Purpose. To examine changing levels of interest in primary. care as related
to clinical experiences during medical school, and to other variables.
Method. A total of 1,911 (74%) allopathic medical school graduates responde
d to a national survey in early 1993. Respondents' reported changes of inte
rest in primary care during medical school were cross-tabulated with their
clinical experiences in medical school, their demographics, their interests
prior to medical school, and their future practice plans.
Results. Increased interest in primary care during medical school was stron
gly associated with the electives taken in primary care. This positive chan
ge of interest in primary care was found to be associated with interest pri
or to medical school and with primary care career plans.
Conclusion. Schools wishing to graduate more students who enter primary car
e specialties may want to raise the number of primary care elective courses
to increase students' interests, and to help them choose to enter and rema
in in primary care specialties.