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Research ArticleResearch

Family medicine rotations and medical students’ intention to pursue family medicine

Descriptive study

Marie-Pierre Codsi, Rachel Rodrigue, Marie Authier and Fatoumata Binta Diallo
Canadian Family Physician July 2019; 65 (7) e316-e320;
Marie-Pierre Codsi
Clinical family physician and teacher at the Clinique universitaire de médecine de famille (CUMF) de Notre-Dame (Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal) in Quebec.
MD CCMF
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  • For correspondence: mpcodsi{at}hotmail.com
Rachel Rodrigue
Family medicine resident at the CUMF de Saint-Eustache (Centre intégré de santé et de services sociaux des Laurentides) in Quebec.
MD CCMF
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Marie Authier
Assistant Clinical Professor in the Department of Family Medicine and Emergency Medicine at the University of Montreal, a research facilitator and researcher for the Primary Healthcare Research Network at the University of Montreal, and a quality improvement advisor and a teacher to family medicine residents at the CUMF de Maisonneuve-Rosemont.
PhD
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Fatoumata Binta Diallo
Project Coordinator for the Équipe de recherche en soins de première ligne at the Centre intégré de santé et de services sociaux de Laval and at the Hôpital de la Cité-de-la-Santé.
PhD
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    Figure 1.

    Participants who indicated a change in intent to apply to FM residency after their rotation versus participants who did not indicate a change

    FM—family medicine.

Tables

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    Table 1.

    Participant characteristics: N = 121.

    CHARACTERISTICN (%)
    Sex
      • Male36 (30)
      • Female85 (70)
    Age, y
      • 19–2477 (64)
      • 25–2724 (20)
      • ≥ 2819 (16)
      • Prefer not to disclose1 (< 1)
    Children
      • Yes8 (7)
      • No113 (93)
    Year of study
      • Third90 (74)
      • Fourth31 (26)
    Preliminary training
      • Yes56 (46)
      • No65 (54)
    Affiliated university
      • University of Montreal118 (98)
      • Other3 (2)
    Preferred career path at preclinical stage
      • Undecided32 (26)
      • Family medicine32 (26)
      • Internal medicine28 (23)
      • Surgical specialty9 (7)
      • Other20 (17)
    Originally from rotation site region
      • Yes51 (42)
      • No70 (58)
    • View popup
    Table 2.

    Strength of association and P value for each analyzed factor

    FACTORSA*P VALUE
    Degree of exposure to different areas of practice0.330.002
    Perception of overall atmosphere0.336< .001
    Presence of a role model0.390< .001
    Interest in returning to rotation site to practise0.390< .001
    Perception of physician interest in their work0.230.014
    Rural rotation0.227.044
    Positive interactions with physicians0.209.035
    Perception of rotation’s level of difficulty0.231.025
    Level of satisfaction with final assessment0.253.008
    Degree of contact with residents0.161.197
    Degree of exposure to continuity of care†0.138.341
    Perception of initial rotation orientation0.115.532
    Participation in informal activities with the medical team (eg, social or volunteer activities)0.103.534
    • SA—strength of association.

    • ↵* SA was measured using the Cramer V test: weak (0–0.25), moderate (> 0.25–0.5), or strong (> 0.5–1).

    • ↵† Whether a student saw a patient more than once during his or her rotation.

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Canadian Family Physician: 65 (7)
Canadian Family Physician
Vol. 65, Issue 7
1 Jul 2019
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Family medicine rotations and medical students’ intention to pursue family medicine
Marie-Pierre Codsi, Rachel Rodrigue, Marie Authier, Fatoumata Binta Diallo
Canadian Family Physician Jul 2019, 65 (7) e316-e320;

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Family medicine rotations and medical students’ intention to pursue family medicine
Marie-Pierre Codsi, Rachel Rodrigue, Marie Authier, Fatoumata Binta Diallo
Canadian Family Physician Jul 2019, 65 (7) e316-e320;
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