Construct validity of the medical specialty preference inventory: A critical analysis

The Medical Specialty Preference Inventory (MSPI; Zimny, G.H. (1979). Manual for the Medical Specialty Preference Inventory. St. Louis, MO: St. Louis University School of Medicine), a measure of medical students’ interests, was substantively and empirically examined to identify an underlying factor structure. A factor model for the original MSPI based on 38 factors in five general areas was evaluated on a national sample of 1014 medical students and yielded poor fit to the data. Exploratory factor analyses at the item level utilizing the full pool of MSPI items produced an 11 factor solution with 88 items. Sub-scales were identified within this model and an 11-18 higher-order model and an 18 sub-scale model also were proposed. The relative fits of the three models were evaluated by confirmatory factor analysis with the 18 sub-scale model shown to be superior. This model was cross-validated on a separate sample of 1016 medical students and fit the data well. All sub-scales exhibited adequate internal consistency across samples. These findings support the need for a revised MSPI based on 18 scales. Implications of these findings for MSPI scoring practices are discussed along with future directions.     

Career specialty choice: A combined research-intervention project

This research describes and evaluates a workshop aimed at promoting career specialty choice and examines relationships between measured career specialty interests, work values, and personality type. Three consecutive classes of second-year medical students (N = 161) participated in a two-session specialty choice workshop. All participants in the study rated the usefulness of the workshop and reported their level of specialty choice certainty and satisfaction. They also responded to measures of medical specialty preference, work values, and personality type. Results indicated two distinct student subgroups of career-specialty-decided and -undecided students. The former subgroup evidenced more stability and certainty of specialty choice as well satisfaction with their choice. Both groups of students reported having benefited from the workshop. Significant gender differences in the relationships between scores on a measure of medical specialty preference and scores on measures of work values and personality emerged. Implications are discussed in terms of the differential career counseling needs of students either decided or undecided about their career specialty choices.     

Using person matching to predict career specialty choice

Person matching promotes career exploration and choice by linking persons to persons in occupations based on inventory profile score similarity. We examined the efficacy of the procedure for career specialty choice. Medical students (N = 196 women, 224 men) responded to the Sixteen Personality Factor Questionnaire (16PF) in their first year of training. After graduating and selecting a medical residency, members of a reference subgroup (n = 62) of the total sample were matched with members of a criterion subgroup (n = 358) based on 16PF score equivalencies determined by the D² statistic. Person matching predicted medical specialty choice 43-60% of the time. Using broader specialty group categories and adding criterion persons increased the number of specialty matches. Additional refinement and analysis should enhance the efficacy of this idiographic approach as an alternative to nomothetic P-E matching for career exploration. Future research should examine person matching in terms of consequential validity.     

High school students’ career decision-making process: Consequences for choice implementation in higher education

This study investigated consequences of high school students’ career decision-making process for choice implementation in higher education. A sample of adolescents participated at the end of Grade 12 and was followed during the first and second year in higher education. Linear and logistic regression analyses revealed that students’ coping with career decisional tasks at the end of Grade 12 significantly contributed to the several aspects of early choice implementation (i.e., choice actualization, academic adjustment, commitment to the chosen study) during the first trimester in higher education. The importance of these aspects of early choice implementation is demonstrated through their relationship with academic achievement during the first year in higher education.     

Occupational specialty congruence: New data and future directions

The present research examined the relationship between within-occupational congruence and satisfaction, and attempted to integrate hypotheses and findings of prior studies with the conceptual implications of occupational specialty congruence. Correspondence between vocational interests within occupations and specialty choice has shown higher correlations with satisfaction than with congruence (Assouline & Meir, 1987). Occupational specialty congruence was derived by comparing preferred functions with the actual functions characterizing a given occupational specialty. In the present study, involving 120 computer software professionals, occupational specialty congruence correlated approximately .45 with satisfaction, using core job function dimensions. Specialty change within occupation, rather than occupational change, may help in cases of poor occupational choice, burnout, or a change in health. Further research should explore the generalizability of the function dimensions employed herein. Identifying core dimensions can aid in designing both career tracks and certification exams.     

