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Clinical Pediatrics, Vol. 38, No. 8, 473-479 (1999)
DOI: 10.1177/000992289903800806

Intention to Practice Primary Care by Pediatric Residents: Nature or Nurture?

Richard J. Pan, MD

Section of General Pediatrics, UC Davis Medical Center, Sacramento, CA 95817

Nancy Clark-Chiarelli, EdD

Antoinette S. Peters, PhD

Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA

Susan D. Block, MD

Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA; Division of Psychiatry, Brigham and Women's Hospital, Boston, MA

Factors associated with the intention to practice primary care were examined in a survey of a national sample of PL-2 residents (n=98). Socioemotional orientation (nature), faculty and peer encouragement (nurture), and clinical experiences during residency (nurture) were independently associated with a primary care career choice. For residents who changed career intentions to primary care from a nonprimary care preference, gender, encouragement by faculty and peers, and outpatient experiences during residency were associated with the change. Encouragement by both faculty and peers had the strongest influence on primary care career choice for all residents.


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