Research Article
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Impact of Neurosurgery Clerkship on Medical Students’ Perception of Being a Physician and Professional Identity

Year 2026, Volume: 16 Issue: 2, 78 - 85, 27.03.2026
https://doi.org/10.16899/jcm.1850599
https://izlik.org/JA38JC93SZ

Abstract

Abstract Background/Aims: The aim of this study was to evaluate the impact of the neurosurgery clerkship on fifth-year medical students’ perceptions of the medical profession, professional identity, and learning experiences. Materials and Methods: This cross-sectional, questionnaire-based study included 116 fifth-year medical students who had completed their neurosurgery rotation. A structured survey instrument was used to assess students’ demographic characteristics, perceptions of neurosurgery, sources of motivation, factors influencing the learning process, perceptions of burnout, and anticipated changes in their outlook on the medical profession following the rotation. Comparisons between groups were performed using the Chi-square test. Results: A total of 60.3% of participants reported that they expected a positive change in their perspective on the medical profession following completion of the neurosurgery clerkship. Neurosurgery was perceived as highly satisfying, particularly due to its association with life-saving surgical interventions and the management of complex clinical cases. The most challenging component of surgical practice was identified as making rapid intraoperative decisions. The presence of an experienced mentor was the most influential factor enhancing the learning experience, whereas burnout was most commonly associated with disruption of work–life balance. Conclusion: The neurosurgery clerkship provides medical students with a transformative educational experience that contributes not only to technical learning but also to the strengthening of professional identity and attitudes toward the medical profession. These findings suggest that clerkship models incorporating mentorship and structured clinical responsibility may play a critical role in supporting professional identity formation in medical education.

Ethical Statement

The research received ethical approval from the Tokat Gaziosmanpaşa University Non-Interventional Scientific Research Ethics Committee (02.12.2025, Approval No: 25-MOBAEK-421).

Supporting Institution

None

Thanks

None

References

  • 1. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing medical education to support professional identity formation. Acad Med. 2014;89(11):1446-51.
  • 2. Cruess SR, Cruess RL, Steinert Y. Supporting the development of a professional identity: general principles. Med Teach. 2019;41(6):641-9.
  • 3. Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: integrating identity formation into the medical education discourse. Acad Med. 2012;87(9):1185-90.
  • 4. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718-25.
  • 5. Lawrence C, Mhlaba T, Stewart KA, Moletsane R, Gaede B, Moshabela M. The hidden curricula of medical education: a scoping review. Acad Med. 2018;93(4):648-56.
  • 6. Dornan T, Boshuizen H, King N, Scherpbier A. Experience‐based learning: a model linking the processes and outcomes of medical students' workplace learning. Med Educ. 2007;41(1):84-91.
  • 7. Yu JH, Lee SK, Kim M, Chae SJ, Lim KY, Chang KH. Medical students’ satisfaction with clinical clerkship and its relationship with professional self-concept. Korean J Med Educ. 2019;31(2):125-34.
  • 8. Monrouxe LV. Identity, identification and medical education: why should we care? Med Educ. 2010;44(1):40-9.
  • 9. Marshall DC, Salciccioli JD, Walton SJ, et al. Medical student experience in surgery influences their career choices: a systematic review of the literature. J Surg Educ. 2015;72(3):438-45.
  • 10. Schmidt HG, Rotgans JI, Yew EH. The process of problem‐based learning: what works and why. Med Educ. 2011;45(8):792-806.
  • 11.Hill EJ, Bowman KA, Stalmeijer RE, Solomon Y, Dornan T. Can I cut it? Medical students' perceptions of surgeons and surgical careers. Am J Surg. 2014;208(5):860-7.
  • 12.De SK, Henke PK, Ailawadi G, Dimick JB, Colletti LM. Attending, house officer, and medical student perceptions about teaching in the third-year medical school general surgery clerkship. J Am Coll Surg. 2004;199(6):932-42.
  • 13. Shakir M, Irshad HA, Ali EA, et al. Impact of medical school experiences on the career choice of neurosurgery: a cross-sectional study from Pakistan. BMC Med Educ. 2024;24(1):465.
  • 14. Kuol PP, Mabwi WN, Muili AO, et al. Exploring the impact of early exposure and mentorship on the neurosurgery career aspirations of medical students in low-and middle-income countries. Ann Med Surg (Lond). 2024;86(9):5370-6.
  • 15.Dyrbye LN, West CP, Satele D, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89(3):443-51.
  • 16. Cairns P, Isham AE, Zachariae R. The association between empathy and burnout in medical students: a systematic review and meta-analysis. BMC Med Educ. 2024;24(1):640.
  • 17. Kalani SD, Azadfallah P, Oreyzi H, Adibi P. Interventions for physician burnout: a systematic review of systematic reviews. Int J Prev Med. 2018;9:81.
  • 18. Whittaker LD Jr, Estes NC, Ash J, Meyer LE. The value of resident teaching to improve student perceptions of surgery clerkships and surgical career choices. Am J Surg. 2006;191(3):320-4.
  • 19. Musunuru S, Lewis B, Rikkers LF, Chen H. Effective surgical residents strongly influence medical students to pursue surgical careers. J Am Coll Surg. 2007;204(1):164-7.
  • 20. Almutairi H, Alsubaiei A, Abduljawad S, et al. Prevalence of burnout in medical students: a systematic review and meta-analysis. Int J Soc Psychiatry. 2022;68(6):1157-70.
  • 21. Kalet A, Buckvar-Keltz L, Monson V, et al. Professional identity formation in medical school: one measure reflects changes during pre-clerkship training. MedEdPublish. 2018;7:41. 22. Köse C. Bir tıp fakültesi intörnlerinin mesleki temel bazı bilgi ve becerileri hakkındaki öz değerlendirmeleri [A medical school interns' selfassessments of some basic professional knowledge and skills]. STED. 2018;27(3):176-89.

