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Irish Journal of Medical Science

, Volume 182, Issue 3, pp 337–343 | Cite as

Career choices of today’s medical students: where does surgery rank?

  • E. Boyle
  • D. Healy
  • A. D. K. Hill
  • P. R. O’Connell
  • M. Kerin
  • S. McHugh
  • P. Coyle
  • J. Kelly
  • S. R. Walsh
  • J. C. CoffeyEmail author
Original Article

Abstract

Introduction

The national junior doctor recruitment crisis prompts an appraisal of medical student attitudes to different career pathways. The purpose of this study was to perform a national review of surgical career intentions of Irish final year medical students.

Methods

Ethical and institutional approval was obtained at each study location. A questionnaire was designed and distributed to final year students. Domains assessed included demographics, career plans and reasons associated. Anonymised responses were collated and evaluated. Categorical data were compared with Fisher’s exact test.

Results

Responses were obtained from 342 students in four medical schools of whom 78.6 % were undergraduates. Over half (53 %) were Irish, with Malaysia, Canada and the USA the next most common countries of origin. Only 18 % of students intended to pursue surgery, with 60 % stating they did not plan to, and 22 % undecided. Of those who plan not to pursue surgery, 28 % were unsure about a speciality but the most common choices were medicine (39 %), general practice (16 %) and paediatrics (8 %). Reasons for not picking a career in surgery included long hours and the unstructured career path. Suggestions to improve uptake included earlier and more practical exposure to surgery, improved teaching/training and reduction in working hours.

Conclusions

In this study 18 % of final year medical students identified surgery as their chosen career pathway. Although lifestyle factors are significant in many students’ decision, perceived quality and duration of surgical training were also relevant and are modifiable factors which, if improved could increase interest in surgery as a career.

Keywords

Surgery Career Education Medical student Surgical training Questionnaire 

Notes

Acknowledgments

We would like to thank all the students who participated in the survey.

Conflicts of interest

None.