The making of careers, the making of a discipline: Luck and chance in migrant careers in geriatric medicine

The geriatric specialty, unpopular among most UK born and trained medical graduates, provided an opportunity for career development and achievement for those doctors whose training had been non-standard for a variety of reasons. Migrant doctors who have played a substantive role in the UK National Health Service since its inception made an important contribution to the building of that specialty, at the same time building their own careers. This paper draws on oral history interviews with the UK trained pioneers of geriatric medicine and with South Asian overseas trained doctors who entered the geriatric specialty in the middle decades of the twentieth century. It critically reviews the literature of skilled migration, specifically in terms of ‘brain drain’ and ‘push–pull’, focusing on historical and socio-cognitive communities and emphasizes the contribution of individual narratives of career development in the lives of migrants. Focusing on the use of luck and chance in accounts it suggests that although such terms are indicative of chance upon opportunity, they also suggest a role for agency in career development in contexts which were not auspicious. The outcome, for those interviewed, was regarded positively in career terms, but also had a significant part to play in the development of the career of the specialty of geriatric medicine and in the lives of the marginalized people for whom they developed a service.     

Personality and values as predictors of medical specialty choice

Research rarely considers the combined influence of personality traits and values in predicting behavioral outcomes. We aimed to advance a germinal line of inquiry that addresses this gap by separately and simultaneously examining personality traits and physician work values to predict medical specialty choice. First-year medical students (125 women and 119 men) responded to measures of personality and physician work values. After graduation, participants' residency choices were identified. Results indicated that personality traits predict person- or technique-oriented medical specialty choice. Physician work values, whether used alone or in tandem with personality traits, however, did not significantly predict specialty choice. Implications for practice and research are discussed.     

Engineering students’ perceptions of engineering specialties

The field of engineering is defined by a number of specialty areas, thus most engineering students must decide upon an educational specialty track within the engineering major. Data on familiarity with, and perceptions of similarity among 11 engineering specialties were collected from 129 undergraduate engineering students from a public urban university. Similarity data were collected by way of a paired comparison task, and multidimensional scaling techniques were used to map these data into spatial representations. A three-dimensional solution was selected. Analysis of variance procedures also were used to examine differences in perceptions of engineering specialties by gender, ethnicity, commitment to career choice, and career decision-making self-efficacy. Results indicated that female students rated engineering specialties as more prestigious than male students, and students with a more dogmatic stance towards career rated engineering as relatively exclusive to men.     

Career success criteria and locus of control as indicators of adaptive readiness in the career adaptation model

The present research had two goals. The first goal was to identify additional individual characteristics that may contribute to adaptive readiness. The second goal was to test if these characteristics fit the career adaptation model of readiness to resources to responses. We examined whether career success criteria (measured at Time 1) and career locus of control (measured at Time 1) would contribute to adaptivity and predict university students’ career decision-making self-efficacy (measured at Time 2) through the mediation of career adaptability (measured at Time 1). Results based on a two-wave survey among a sample of 437 Chinese university students showed that the criteria of intrinsic fulfillment and work-life balance, as well as internal career locus of control positively predicted Chinese university students' career adaptability, which in turn predicted career decision-making self-efficacy. These findings support the career adaption model and carry implications for career construction theory and university students' career development.     

Online counselling in secondary schools: would students seek help by this medium?

Students in secondary schools experience problems that can impact on their well-being and educational outcomes. Although face-to-face counselling is available in most Australian secondary schools, many students, particularly boys, do not seek appropriate help. Research suggests that online counselling can be effective and increase engagement. This study of 215 secondary school students sought to assess students' intention to use online counselling if it was made available in schools. The results found no gender difference in the likely intentions to seek online help though year level was significant and students experiencing psychological distress had a preference for online counselling. If students did use online counselling it was more likely they would discuss sensitive topics rather than for career issues. Implications for school counselling are discussed.     