Nöroşirürji Stajının Tıp Fakültesi Öğrencilerinin Doktorluk Algısı ve Profesyonel Kimlikleri Üzerindeki Etkisi

Year 2026, Volume: 16 Issue: 2, 78 - 85, 27.03.2026
https://doi.org/10.16899/jcm.1850599
https://izlik.org/JA38JC93SZ

Abstract

Özet Amaç: Bu çalışmanın amacı, nöroşirürji stajının 5. sınıf tıp fakültesi öğrencilerinin tıp mesleğine bakışları, profesyonel kimlik algıları ve öğrenme deneyimleri üzerindeki etkisini değerlendirmektir. Gereç ve Yöntem: Bu kesitsel ve anket temelli çalışmaya, nöroşirürji stajını tamamlamış 116 adet 5. sınıf tıp fakültesi öğrencisi dâhil edildi. Yapılandırılmış bir anket formu kullanılarak öğrencilerin demografik özellikleri, nöroşirürjiye ilişkin algıları, motivasyon kaynakları, öğrenme sürecini etkileyen faktörler, tükenmişlik algıları ve staj sonrasında tıp mesleğine bakışlarında beklenen değişimler değerlendirildi. Gruplar arası karşılaştırmalar Ki-kare testi ile yapıldı. Bulgular: Katılımcıların %60,3’ü, nöroşirürji stajını tamamladıktan sonra tıp mesleğine bakışlarında olumlu bir değişim beklediklerini bildirdi. Nöroşirürji, özellikle hayat kurtarıcı cerrahi girişimler ve karmaşık klinik vakaların yönetimi ile ilişkili olması nedeniyle yüksek düzeyde tatmin edici bir alan olarak değerlendirildi. Cerrahi uygulamanın en zorlayıcı bileşeni, operasyon sırasında hızlı karar verme olarak tanımlandı. Deneyimli bir mentor varlığı öğrenme sürecini en fazla güçlendiren faktör olurken, tükenmişliğin en sık iş–özel yaşam dengesi bozulması ile ilişkili olduğu bildirildi. Sonuç: Nöroşirürji stajı, tıp fakültesi öğrencilerine yalnızca teknik öğrenmeye katkı sağlayan bir süreç değil, aynı zamanda profesyonel kimlik ve tıp mesleğine yönelik tutumların güçlenmesine katkıda bulunan dönüştürücü bir eğitim deneyimi sunmaktadır. Elde edilen bulgular, mentorluk ve yapılandırılmış klinik sorumluluk içeren staj modellerinin tıp eğitiminde profesyonel kimlik gelişimini desteklemede kritik rol oynayabileceğini göstermektedir.

Ethical Statement

Araştırma, Tokat Gaziosmanpaşa Üniversitesi Girişimsel Olmayan Bilimsel Araştırmalar Etik Kurulu'ndan etik onay almıştır (02.12.2025, Onay No: 25-MOBAEK-421).

