National Survey of Attitudes and Choices in Medical Education and Training (ACMET) II, 1997 (ICPSR 3317)

Principal Investigator(s): Block, Susan D., Harvard Pilgrim Health Care, and Harvard Medical School


The purpose of this study was threefold: (1) to assess the effects of the Robert Wood Johnson Foundation Generalist Physician Initiative (GPI) on attitudes toward primary care among a national cross-sectional sample of medical students, residents, faculty, residency training directors (RTDs), chairpersons, and medical school deans\; (2) to conduct a longitudinal study of medical student, resident, and faculty participants from ACMET I (1994) and ACMET II (1997) to measure changes over time in attitudes and beliefs about primary care and primary care career choice\; and (3) to survey a nationally representative sample of medical students, residents, faculty, RTDs, chairpersons, and medical school deans about their attitudes toward managed care. The GPI challenged schools of medicine, in collaboration with state governments, private insurers, HMOs, hospitals, and community health centers, to increase the supply of generalist physicians (general internal medicine, general pediatrics, family practice, and general practice). ACMET II gauged views on primary care and specialist medical careers, factors affecting residency choice, faculty influences on medical students and residents, and time spent in various settings (inpatient, outpatient, emergency ward, managed care, and long-term care settings) during electives, clerkships, internships, and residency. Background information collected by the survey includes age, sex, marital status, race, medical school debt, and medical specialty.

Access Notes

  • One or more files in this data collection have special restrictions ; consult the restrictions note to learn more. You can apply online for access to the restricted-use data. A login is required to apply.

    As explained in the ICPSR Processing Note in the codebook, 105 cases (the deans' records) and a number of variables are restricted from general dissemination for reasons of confidentiality. Users interested in obtaining these data must complete an Agreement for the Use of Confidential Data, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to these data through the ICPSR restricted data contract portal, which can be accessed via the study home page.

    Any public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.


Dataset - Download All Files (12.49 MB)

Study Description


Block, Susan D. National Survey of Attitudes and Choices in Medical Education and Training (ACMET) II, 1997. ICPSR03317-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2002.

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This study was funded by:

  • Robert Wood Johnson Foundation (029699)

Scope of Study

Subject Terms:    career choice, health professions, hospitals, medical education, medical schools, medical students, physicians, primary care

Geographic Coverage:    United States

Time Period:   

  • 1997

Date of Collection:   

  • 1997

Universe:    First- and fourth-year medical students, post-graduate Year 3 residents, full-time clinical faculty, internal medicine and pediatrics RTDs, primary care and specialty department chairs, and medical school deans in United States four-year medical schools.

Data Type(s):    survey data

Data Collection Notes:

(1) The SAS transport file was created using the SAS CPORT procedure. (2) The data map is provided as an ASCII file and the codebook is provided by ICPSR as a Portable Document Format (PDF) file. The PDF file format was developed by Adobe Systems Incorporated and can be accessed using PDF reader software, such as the Adobe Acrobat Reader. Information on how to obtain a copy of the Acrobat Reader is provided on the ICPSR Web site.


Sample:    A stratified probability sample was drawn from databases of the American Medical Association and the Association of American Medical Colleges. Certain groups (e.g., primary care faculty) were oversampled to ensure adequate representation in the sample.

Data Source:

telephone interviews


Original ICPSR Release:   2002-04-25

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