Applying to Plastic Surgery Residency: Factors Associated with Medical Student Career Choice
Applying to Plastic Surgery Residency: Factors Associated with Medical Student Career Choice
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申请整形外科住院医师：与医学生职业选择相关的因素
DOI：
10.1097/01.prs.0000299454.10281.33
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发表时间：
2008
影响因子：
3.6
通讯作者：
J. May
中科院分区：
文献类型：
--
作者：
A. Greene;J. May
背景资料：从2002年到2005年，整形外科住院医师的申请增加了34%，尽管其他外科专科的申请减少了。在此期间，医疗教育、报销、工作时间和媒体报道都发生了变化。研究方法：为了确定整形外科住院医师申请人数上升的原因，对2005年整形外科住院医师的医学生申请人进行了调查。申请人记录了在医学院期间接受整形手术的情况，并对性格、生活方式、收入潜力和媒体报道对他们选择整形手术培训的决定的影响进行了评分。为了进一步研究整形外科暴露对职业选择的影响，比较了有和没有整形外科培训计划的医学院之间申请整形外科住院医师的毕业生比例。结果如下：提供更多整形手术的医学院和有整形手术培训项目的医学院的毕业生申请整形外科住院医师的比例更高（p < 0.001）。申请者认为与整形外科医生个性的兼容性是他们职业选择的重要因素。生活方式和收入潜力是中等重要的，而媒体报道影响最小的职业决策。申请人通常在医学院的第三年决定整形外科的职业生涯。结论：医学生接触整形外科手术是最有影响力的因素，在学生的决定追求职业生涯中整形外科。为了继续增加申请人对整形外科手术的趋势，整形外科医生的医学生的参与应该强调，最好是在医学院的第三年。
Background: Applications to plastic surgery residency increased 34 percent from 2002 to 2005, despite decreasing applications to other surgical subspecialties. During this period, medical education, reimbursement, work hours, and media coverage have changed. Methods: To determine factors responsible for rising applications to plastic surgery residencies, medical student applicants to plastic surgery residencies for 2005 were surveyed. Applicants recorded exposure to plastic surgery during medical school and graded the influence of personality, lifestyle, income potential, and media coverage on their decision to choose plastic surgery training. To further study the effects of plastic surgery exposure on career choice, the percentage of graduating students applying to plastic surgery residency was compared between medical schools with and without plastic surgery training programs. Results: Medical schools that provided greater exposure to plastic surgery and schools with plastic surgery training programs had a higher percentage of graduates applying to plastic surgery residency (p < 0.001). Applicants rated compatibility with the personality of plastic surgeons as a significant factor in their career choice. Lifestyle and income potential were moderately important, whereas media coverage minimally affected career decision. Applicants typically decided on a plastic surgical career during the third year of medical school. Conclusions: Medical student exposure to plastic surgery is the most influential factor in a student’s decision to pursue a career in plastic surgery. To continue the increasing applicant trend toward plastic surgery, plastic surgeon engagement of medical students should be emphasized, ideally before the third year of medical school.