guys. Also excited about Fiona's survey responses!

Sent from my iPhone

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[Juliana Macri]

I'm in room 342 whenever you all get here

[Nicholas Culbertson]

I'm there too...virtually. 

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[Juliana Macri]

your presence is reassuring as always.

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