Perceived benefits of using an Internet-based interactive career planning system

Making Better Career Decisions (MBCD) is an Internet-based interactive career planning system designed to help deliberating individuals. The present research examined the benefits of a dialogue with MBCD, by analyzing 712 users’ perceptions of its contribution to their career decision-making process, and locating variables associated with these perceptions. A pre-dialogue and a post-dialogue questionnaire were used to collect the users’ perceptions of its benefits and measure the change in the degree of decidedness. Perceived benefit was derived from participants’ ratings of the degree of progress they had made in their career decision-making process, whether they had learned about additional factors to be considered and their career-related preferences, as well as their ratings of the quality of the list of “promising” career alternatives presented to them during their dialogue with MBCD. This composite perceived benefit was found to be positively associated with the users’ decidedness at the completion of the dialogue with MBCD. Users’ satisfaction with the length and variety of their personal “promising alternatives” list was associated with a higher perceived benefit.     

A Longitudinal Study of the Effectiveness of Business Ethics Education: Establishing the Baseline

This paper is the first phase of a longitudinal study of the class of 2014 on the effectiveness of ethics education at a business university. This phase of the project establishes the baseline attributes of incoming college freshmen with a pretest of the students’ ethical proclivity as measured by Defining Issues Test (DIT-2) scores. The relationship between the students’ ethical reasoning and their behavior in experimental stock trading sessions is then examined. In the trading simulations, randomly selected students were provided with the option of receiving privileged insider information about the final payoff of several stocks. The students could either accept or reject such information, with acceptance considered illegal insider trading. The results of the pretest indicate that moral reasoning as measured by the DIT-2 is related to insider trading behavior, with students with higher DIT-2 scores being less likely to accept insider information. The paper also presents demographic differences across DIT-2 scores and trading behavior as a foundation for the longitudinal examination of changes in students’ moral cognition characteristics and behavior during their undergraduate career.     

Using narratives to explore other-directed occupational choice and academic success

The construct of “other-directed versus self-directed career choice” has existed for quite some time. The current focus of vocational psychologists and counselors has made them question the relevance of this construct for contemporary American society. Many counselors today challenge the assumption that a career choice based on others’ expectations is problematic. This longitudinal study utilized a logistic regression analysis to determine whether self-directed or other-directed status, as measured by the Thematic Apperception Test related to success with which individuals enacted career choices. The sample consisted of 433 BS/MD students enrolled in a Bachelor of Science-Doctor of Medicine (BS/MD) degree program at a Midwestern medical college. The findings showed that self-directed or other-directed career choice did not predict academic success.     

Traditionality of choice and sex-role identification as moderators of the congruence of occupational choice in college women

This study examined the relationship of traditionality of occupational preferences and sex-role orientation to personality-occupational environment congruence in college women. Three-letter Holland personality codes were obtained for each of 184 college women based on same-sex normative scores from the Strong-Campbell Interest Inventory and on scores from the ACT Unisex Interest Inventory (UNIACT). Subjects' occupational preferences were classified as traditional, moderately traditional, or nontraditional based on the percentages of women in the occupation. Scores on the Bern Sex Role Inventory were used to classify subjects into one of four sex-role categories. Results indicated a strong association between congruence and traditionality of choice; women whose choices were in nontraditional career fields were significantly more likely to be making choices congruent with their personality type than were women choosing traditional career fields. Further, while sex-role orientation was not significantly related to either congruence or traditionality, masculine-typed women were most likely to make nontraditional and congruent career choices, while the majority of feminine-typed, androgynous, and undifferentiated women stated preferences for traditional career fields. Implications for the applicability of Holland's congruence postulate to women's vocational behavior are discussed.     

Inter-relationships among attachment to mother and father, self-esteem, and career indecision

This study investigated the mediating role of adolescents’ global self-esteem, based on the relationship between adolescents’ mother or father attachment and their career indecision; as well as the mediating role of adolescents’ career indecision on the relationship between mother or father attachment and self-esteem. Two hundred and forty-one adolescents completed a self-report questionnaire that measured the difficulty in making decisions about their future academic and vocational careers, their global self-esteem, and their attachment to their parents. Results showed that the more adolescents felt attached to their mother and father the easier it was for them to make career decisions. The self-esteem mediation hypothesis is supported as a function of parent and adolescent gender. Similarly, the mediating role of career indecision is confirmed and depends on the gender of both parents and adolescents. Interpersonal context, identity development, adolescent career development and the relationship between them are discussed.     

