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

dc.citation.articleNumbere0258088en_US
dc.citation.issueNumber10en_US
dc.citation.journalTitlePLoS ONEen_US
dc.citation.volumeNumber16en_US
dc.contributor.authorLee, Kate E.en_US
dc.contributor.authorLim, Francescaen_US
dc.contributor.authorSilver, Elisabeth R.en_US
dc.contributor.authorFaye, Adam S.en_US
dc.contributor.authorHur, Chinen_US
dc.date.accessioned2021-10-20T16:32:00Zen_US
dc.date.available2021-10-20T16:32:00Zen_US
dc.date.issued2021en_US
dc.description.abstractObjectives: 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.en_US
dc.identifier.citationLee, Kate E., Lim, Francesca, Silver, Elisabeth R., et al.. "Impact of COVID-19 on residency choice: A survey of New York City medical students." <i>PLoS ONE,</i> 16, no. 10 (2021) Public Library of Science: https://doi.org/10.1371/journal.pone.0258088.en_US
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0258088en_US
dc.identifier.urihttps://hdl.handle.net/1911/111582en_US
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.titleImpact of COVID-19 on residency choice: A survey of New York City medical studentsen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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