Preclinical students: Who are surgeons?
Preclinical students: Who are surgeons?
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DOI：
10.1016/j.jss.2004.03.024
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发表时间：
2004-06-15
影响因子：
2.2
通讯作者：
Brundage, SI
中科院分区：
文献类型：
--
作者：
Kozar, RA;Anderson, KD;Brundage, SI
背景本研究的目的是确定临床前医学生如何制定他们的职业选择，并确定有关手术作为一个career.Materials和方法的负面看法的起源。本研究采质性研究，以二年级医学生自愿参加焦点团体研究。对手术感兴趣和不感兴趣的学生都参加了。讨论的主题包括影响职业选择的因素，优先事项，看法，曝光和与外科医生的互动。三名研究者进行了独立的内容分析。对手术感兴趣的学生的职业选择主要来自医学院预科的经验/与外科医生的互动。相比之下，对手术不感兴趣的学生在医学院期间做出了职业选择，并且选择主要由第二年的导师塑造。对手术感兴趣的学生的主要优先事项是个人幸福感，被认为是显着依赖于职业满意度。对手术不感兴趣的学生倾向于将事业与家庭的幸福分开。对手术的负面看法，媒体，教师和同学的发展和加强。所有的学生在临床前几年都有最少的接触外科医生，并普遍认为，增加与外科医生的参与将是有益的，特别是通过临床前preceptorships。对手术感兴趣的临床前学生的职业选择是在进入医学院之前做出的，这表明高中和大学的外展计划可能是有益的。对手术的负面看法通过各种来源发展，包括同学，导师和媒体。外科医生需要对这些看法负责。(C)2004年爱思唯尔公司All rights reserved.
Background. The purpose of the present study was to determine how preclinical medical students formulate their career choice and to determine the origin of negative perceptions regarding surgery as a career.Materials and methods. A qualitative study was performed with second-year medical students voluntarily participating in focus group study. Students with and without an interest in surgery attended. Topics discussed included factors influencing career choice, priorities, perceptions, exposure, and interactions with surgeons. Three investigators conducted independent content analysis.Results. Career choices for students interested in surgery originated primarily from premedical school experiences/interactions with surgeons. In contrast, students not interested in surgery made career choices during medical school and choices were shaped primarily by second-year preceptors. The main priority for students interested in surgery was personal happiness that was perceived as being significantly dependent upon career satisfaction. Students not interested in surgery tended to separate happiness derived from career versus family. Negative perceptions toward surgery were developed and reinforced by media, preceptors, and classmates. All students had minimal exposure to surgeons during preclinical years and generally agreed that increased involvement with surgeons would be beneficial, particularly through preclinical preceptorships.Conclusions. Career choices of preclinical students interested in surgery were made prior to entering medical school, suggesting that outreach programs to high schools and colleges may beneficial. Negative perceptions about surgery develop through a variety of sources, including fellow classmates, preceptors, and the media. Surgeons need to take responsibility for these perceptions. (C) 2004 Elsevier Inc. All rights reserved.