Abstract
OBJECTIVE:To evaluate the impact of a complex-care-based medical school in the context of the Brazilian health care system on students' career choices.METHODS:This was a retrospective cross-sectional study based on medical regulatory organization records. It included records for 7,419 physicians who graduated from FMUSP. Geographic data were analyzed using Kernel maps, and the statistical analysis was performed with SPSS® version 24.0. A p-value less than 0.05 was considered significant.RESULTS:Of the 7,419 physicians, 68.6% (95% CI 67.5-69.7) were male, and 20.7% (95% CI 19.8%-21.7%) had no medical specialty, compared to 46.4% nationwide. Internal medicine and surgery-based specialties were more popular, accounting for 39.4% (95% CI 38.3%-40.5%) and 16.8% (95% CI 15.5%-17.6%) of our study group, compared to the Brazilian averages of 25.9% and 13.5%. Our graduates also had a higher probability of staying in São Paulo City, especially when born outside the city.CONCLUSION:We believe that FMUSP remains an interesting model for studying the impact of a highly specialized center on the education and career choices of medical students.
Highlights
The Faculdade de Medicina da Universidade de São Paulo (FMUSP) has been central to the formation of leaders in the context of the Brazilian medical system
It is curious to note that in the last three decades, the percentage of women at FMUSP has remained approximately 37.5%. This does not reflect Brazilian reality; in recent years, there has been an increasing proportion of female physicians graduating compared to their male counterparts, a proportion that is similar to that found in several medical schools around the world [9]
We believe that the characteristics of FMUSP may guide decisions related to public health and educational policies
Summary
The Faculdade de Medicina da Universidade de São Paulo (FMUSP) has been central to the formation of leaders in the context of the Brazilian medical system. It currently has the largest hospital complex in Latin America, and it is responsible for the graduation of 175 physicians each year, who go on to assume high-level positions in their specialties. FMUSP is known for innovation in several areas; its graduates (MDs) have been responsible for many surgical innovations, including one of the first living donor liver transplants [1], the solution for the transposition of great vessels [2] and the first successful uterine transplant [3], among many others All of this makes FMUSP one of the 100 best medical schools in the world [4].
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