NDLI: Social dominance theory and medical specialty choice

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Social dominance theory and medical specialty choice

Content Provider	Springer Nature Link
Author	Lepièce, Brice Reynaert, Christine Meerbeeck, Philippe Dory, Valérie
Copyright Year	2015
Abstract	Understanding how medical students select their specialty is a fundamental issue for public health and educational policy makers. One of the factors that students take into account is a specialty’s prestige which hinges partly on its focus on technique rather than whole person. We examine the potential of a psychological framework, social dominance theory, to explain why some students, and not others, are drawn to more prestigious, technique-oriented specialties, based on their desire for hierarchy. We conducted a cross-sectional study among medical students at Institution X (N = 359). We examined the link between medical students’ characteristics i.e. social dominance orientation (SDO), gender, age, and their career intention. We also examined level of medical students’ SDO at different stages of the curriculum. SDO scores were significantly associated with technique-oriented career intentions (OR 1.56; 95 % CI [1.18, 2.06]; p = 0.001). The effect was independent of gender. Medical students’ SDO scores were significantly higher in later stages of the medical curriculum (F = 6.79; p = 0. 001). SDO is a significant predictor of medical students’ career intention. SDO scores are higher in students during the clinical phase of the curriculum. Medical socialization, involving the internalization of implicit and explicit norms, particularly in hospital settings, is likely to underpin our findings. This theory illuminates consistent findings in the literature on specialty prestige and the influence of medical school on career choice.
Starting Page	79
Ending Page	92
Page Count	14
File Format	PDF
ISSN	13824996
Journal	Advances in Health Sciences Education
Volume Number	21
Issue Number	1
e-ISSN	15731677
Language	English
Publisher	Springer Netherlands
Publisher Date	2015-05-20
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Career choice Clinical clerkship Education, medical, undergraduate Hierarchy Medical students Prestige Social dominance Medical Education
Content Type	Text
Resource Type	Article
Subject	Education Medicine

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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