Supporting Institution

Yok

Thanks

Yok

References

  • 1. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing medical education to support professional identity formation. Acad Med. 2014;89(11):1446-51.
  • 2. Cruess SR, Cruess RL, Steinert Y. Supporting the development of a professional identity: general principles. Med Teach. 2019;41(6):641-9.
  • 3. Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: integrating identity formation into the medical education discourse. Acad Med. 2012;87(9):1185-90.
  • 4. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718-25.
  • 5. Lawrence C, Mhlaba T, Stewart KA, Moletsane R, Gaede B, Moshabela M. The hidden curricula of medical education: a scoping review. Acad Med. 2018;93(4):648-56.
  • 6. Dornan T, Boshuizen H, King N, Scherpbier A. Experience‐based learning: a model linking the processes and outcomes of medical students' workplace learning. Med Educ. 2007;41(1):84-91.
  • 7. Yu JH, Lee SK, Kim M, Chae SJ, Lim KY, Chang KH. Medical students’ satisfaction with clinical clerkship and its relationship with professional self-concept. Korean J Med Educ. 2019;31(2):125-34.
  • 8. Monrouxe LV. Identity, identification and medical education: why should we care? Med Educ. 2010;44(1):40-9.
  • 9. Marshall DC, Salciccioli JD, Walton SJ, et al. Medical student experience in surgery influences their career choices: a systematic review of the literature. J Surg Educ. 2015;72(3):438-45.
  • 10. Schmidt HG, Rotgans JI, Yew EH. The process of problem‐based learning: what works and why. Med Educ. 2011;45(8):792-806.
  • 11.Hill EJ, Bowman KA, Stalmeijer RE, Solomon Y, Dornan T. Can I cut it? Medical students' perceptions of surgeons and surgical careers. Am J Surg. 2014;208(5):860-7.
  • 12.De SK, Henke PK, Ailawadi G, Dimick JB, Colletti LM. Attending, house officer, and medical student perceptions about teaching in the third-year medical school general surgery clerkship. J Am Coll Surg. 2004;199(6):932-42.
  • 13. Shakir M, Irshad HA, Ali EA, et al. Impact of medical school experiences on the career choice of neurosurgery: a cross-sectional study from Pakistan. BMC Med Educ. 2024;24(1):465.
  • 14. Kuol PP, Mabwi WN, Muili AO, et al. Exploring the impact of early exposure and mentorship on the neurosurgery career aspirations of medical students in low-and middle-income countries. Ann Med Surg (Lond). 2024;86(9):5370-6.
  • 15.Dyrbye LN, West CP, Satele D, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89(3):443-51.
  • 16. Cairns P, Isham AE, Zachariae R. The association between empathy and burnout in medical students: a systematic review and meta-analysis. BMC Med Educ. 2024;24(1):640.
  • 17. Kalani SD, Azadfallah P, Oreyzi H, Adibi P. Interventions for physician burnout: a systematic review of systematic reviews. Int J Prev Med. 2018;9:81.
  • 18. Whittaker LD Jr, Estes NC, Ash J, Meyer LE. The value of resident teaching to improve student perceptions of surgery clerkships and surgical career choices. Am J Surg. 2006;191(3):320-4.
  • 19. Musunuru S, Lewis B, Rikkers LF, Chen H. Effective surgical residents strongly influence medical students to pursue surgical careers. J Am Coll Surg. 2007;204(1):164-7.
  • 20. Almutairi H, Alsubaiei A, Abduljawad S, et al. Prevalence of burnout in medical students: a systematic review and meta-analysis. Int J Soc Psychiatry. 2022;68(6):1157-70.
  • 21. Kalet A, Buckvar-Keltz L, Monson V, et al. Professional identity formation in medical school: one measure reflects changes during pre-clerkship training. MedEdPublish. 2018;7:41. 22. Köse C. Bir tıp fakültesi intörnlerinin mesleki temel bazı bilgi ve becerileri hakkındaki öz değerlendirmeleri [A medical school interns' selfassessments of some basic professional knowledge and skills]. STED. 2018;27(3):176-89.
There are 21 citations in total.

Details

Primary Language English
Subjects Brain and Nerve Surgery (Neurosurgery)
Journal Section Research Article
Authors

Yasin Taşkın 0000-0002-9109-7826

Yunus Emre Kuyucu 0000-0001-8808-1287

Submission Date December 28, 2025
Acceptance Date February 1, 2026
Publication Date March 27, 2026
DOI https://doi.org/10.16899/jcm.1850599
IZ https://izlik.org/JA38JC93SZ
Published in Issue Year 2026 Volume: 16 Issue: 2

Cite

AMA 1.Taşkın Y, Kuyucu YE. Impact of Neurosurgery Clerkship on Medical Students’ Perception of Being a Physician and Professional Identity. J Contemp Med. 2026;16(2):78-85. doi:10.16899/jcm.1850599