Changes in the patterns of specialties selected by high and low academic performers before and after 1980

Abstract
BACKGROUND. The goal of this study was to examine whether recently observed changes in the distribution of medical school graduates' choices are linked to level of academic achievement, graduation year, or both. METHOD. The authors studied the specialty selections made by two groups of graduates of the University of Kentucky College of Medicine: 319 who were elected to Alpha Omega Alpha and 276 who ranked academically in the bottom 10% of their classes. They also divided the groups into two time frames: 1964–1979 and 1980–1991. Two-way factorial analyses of variance compared the distributions of specialty selections according to time frame and to academic group. RESULTS. Significantly higher percentages of students in the low-achievement group selected primary care specialties (F = 14.76, p

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