Learning and career specialty preferences of medical school applicants

The present research examined relationships among medical school applicants’ preferred approaches to learning, methods of instruction, and specialty areas (n = 912). Based on confidential responses to a progressive series of paired comparisons, applicants’ preferences for lecture (L), self-study (SS), group discussion (GD), and computers (C) were assessed across three dimensions: (1) comfort; (2) effectiveness; and (3) interest. Using cluster analysis to generate four instructional “profiles,” participants’ comparative preferences for self-study/lecture versus group discussion/computers (+SS, L/−GD, C) were positively associated with interests in surgery and neurology, whereas opposing preferences (+GD, C/−L, SS) corresponded with the practice of family medicine. Using a matriculant subset (N = 160), analyses indicated that these relationships remained after controlling for sex and psychological type.     

Conceptions of career choice and attainment: Developmental levels in how children think about careers

Children’s Conceptions of career choice and attainment were evaluated in two studies to test whether reasoning levels varied by grade level (Studies 1 and 2) and perspective-taking complexity (Study 2). Results indicated that younger children (Grade K) were more likely to use reasoning strategies associated with fantasy and magical thinking and older children (Grade 6) were more likely to consider personal interests, abilities, and job requirements. Study 2 replicated these results and also found that children evaluated as able to use more complex perspective-taking reported higher reasoning levels when discussing their Conceptions of career choice and attainment.     

Choice of medical specialty: analysis of students' needs.

The purposes of this study were to assess the career development needs of entering medical students as measured by the Medical Career Development Inventory and to examine gender differences in responses to the inventory. A total of 115 entering medical students (representing two entering classes) took the inventory two months prior to matriculation. Analysis suggested that this sample of entering students had formed a vocational identity and that they had evaluated the suitability and viability of a commitment to a physician's career. However, the participants had not formed a clear picture of their specialty interest and goals. No significant gender differences were indicated. A recommended career assistance workshop is presented as appropriate for these students' needs.     

The Decision to Enter Medicine: Motivations, Social Support and Discouragements for Women

Responses from 93% of the women medical students enrolled in two southern medical schools in 1975-1976 indicated that wanting to serve others, desire for independence in one's work, and interest in science were strong motivations for entering medicine. These motivations also characterized men. Women, more often than men, cited the challenge of a medical career, and they showed more interest in high occupational prestige than have women medical school applicants in the past. Women reported less social support for an early decision than did their male peers. Dissatisfaction with a previous occupation frequently influenced women's choice of medicine. Although women were more likely than men to cite sources of encouragement for their decision, they were also more likely than men to have been discouraged from entering medicine.     

Psychological profile of Greek doctors: differences among five specialties

The aim of the present study was to explore the differences in the psychological profiles between genders and different specialties among Greek doctors. Five-thirty nine doctors in five different specialties, namely 115 general practitioners, 168 internists, 81 surgeons, 108 microbiologists and 67 anesthesiologists, participated in the study. 253 participants were specialized doctors and 286 participants were medical residents. The sample consisted of 280 women and 259 men. The mean age of the sample was 38.75(±7.98) years. A cross sectional survey study was conducted. Symptom Check List 90-Revised (SCL-90-R) was used to collect the data. Multivariate Analysis of Variance indicated the significant effect of specialty (Wilks’ Lambda = .20, p = .000), the effect of gender (Wilks’ Lambda = .90, p = .000) as well as their interaction (Wilks’ Lambda = .68, p = .000) on participants’ scores in SCL-90-R subscales. Internists reported high scores in 8 out of 9 subscales of SCL-90-R. Surgeons scored significantly higher compared to all other specialties in hostility(HS) subscale. Women reported statistically higher scores in almost all subscales of the SCL-90-R test compared to men, apart from HS (p = .191). Gender and specialty choice play role in the psychological profile of Greek doctors. Women and internists seem to be more prone to psychopathology. These findings should be taken into account in future studies and interventions.