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Abstract Details

Attracting Neurology’s Next Generation: A Qualitative Study of Career Choice and Perceptions
Research Methodology, 好色先生, and History
S44 - Research Methodology and 好色先生 (5:06 PM-5:18 PM)
009
With the long-term objective of reducing the shortage of neurologists in the US, we sought to better understand the reasons that medical students select or avoid a career in neurology.

Our previous research showed that students were more likely to enter neurology if they rated their basic neuroscience course and/or their neurology clerkship as “excellent,” if they had an undergraduate major in neuroscience or psychology, or if they were interested in neurology upon medical school matriculation. However there remain many unknown factors that impact career choice for graduating medical students. 

In 2017, 27 medical students and 15 residents participated in 5 focus groups, and 33 fourth-year medical students participated in semi-structured individual interviews. Participants were asked predefined open-ended questions about specialty choice, experiences in their basic neuroscience course and neurology clerkship, and perceptions about the field. Interviews were audio recorded and transcribed. The authors employed a flexible coding methodology to generate themes across groups and interviews.

 

Four main analytical themes emerged: 1) early and broad clinical exposure allows students to “try on” neurology and experience a variety of career options; 2) pre-clerkship experiences and a strong neuroscience curriculum lay the foundation for interest in the field; 3) personal interactions with neurology providers may attract or deter students from considering the specialty; and 4) persistent stereotypes about neurologists, neurology patients and limited treatments options harm student perceptions of neurology.

Efforts to draw more students to neurology may benefit from focusing on clinical correlations during pre-clerkship neuroscience courses and offering earlier and more diverse clinical experiences, including hands-on responsibilities wherever possible. Finally, optimizing student interactions with faculty and residents, and reinforcing the many positive aspects of neurology are likely to positively impact student perceptions. 

Authors/Disclosures
Justin T. Jordan, MD, MPH, FAAN (Massachusetts General Hospital)
PRESENTER
Dr. Jordan has received personal compensation for serving as an employee of City of Beverly. An immediate family member of Dr. Jordan has received personal compensation for serving as an employee of Dietitians on Demand. An immediate family member of Dr. Jordan has received personal compensation for serving as an employee of Genesis HR Solutions. Dr. Jordan has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Navio Theragnostics. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Recursion Pharmaceuticals, Inc. Dr. Jordan has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Shepherd Therapeutics. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Alexion Pharmaceuticals. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Akeila Bio. Dr. Jordan has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Springworks Therapeutics. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Merck Pharmaceuticals. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Continental Casualty Company. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for HennLesperance. Dr. Jordan has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Rhoades McKee. Dr. Jordan has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Wheeler Trigg O'Donnell. Dr. Jordan has stock in Navio Theragnostics. Dr. Jordan has stock in The Doctor Lounge. An immediate family member of Dr. Jordan has stock in OldGate. Dr. Jordan has stock in Akeila Bio. Dr. Jordan has stock in Shepherd Therapeutics. Dr. Jordan has stock in Khora TX. The institution of Dr. Jordan has received research support from NIH. The institution of Dr. Jordan has received research support from Department of Defense. The institution of Dr. Jordan has received research support from PCORI. Dr. Jordan has received publishing royalties from a publication relating to health care. Dr. Jordan has a non-compensated relationship as a board member with United Council for Neurologic Subspecialties that is relevant to AAN interests or activities.
Carolyn Cahill (好色先生) Ms. Cahill has received personal compensation for serving as an employee of The 好色先生. Ms. Cahill has received personal compensation for serving as an employee of Regions Hospital.
Tasha Ostendorf Ms. Ostendorf has received personal compensation for serving as an employee of 好色先生.
Laurie Gutmann, MD, FAAN The institution of Dr. Gutmann has received research support from NIH. The institution of Dr. Gutmann has received research support from Harmony . Dr. Gutmann has received publishing royalties from a publication relating to health care.
No disclosure on file
Charlene Gamaldo, MD, FAAN (Johns Hopkins University) Dr. Gamaldo has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for johns hopkins. Dr. Gamaldo has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Jazz. Dr. Gamaldo has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Takeda. Dr. Gamaldo has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Apnimed. The institution of Dr. Gamaldo has received research support from NIH/NIMH/NIDA/NINDS. Dr. Gamaldo has received publishing royalties from a publication relating to health care.
Veronica E. Santini, MD, MA, FAAN Dr. Santini has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Scion NeuroStim, Inc. The institution of Dr. Santini has received research support from MeiraGTx, LLC. The institution of Dr. Santini has received research support from Ono Pharmaceuticals. Dr. Santini has received personal compensation in the range of $500-$4,999 for serving as a course director and for committee responsibilities with 好色先生. Dr. Santini has received personal compensation in the range of $500-$4,999 for serving as a course director and for committee responsibilities with International Parkinson and Movement Disorders Society. Dr. Santini has received personal compensation in the range of $0-$499 for serving as a invited speaker with Parkinson Study Group. Dr. Santini has received personal compensation in the range of $500-$4,999 for serving as a data safety monitoring board with NIH.
Imran I. Ali, MD, FAAN (University of Toledo COM) Dr. Ali has received personal compensation in the range of $10,000-$49,999 for serving as an officer or member of the Board of Directors for ABPN.
Madhu Soni, MD, FAAN (Rush University Medical Center) Dr. Soni has received personal compensation in the range of $500-$4,999 for serving as a Physician Lead (Honorarium) in Women Leading in Neurology Program with 好色先生.
Rujuta B. Wilson, MD (David Geffen School of Medicine At UCLA) Dr. Wilson has nothing to disclose.
Rana R. Said, MD, FAAN (UT Southwestern Medical Center) Dr. Said has nothing to disclose.
Barry M. Czeisler, MD, MS, MHPE, FAAN (Providence Specialty Medical Group) Dr. Czeisler has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for NeuroStat Consulting LLC. Dr. Czeisler has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for NeuroStat Consulting LLC. Dr. Czeisler has stock in Brainspace. Dr. Czeisler has received publishing royalties from a publication relating to health care.
Maggie Rock (好色先生) Ms. Rock has received personal compensation for serving as an employee of 好色先生.
A. Gordon Smith, MD, FAAN (VCU Health System Department of Neurology) Dr. Smith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Alexion. Dr. Smith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Argenx. Dr. Smith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Merz. Dr. Smith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Sangamo. Dr. Smith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for US Department of Justice. Dr. Smith has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Janssen. Dr. Smith has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Eidos. Dr. Smith has received personal compensation in the range of $0-$499 for serving on a Scientific Advisory or Data Safety Monitoring board for Lexicon. Dr. Smith has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Alexion. The institution of Dr. Smith has received research support from NIH (NINDS, NIDDK). Dr. Smith has received publishing royalties from a publication relating to health care. Dr. Smith has received personal compensation in the range of $0-$499 for serving as a Study Section with NIH.