The authors present results for a 5-year period, from 1994 to 1998, of medi
cal students' interest in specializing in psychiatry after the junior-year
psychiatric clerkship and their actual decisions to specialize in psychiatr
y. The student-reported survey results, NRMP matching data, and internal ho
use-staff records showed that students rotating through an outpatient setti
ng for their psychiatric clerkship reported significantly greater interest
in specializing in psychiatry than students rotating through the emergency
room, a children's hospital, or inpatient or consultation/liaison setting.
Of the factors examined in this study, the site of the clerkship and the ro
tation time-of-year were not associated with the choice of psychiatry as a
specialty, whereas the strongest predictor of eventual specialization in ps
ychiatry was post-clerkship attitudes.