Original Article

Why Are Fewer Medical Students in Florida Choosing Obstetrics and Gynecology?

Authors: Aaron Deutsch, MD, Joan McCarthy, MD, Kelly Murray, MD, Robyn Sayer, MD

Abstract

Objectives: To determine why there has been a decrease in the amount of applicants to Florida-based obstetrics and gynecology (OB/GYN) residency programs, and how this has been affected by the current medical liability climate.


Methods: Fourth year Florida medical students were surveyed about their concerns of a career in OB/GYN. The students were then grouped into three categories: students never interested in OB/GYN, students at one point interested in OB/GYN, and students pursuing a career in OB/GYN. The groups were analyzed for differences in their concerns about OB/GYN and the impact it had on their final career decisions. Finally, we addressed the question of whether or not medical liability played a significant role in their career choice.


Results: From September to November of 2005, 198 total students were surveyed. Of those surveyed, 10.8% were applying for OB/GYN, 47.7% had considered OB/GYN but chose another field, and 41.5% never considered OB/GYN as a specialty. The primary and secondary reasons for not choosing OB/GYN were the same in the two groups pursuing different specialties; “more interested in a different specialty” and “desire a specialty with more predictable work hours/lifestyle,” respectively. Approximately 27% of those who considered OB/GYN but did not choose it ranked “fear of being sued” first or second, compared with 6.7% of those who never considered it (P < 0.01). Of the 21 students who will pursue careers in OB/GYN, 85.7% stated they are considering leaving Florida because of high malpractice/litigation.


Conclusions: There is a subgroup of students in Florida who were initially interested in OB/GYN but may have been deterred by current medical liability issues. Florida is a state known as being in a professional liability crisis and this survey demonstrates evidence that this has adversely affected students' decisions to pursue OB/GYN.


Key Points


* Over 85% of students who have decided on a residency in OB/GYN are considering leaving the state of Florida.


* More students who at one point had been interested in OB-GYN chose a surgical specialty.


* Florida is a professional liability crisis state.


* Based on this study, there appears to be a group of students who were deterred from the specialty of obstetrics and gynecology because of the current medicolegal climate in Florida.

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References

1. Gariti DL. Factors detracting students from applying for an obstetrics and gynecology residency. Am J Obstet Gynecol 2005;193:289–293.
 
2. 2005. National resident matching program. Obstetrics and Gynecology results.
 
3. Fenner D: APGO Plans for the future. APGO Reporter 2004; XXXII, no. 3.
 
4. Flood C: Joint medical students initiatives promotes interest in OB/Gyn. APGO Reporter 2005; XXXIII, no. 2.
 
5. Metheny WP, Blount H, Holzman GR. Considering obstetrics and gynecology as a specialty: current attractors and detractors. Obstet Gynecol 1991;78:308–312.
 
6. Burke WM, Williams J, Fenner D, Hammoud M. The obstetrics and gynecology clerkship: building a better model from past experience. Obstet Gynecol 2004;191:1772–1776.
 
7. The American College of Obstetricians and Gynecologists Department of Professional Liability/Risk Management. 2003 ACOG survey on professional liability: national ACOG statistics. Washington, DC: American College of Obstetricians and Gynecologists; 2004.
 
8. Division of Market Research & Analysis, American Medical Association. AMA survey: medical students' opinions of the current medical liability environment. Chicago (IL): American Medical Association; 2003.
 
9. Moreno-Hunt C, Gilbert WM. Current status of obstetrics and gynecology resident medical-legal education. Obstet Gynecol 2005;106:1382–1384.