PURPOSE: To determine if medical student debt has an effect on medical student specialty choice. METHODS: A cross-sectional survey was distributed to students at 12 medical schools across the United States to assess the effect of debt on specialty choice. RESULTS: In total, 415 students responded to the survey; 98 medical students reported that they were pursuing a primary care residency (PCR) and 250 reported that they were pursing a non-primary care residency (NPCR). There was no significant difference in average student loan debt anticipated by medical students pursing PCR and NPCR ($142,217 vs $150,784; P>0.46). Medical students pur- suing a PCR reported lower estimated salaries on aver- age than medical students pursuing NPCR ($137,711 vs $241,804; p<0.01). Of the surveyed students, 62% of stu- dents who are pursuing PCR and 77% of the students who are pursuing a NPCR would not have pursued medicine as a career if residents were responsible for paying tuition. CONCLUSION: This study revealed no significant differ- ence between the student debt of medical students pur- suing PCR compared to those who are pursuing a NPCR. However, a large majority of medical students would not pursue a career in medicine if faced with the responsibility of paying tuition for residency.
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机译：目的：确定医学生债务是否对医学生专业选择产生影响。方法：向美国12所医学院校的学生进行了横断面调查，以评估债务对专业选择的影响。结果：共有415名学生回答了调查。 98名医学生报告说他们正在追求初级保健居住（PCR），而250名学生则说他们正在追求非初级保健居住（NPCR）。进行PCR和NPCR的医学生预期的平均学生贷款债务没有显着差异（142,217美元对150,784美元; P> 0.46）。进行PCR研究的医学生报告的平均薪水低于进行NPCR研究的医学生（137,711美元对241,804美元; p <0.01）。在接受调查的学生中，如果要由居民负责支付学费，则有62％的追求PCR的学生和77％的追求NPCR的学生不会从事医学职业。结论：本研究显示，与采用NPCR的医学生相比，进行PCR的医学生的学生债务之间没有显着差异。但是，大多数医学专业的学生如果要承担支付居留学费的责任，就不会从事医学职业。
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