Abstract
Background
Positive encounters with surgeons have previously been shown to influence perceptions of surgical careers. Despite this, negative perceptions persist. We investigated whether identifying role models in surgery influences career choice and defined the ideal qualities of a surgical role model as perceived by newly qualified doctors.
Methods
A 36-item questionnaire was distributed to newly qualified graduates from a large UK medical school. Results were analysed using GraphPad Prism 5.00.
Results
Questionnaires were returned by 208 of 320 graduates (65%). Median age was 24 years (range = 23–51); 63% female, 37% male; 71% standard undergraduate course, 28% graduate-entry course. Overall, 131 respondents (63%) felt they were able to identify a surgical role model; there were no statistically significant differences between gender or course type. There was a significant difference between identification of a surgical role model and interest in pursuing surgical careers (P = 0.0006), with 41% of those who identified a role model interested compared with 17% of those who did not. Overall, 564 key qualities for a surgical role model were suggested by respondents. These were grouped by theme, with common attributes including good teacher, enthusiastic, and approachable.
Conclusions
Junior doctors were twice as likely to express interest in pursuing a surgical career if they identified a positive surgical role model. Changes in medical school demographics are occurring, with increasing proportions of female and graduate-entry doctors. These groups are less likely to choose a surgical career, so promoting interest in surgery will become increasingly important to maintain high-quality applicants. Defining and promoting perceptions of surgical role models to the wider surgical community may be one way of addressing this.
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References
Markert RJ (1983) Change in specialty choice during medical school. J Fam Pract 17(2):295–300
Azizzadeh A, McCollum CH, Miller CC 3rd et al (2003) Factors influencing career choice among medical students interested in surgery. Curr Surg 60(2):210–213
Polk HC Jr (1999) The declining interest in surgical careers, the primary care mirage, and concerns about contemporary undergraduate surgical education. Am J Surg 178(3):177–179
Dorsey ER, Jarjoura D, Rutecki GW (2003) Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 290(9):1173–1178
Erzurum VZ, Obermeyer RJ, Fecher A et al (2000) What influences medical students’ choice of surgical careers. Surgery 128(2):253–256
Frey C (2008) Mentoring is about inspiring interest and excitement in others. An interview with Charles Frey, MD, Professor Emeritus, University of California, Davis, CA, USA. Interview by Martin E. Fernandez-Zapico. Pancreatology 8(4–5):415-419
Gough I (2008) Mentoring: historical origins and contemporary value. ANZ J Surg 78(10):831
Zutshi M, Hammel J, Hull T (2010) Colorectal surgeons: gender differences in perceptions of a career. J Gastrointest Surg 14(5):830–843
Ek EW, Ek ET, Mackay SD (2005) Undergraduate experience of surgical teaching and its influence on career choice. ANZ J Surg 75(8):713–718
Brown J, de Cossart L, Wiltshire C (2002) Exploring the views of basic surgical trainees (senior house officers) on a basic surgical training scheme. Med Teach 24(5):559–561
Ullian JA, Bland CJ, Simpson DE (1994) An alternative approach to defining the role of the clinical teacher. Acad Med 69(10):832–838
Cochran A, Paukert JL, Scales EM et al (2004) How medical students define surgical mentors. Am J Surg 187(6):698–701
General Medical Council (1993) Recommendations on undergraduate medical education. In: Tomorrow’s doctors. General Medical Council, London
British Medical Association (2004) Demography of medical schools. British Medical Association, London
Glynn RW, Kerin MJ (2010) Factors influencing medical students and junior doctors in choosing a career in surgery. Surgeon 8(4):187–191
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):349–361
Tambyraja AL, McCrea CA, Parks RW et al (2008) Attitudes of medical students toward careers in general surgery. World J Surg 32(6):960–963
Arnold MW, Patterson AF, Tang AS (2005) Has implementation of the 80-hour work week made a career in surgery more appealing to medical students? Am J Surg 189(2):129–133
Wilkinson TJ, Gill DJ, Fitzjohn J et al (2006) The impact on students of adverse experiences during medical school. Med Teach 28(2):129–135
Nagraj S, Wall D, Jones E (2006) Can STEEM be used to measure the educational environment within the operating theatre for undergraduate medical students? Med Teach 28(7):642–647
Cochran A, Paukert JL, Neumayer LA (2003) Does a general surgery clerkship influence student perceptions of surgeons and surgical careers? Surgery 134(2):153–157
Nguyen SQ, Divino CM (2007) Surgical residents as medical student mentors. Am J Surg 193(1):90–93
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Ravindra, P., Fitzgerald, J.E.F. Defining Surgical Role Models and Their Influence on Career Choice. World J Surg 35, 704–709 (2011). https://doi.org/10.1007/s00268-011-0983-0
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DOI: https://doi.org/10.1007/s00268-011-0983-0