Research Article
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Cerrahlarda beklenen azalma: ortopedi stajı tıp öğrencilerinin kariyer seçimini etkiler mi?

Year 2020, Volume: 3 Issue: 4, 395 - 402, 22.10.2020
https://doi.org/10.32322/jhsm.769373

Abstract

Amaç
Bu çalışmanın amacı tıp öğrencilerinin kariyer seçimlerini ve demografik faktörlerin ve ortopedi uzmanlık eğitim programının tıp öğrencilerinin kariyer seçimleri üzerindeki etkisini belirlemektir.
Gereç ve Yöntemler
Bu çalışma, 2018-2019 akademik yılları arasında Ortopedi stajına katılan toplam 154 tıp öğrencisi (92 kadın ve 62 erkek; ort. yaş 23.7 ± 2.8) üzerinde gerçekleştirildi. Öğrenciler, staj programlarının ilk ve son günlerinde olmak üzere iki kez bir ankete tabi tutuldu ve son sınıf tıp öğrencilerinin kariyer seçimi tercihleri ve bu seçimde rol oynayabilecek faktörler incelenmiştir.
Bulgular
Seksen üç (%53,9) öğrenci Ortopedi stajından sonra tercihini ve 72 öğrenci (%46,8) tercih sırasını değiştirmiştir. Ortopedi stajından sonra ortopedi tercih eden (p<0.001) ve ortopedi branşını tercih listesinde birinci sıraya yerleştiren (p=0.039) öğrenci sayısındaki artış istatistiksel olarak anlamlı bulunmuştur. Kız ve erkek öğrenciler arasında, ortopedi stajından önce (p=0.955) ve sonra (p=0.182) cerrahi branşları tercih listesinde ilk sıraya koyma açısından anlamlı bir fark bulunmamıştır. Erkek öğrencilerin ortopedi branşını hem staj öncesi (p<0.001) hem de staj sonrasında (p<0.001) kız öğrencilerden anlamlı olarak daha fazla tercih ettikleri görülmüştür.
Sonuçlar
Öğretim üyeleri, araştırma görevlileri ve hatta ameliyathane personelinin olumlu desteği ile öğrencilerin ameliyatlara ve ameliyathaneye erken dönemde ve aktif olarak katılımlarının sağlanması hem erkek hem de kız tıp öğrencilerinin ortopedi branşına olan ilgisini artırabilir.

