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Lifestyle as a Factor in Medical Students' Career Choices—Reply
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In Reply: Dr Schrock argues that other factors, such as employment opportunities, are also important in determining specialty choice. We agree. In fact, a study1 we cited reported that the strength of the job market was associated with the relative attractiveness of diagnostic radiology as a specialty. Additional factors not included in our model, such as employment opportunities and others, could account for the variation in specialty preference not captured by our model.
Dr Lee and colleagues share Schrock's concern that trends in anesthesiology may have influenced our overall conclusions. However, if we exclude anesthesiology from our data set, our results are very similar to those we reported. With anesthesiology removed from the data, controllable lifestyle alone explains 38% of the variance in the trend and increases to 56% after controlling for income, work hours, and duration of training. Moreover, even if anesthesiology and dermatology are both excluded, controllable lifestyle . . . [Full Text of this Article]
Gregory W. Rutecki, MD
Feinberg School of Medicine
Northwestern University
Chicago, Ill
E. Ray Dorsey, MD, MBA
University of Pennsylvania Medical Center
Philadelphia
David Jarjoura, PhD
Northeastern Ohio Universities College of Medicine
Rootstown
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