TRIP

The Impact of the Internal Medicine Sub-internship on Medical Student Career Choice.

Journal of General Internal Medicine, 2010

OBJECTIVE: Determine the immediate and longer-term effect of the medicine sub-internship on students' decision to pursue internal medicine residency.
MEASUREMENTS: Survey administered prior to and immediately after the sub-internship and prior to the match.
Questions included likelihood of applying in internal medicine and perceived impact of the sub-internship on career choice.
MAIN RESULTS: Seventy-seven percent of students (N = 63) completed the first two surveys; 63% (N = 58) completed the second and third.
Immediately post sub-internship, 21% (N = 13) were less likely to apply in internal medicine and 11% (N = 7) were more likely to apply (net change in plans was not significant, p = 0.38).
There was a significant relationship between the perceived impact of the sub-internship and likelihood of applying in medicine (ANOVA comparison across means, p < 0.001).
Compared to the second survey, on the third survey more students (41%, N = 24) believed the sub-internship positively impacted their decision to apply in medicine, though overall shifting was not significant (p = 0.39).
Key themes describing sub-internship impact included the intense workload, value of experiencing internship, rewards of assuming the physician role, and education received (30%, 25%, 20% and 16% of comments, respectively).
CONCLUSIONS: Overall, there was not a significant effect of the sub-internship on students' decision to apply in internal medicine.
Additional research about the relative impact of the sub-internship in relationship to other career choice predictors is needed to better address factors that may encourage or dissuade students from pursuing internal medicine.