Factors influencing career choice among medical students interested in surgery.
Factors influencing career choice among medical students interested in surgery.
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DOI：
10.1016/s0149-7944(02)00679-7
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发表时间：
2003-03-01
期刊：
影响因子：
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通讯作者：
Lucci, Anthony Jr
中科院分区：
文献类型：
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作者：
Azizzadeh, Ali;McCollum, Charles H;Lucci, Anthony Jr
目的：申请普通外科课程的人数最近有所下降。我们着手确定影响医学生职业选择的因素。方法：设计：调查;设置：大学医学中心;参与者：四年级医学生;干预：调查的分布和完成。参与者对18个项目进行了Likert量表编码，从1（不重要）到8（非常重要）。这些因素包括职业机会、学术机会、核心轮换/实习经历、该专业的榜样（导师）、所需培训时间、住院期间的生活方式、住院期间的工作时间、获得住院职位的能力、对贷款/债务的担忧、电话时间表、培训后的生活方式、培训后的工作时间、培训后的经济回报、智力挑战、患者关系/互动、声望、未来患者人口统计学和专科中的性别分布。学生被要求提供性别，职业选择，他们申请的项目数量，以及他们接受采访的项目数量。结果：在160份调查中，共有111份被退回（69%）。共有48名学生是男性，31名是女性，32名没有说明性别。19名学生有兴趣从事外科或外科专科的职业。预测外科手术作为职业选择的因素是职业机会（p < 0.04）和声望（p < 0.003）。住院期间的生活方式（p < 0.0007），住院期间的工作时间（p < 0.008）和患者/医生关系的质量（p < 0.05）都与外科职业的选择显著负相关。追求外科职业生涯的学生申请了超过31个项目，而非外科学生申请了11到15个项目（p < 0.0001）。结论：声望和职业机会对寻求外科住院医师的学生来说更重要。住院期间对生活方式和工作时间的担忧以及患者/医生关系的感知质量阻碍了手术作为职业选择。这些问题可能需要得到解决，以增加申请外科手术的人数。
PURPOSE: The number of applicants to general surgery programs has recently declined. We set out to determine factors that influence career choice among medical students.METHODS:DESIGN: survey;SETTING: university medical center;PARTICIPANTS: fourth-year medical students;INTERVENTION: distribution and completion of the survey. PARTICIPANTS ranked 18 items coded on a Likert scale from 1 (not important) to 8 (very important). These factors were career opportunities, academic opportunities, experience on core rotation/subinternship, role model(s) in that specialty (mentors), length of training required, lifestyle during residency, work hours during residency, ability to obtain residency position, concern about loans/debt, call schedule, lifestyle after training, work hours after training, financial rewards after training, intellectual challenge, patient relationships/interaction, prestige, future patient demographics, and gender distribution in the specialty. Students were asked to provide gender, career choice, number of programs they applied to, and the number of programs at which they were interviewed.RESULTS: A total of 111 of the 160 surveys distributed were returned (69%). A total of 48 of the students were men, 31 were women, and 32 did not identify their gender. Nineteen students were interested in pursuing a career in surgery or a surgical subspecialty. Factors predicting surgery as a career choice were career opportunities (p < 0.04) and prestige (p < 0.003). Lifestyle during residency (p < 0.0007), work hours during residency (p < 0.008), and quality of patient/physician relationships (p < 0.05) were all significantly negatively correlated with the choice of a surgical career. Students pursuing a surgical career applied to greater than 31 programs compared with 11 to 15 for the nonsurgical students (p < 0.0001).CONCLUSIONS: Prestige and career opportunities are more important to students seeking surgical residencies. Concerns about lifestyle and work hours during residency and perceived quality of patient/physician relationships were deterrents to surgery as a career choice. These issues may need to be addressed to increase the number of applicants to surgical programs.