A look by medical students at medical practice in the future

J Med Educ. 1986 May;61(5):359-67. doi: 10.1097/00001888-198605000-00002.


Ninety-six first- and second-year students (97 percent) at the University of Minnesota, Duluth, School of Medicine responded to a questionnaire on their career choices and their perceptions of changes in the organization and financing of medical care. Their responses indicated a great deal of student concern regarding the future of medical practice. Overall, the students were the most concerned about a perceived loss of practice autonomy and inadequate financial rewards. In the face of these perceptions, the students reported changes in career preferences: from smaller to larger communities, from solo or partnership arrangements to group practice settings, and from generalist to specialist practices. A student's anticipated debt level was the most important predictor of whether the student changed career goals.

MeSH terms

  • Career Choice
  • Economics, Medical / trends
  • Forecasting*
  • Health Services / trends
  • Medicine
  • Minnesota
  • Physicians / economics
  • Physicians / trends
  • Private Practice / economics
  • Private Practice / trends
  • Specialization
  • Students, Medical*
  • Surveys and Questionnaires
  • Training Support