Impact of COVID-19 on residency choice: A survey of New York City medical students

Eunah Lee · Francesca Lim · Elisabeth R. Silver · Adam S. Faye · Chin Hur

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Diversity and Career in Medicine Innovations in Medical Education Medical Education and Admissions

Abstract

OBJECTIVES: The Coronavirus disease 2019 (COVID-19) pandemic disrupted medical student education, particularly in New York City (NYC). We aimed to assess the impact of the COVID-19 pandemic on medical students' residency choices. METHODS: The authors conducted a cross-sectional survey of medical students in all years of study at four NYC medical schools (Columbia, Cornell, NYU, and SUNY Downstate). The survey was fielded from 19 Aug 2020 to 21 Sep 2020. Survey questions included items assessing COVID-19 impact on residency choices, personal impact of COVID-19, residency/specialty choices, and factors influencing these choices. RESULTS: A total of 2310 students received the survey, with 547 (23.7%) providing partial responses and 212 (9.2%) providing valid responses for our primary analysis. 59.0% of participants thought that COVID-19 influenced their choice of residency/specialty, with 0.9% saying the influence was to a great extent, 22.2% to some extent, and 35.8% very little. On multivariable analysis, factors that were independently associated with COVID-19 impacting residency choice included low debt ($1 to $99,999: adjOR 2.23, 95%CI 1.02-5.03) compared with no debt and Other race/ethnicity (adjOR 0.26, 95%CI 0.10-0.63) compared with White race/ethnicity. On secondary analysis of all participants answering survey items for logistic regression regardless of survey completion, direct personal impact of COVID-19 was significantly associated with COVID-19 impacting specialty choice (adjOR 1.90, 95%CI 1.04-3.52). Moreover, 24 students (11.6%) reported a change in their top residency choice from before to during/after COVID-19, citing concerns about frontline work, work-life balance, and risk of harm. CONCLUSIONS: Our study found that 3 in 5 (59.0%) participants felt that COVID-19 impacted their residency choice, with 11.6% of respondents explicitly changing their top specialty choice. Investigating the impact of the pandemic on medical student residency considerations is crucial to understand how medical career outlooks may change in the future.

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2020The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public – A systematic review and meta-analysis 2020“We Signed Up for This!” — Student and Trainee Responses to the Covid-19 Pandemic 2020Effect of the COVID-19 pandemic on medical student career perceptions: a national survey study 2005The Relationship between Specialty Choice and Gender of U.S. Medical Students, 1990???2003 2010Career choices of medical students: a national survey of 1780 students 2008Changes in U.S. Medical Students’ Specialty Interests over the Course of Medical School 2005The Impact of U.S. Medical Students?? Debt on Their Choice of Primary Care Careers: An Analysis of Data from the 2002 Medical School Graduation Questionnaire 1988The Stability of Early Specialty Preferences Among US Medical School Graduates in 1983

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2023How often do medical students change career preferences over the course of medical school?

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