References

  1. 1.
    The Working Group on Specialist Medical Training (1993) Hospital doctors: training for the future. The report of the Working Group on Specialist Medical Training (The Calman Report). Department of Health LondonGoogle Scholar
  2. 2.
  3. 3.
  4. 4.
    Figures obtained from: Department of Surgical Affairs, Royal College of Surgeons in Ireland. http://www.rcsi.ie
  5. 5.
    Erzurum VZ, Obermeyer RJ et al (2000) What influences medical students’ choice of surgical careers? Surgery 128:253–256PubMedCrossRefGoogle Scholar
  6. 6.
    Scott IM, Matejcek AN, Gowans MC et al (2008) Choosing a career in surgery: factors that influence Canadian medical students’ interest in pursuing a surgical career. Can J Surg 51:371–377PubMedGoogle Scholar
  7. 7.
    Mazeh H, Mizrahi I, Eid A et al (2010) Medical students and general surgery—Israel’s National Survey: lifestyle is not the sole issue. J Surg Educ 67(5):303–308PubMedCrossRefGoogle Scholar
  8. 8.
    Are C, Stoddard HA, Huggett K et al (2009) A regional perspective on the attitudes of fourth-year medical students toward the field of general surgery. J Surg Educ 66(3):123–128PubMedCrossRefGoogle Scholar
  9. 9.
    Lefèvre JH, Karila L, Kerneis S et al (2010) Motivation of French medical students to pursue surgical careers: results of national survey of 1,742 students. J Visc Surg 147(3):e181–e186PubMedCrossRefGoogle Scholar
  10. 10.
    De SK, Henke PK, Ailawadi G et al (2004) Attending, house officer, and medical student perceptions about teaching in the third-year medical school general surgery clerkship. J Am Coll Surg 199(6):932–942PubMedCrossRefGoogle Scholar
  11. 11.
    Riska E (2011) Gender and medical careers. Maturitas 68(3):264–267PubMedCrossRefGoogle Scholar
  12. 12.
    Novielli K, Hojat M, Park PK et al (2001) Change of interest in surgery during medical school: a comparison of men and women. Acad Med 76(10 suppl):S58–S61PubMedCrossRefGoogle Scholar
  13. 13.
    Yeo H, Bucholz E, Ann Sosa J et al (2010) A national study of attrition in general surgery training: which residents leave and where do they go? Ann Surg 252(3):529–534PubMedGoogle Scholar
  14. 14.
    Everett CB, Helmer SD, Osland JS et al (2007) General surgery resident attrition and the 80-hour workweek. Am J Surg 194:751–757PubMedCrossRefGoogle Scholar
  15. 15.
    Goldacre MJ, Davidson JM, Lambert TW (2007) Career preferences of graduate and non-graduate entrants to medical schools in the UK. Med Educ 41(4):349–361PubMedCrossRefGoogle Scholar
  16. 16.
    Scott I, Gowans M, Wright B et al (2011) Determinants of choosing a career in surgery. Med Teach 33(12):1011–1017PubMedCrossRefGoogle Scholar
  17. 17.
    Glynn RW, Kerin MJ (2010) Factors influencing medical students and junior doctors in choosing a career in surgery. Surgeon 8:187–191PubMedCrossRefGoogle Scholar
  18. 18.
    Corrigan MA, Shields CJ, Redmond HP (2007) Factors influencing surgical career choices and advancement in Ireland and Britain. World J Surg 31:1921–1929PubMedCrossRefGoogle Scholar
  19. 19.
    Likert R (1932) A technique for the measurement of attitudes. Arch Psychol 140:1–55Google Scholar
  20. 20.
    Buttimer J (2006) Preparing Ireland’s doctors to meet the health needs of the 21st century. Department of Health and Children (Report)Google Scholar
  21. 21.
    Grava-Gubins I, Scott S (2008) Effects of various methodologic strategies: survey response rates among Canadian physicians and physicians-in-training. Can Fam Physician 54(10):1424–1430PubMedGoogle Scholar
  22. 22.
    Canadian Students Studying Medicine Abroad (2010). http://www.carms.ca/eng/index.shtml. Accessed 8 Dec 2012
  23. 23.
    Naylor RA, Reisch JS, Valentine RJ (2010) Do student perceptions of surgeons change during medical school? A longitudinal analysis during a 4-year curriculum. J Am Coll Surg 210(4):527–532PubMedCrossRefGoogle Scholar
  24. 24.
    Nor F, Plusa SM (2004) Career intentions and prospects of basic surgical trainees in the Northern Region of England. Ann R Coll Surg Engl 86(2):125PubMedCrossRefGoogle Scholar
  25. 25.
    Singletary SE (2010) A fire in our hearts: passion and the art of surgery. Ann Surg Oncol 17(2):364–370PubMedCrossRefGoogle Scholar
  26. 26.
    Dodson TF, Webb AL (2005) Why do residents leave general surgery? The hidden problem in today’s programs. Curr Surg 62(1):128–131PubMedCrossRefGoogle Scholar
  27. 27.
    Miller G, Bamboat ZM, Allen F et al (2004) Impact of mandatory resident work hour limitations on medical students’ interest in surgery. J Am Coll Surg 199(4):615–619PubMedCrossRefGoogle Scholar
  28. 28.
    Du J, Sathanathan J, Naden G et al (2009) A surgical career for New Zealand junior doctors? Factors influencing this choice. N Z Med J 122(1300):29–37PubMedGoogle Scholar
  29. 29.
    National Resident Matching Program, Data Release and Research Committee (2012) Results of the 2012 NRMP program director survey. National Resident Matching Program, Washington, DCGoogle Scholar
  30. 30.
    Lonergan PE, Mulsow J, Tanner WA et al (2011) Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook. BMC Med Educ 11:70PubMedCrossRefGoogle Scholar
  31. 31.
    Sullivan KO, Byrne JS, Atie M et al (2011) A review of the basic surgical training (BST) scheme in Ireland; the need for more operative exposure. Ir J Med Sci 180(8):233–284 (abstract)Google Scholar
  32. 32.
    Chikwe J, de Souza AC, Pepper JR (2004) No time to train the surgeons. BMJ 328(7437):418–419PubMedCrossRefGoogle Scholar
  33. 33.
    Dunnington G (2009) Uneven operative experience in surgical training: a call for action. Ann Surg 249(5):725–726PubMedCrossRefGoogle Scholar
  34. 34.
    Makama JG, Ameh EA (2010) Does general surgery clerkship make a future career in surgery more appealing to medical students? Fr Health Sci 10(3):292–296Google Scholar
  35. 35.
    Kaderli R, Buser C, Stefenelli U et al (2011) Students’ interest in becoming a general surgeon before and after a surgical clerkship in German-speaking Switzerland. Swiss Med Wkly 15(141):w13246Google Scholar
  36. 36.
    Al-Heeti KN, Nassar AK, Decorby K et al (2012) The effect of general surgery clerkship rotation on the attitude of medical students towards general surgery as a future career. J Surg Educ 69(4):544–549PubMedCrossRefGoogle Scholar
  37. 37.
    Antiel RM, Thompson SM, Camp CL et al (2012) Attracting students to surgical careers: preclinical surgical experience. J Surg Educ 69(3):301–305 (Epub 2011 Nov 11)PubMedCrossRefGoogle Scholar
  38. 38.
    Gargiulo DA, Hyman NH, Hebert JC (2006) Women in surgery—do we really understand the deterrents? Arch Surg 141:405–408PubMedCrossRefGoogle Scholar
  39. 39.
    Ravindra P, Fitzgerald JE (2011) Defining surgical role models and their influence on career choice. World J Surg 35(4):704–709PubMedCrossRefGoogle Scholar
  40. 40.
    Richardson HC, Redfern N (2000) Why do women reject surgical careers? Ann R Coll Surg Eng 82((Suppl)):290–293Google Scholar
  41. 41.
    McNally SA (2008) Competition ratios for different specialties and the effect of gender and immigration status. J Roy Soc Med 101:489–492PubMedCrossRefGoogle Scholar
  42. 42.
    McHugh SM, Corrigan MA, Sheikh A et al (2011) A study of the factors influencing school-going students considering medical careers. Surgeon 9(4):191–194PubMedCrossRefGoogle Scholar

Copyright information

© Royal Academy of Medicine in Ireland 2012

Authors and Affiliations

  • E. Boyle
    • 1
  • D. Healy
    • 1
  • A. D. K. Hill
    • 2
  • P. R. O’Connell
    • 3
  • M. Kerin
    • 4
  • S. McHugh
    • 2
  • P. Coyle
    • 1
  • J. Kelly
    • 4
  • S. R. Walsh
    • 1
  • J. C. Coffey
    • 1
    Email author
  1. 1.Graduate Entry Medical SchoolUniversity of LimerickLimerickIreland
  2. 2.Department of SurgeryRCSI and Beaumont HospitalDublin 8Ireland
  3. 3.Surgical Professorial UnitSt Vincent’s University HospitalDublinIreland
  4. 4.Department of SurgeryUniversity Hospital, National University College GalwayGalwayIreland

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