References

  • Hauer KE, Durning SJ, Kernan WN, et al. Factors associated with medical students’ career choices regarding internal medicine. JAMA 2008; 300: 1154-64.
  • Lefevre JH, Roupret M, Kerneis S, et al. Career choices of medical students: a national survey of 1780 students. Med Educ 2010; 44: 603-12.
  • Wigney T and Parker G. Factors encouraging medical students to a career in psychiatry: qualitative analysis. Aust N Z J Psychiatry 2008; 42: 520-5.
  • Takeda Y, Morio K, Snell L, et al. Characteristic profiles among students and junior doctors with specific career preferences. BMC Med Educ 2013; 13: 125.
  • Newton DA, Grayson MS and Thompson LF. The variable influence of lifestyle and income on medical students’ career specialty choices: data from two U.S. medical schools, 1998-2004. Acad Med 2005; 80: 809-14.
  • Gorenflo DW, Ruffin MTt and Sheets KJ. A multivariate model for specialty preference by medical students. J Fam Pract 1994; 39: 570-6.
  • Harris MG, Gavel PH and Young JR. Factors influencing the choice of specialty of Australian medical graduates. Med J Aust 2005; 183: 295-300.
  • Cleland JA, Johnston PW, Anthony M, et al. A survey of factors influencing career preference in new-entrant and exiting medical students from four UK medical schools. BMC Med Educ 2014; 14: 151.
  • Schwartz RW, Jarecky RK, Strodel WE, et al. Controllable lifestyle: a new factor in career choice by medical students. Acad Med 1989; 64: 606-9.
  • Dorsey ER, Jarjoura D and Rutecki GW. Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 2003; 290: 1173-8.
  • Saigal P, Takemura Y, Nishiue T, et al. Factors considered by medical students when formulating their specialty preferences in Japan: findings from a qualitative study. BMC Med Educ 2007; 7: 31.
  • Cleland J, Johnston PW, French FH, et al. Associations between medical school and career preferences in Year 1 medical students in Scotland. Med Educ 2012; 46: 473-84.
  • Rosenblatt RA, Cherkin DC, Schneeweiss R, et al. The structure and content of family practice: current status and future trends. J Fam Pract 1982; 15: 681-722.
  • Craton N and Matheson GO. Training and clinical competency in musculoskeletal medicine. Identifying the problem. Sports Med 1993; 15: 328-37.
  • Rekola KE, Keinanen-Kiukaanniemi S and Takala J. Use of primary health services in sparsely populated country districts by patients with musculoskeletal symptoms: consultations with a physician. J Epidemiol Community Health 1993; 47: 153-7.
  • Schroeder JE, Zisk-Rony RY, Liebergall M, et al. Medical students’and interns’interest in orthopedic surgery: the gender factor. J Surg Educ 2014; 71: 198-204.
  • Weissman C, Schroeder J, Elchalal U, et al. Using marketing research concepts to investigate specialty selection by medical students. Med Educ 2012; 46: 974-82.
  • Bath MF, Harries RL and Gokani VJ. Medical Students’and Interns’Interest in Orthopedic Surgery: The Gender Factor. J Surg Educ 2017; 74: 1.
  • Correia Lima de Souza L, Mendonca VR, Garcia GB, et al. Medical Specialty Choice and Related Factors of Brazilian Medical Students and Recent Doctors. PLoS One 2015; 10: 0133585.
  • Baldwin K, Namdari S, Bowers A, et al. Factors affecting interest in orthopedics among female medical students: a prospective analysis. Orthopedics 2011; 34: 919-32.
  • Williams TE, Jr., Satiani B, Thomas A, et al. The impending shortage and the estimated cost of training the future surgical workforce. Ann Surg 2009; 250: 590-7.
  • 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: 438-45.
  • Sedaghat N, Mondy J, Eslick GD, et al. Exposure of medical students to surgery: the Nepean summer vacation surgical program. J Surg Educ 2012; 69: 580-7.
  • Cloyd J, Holtzman D, O’Sullivan P, et al. Operating room assist: surgical mentorship and operating room experience for preclerkship medical students. J Surg Educ 2008; 65: 275-82.
  • Berman L, Rosenthal MS, Curry LA, et al. Attracting surgical clerks to surgical careers: role models, mentoring, and engagement in the operating room. J Am Coll Surg 2008; 207: 793-800.
  • Redlich PN, Milkowski T, Bragg D, et al. Multiple variables influence the educational value of surgical clerkship sites. Am J Surg 2006; 191: 178-82.
  • Fernando N, McAdam T, Youngson G, et al. Undergraduate medical students’perceptions and expectations of theatre-based learning: how can we improve the student learning experience? Surgeon 2007; 5: 271-4.
  • Wijnen-Meijer M, van der Schaaf M, Nillesen K, et al. Essential facets of competence that enable trust in medical graduates: a ranking study among physician educators in two countries. Perspect Med Educ 2013; 2: 290-7.
  • Anand, R. and P.S. Sankaran, Factors influencing the career preferences of medical students and interns: a cross-sectional, questionnaire-based survey from India. J Educ Eval Health Prof, 2019. 16: 12.
  • Brotherton SE, Rockey PH and Etzel SI. US graduate medical education, 2003-2004. JAMA 2004; 292: 1032-7.
  • Blakemore LC, Hall JM and Biermann JS. Women in surgical residency training programs. J Bone Joint Surg Am 2003; 85: 2477-80.
  • Boyle E, Healy D, Hill AD, et al. Career choices of today’s medical students: where does surgery rank? Ir J Med Sci 2013; 182: 337-43.
  • Chew YW, Rajakrishnan S, Low CA, et al. Medical students’choice of specialty and factors determining their choice: a cross-sectional questionnaire survey in Melaka-Manipal Medical College, Malaysia. Biosci Trends 2011; 5: 69-76.
  • Bernstein J, Dicaprio MR and Mehta S. The relationship between required medical school instruction in musculoskeletal medicine and application rates to orthopaedic surgery residency programs. J Bone Joint Surg Am 2004; 86: 2335-8.
  • Egol KA, Collins J and Zuckerman JD. Success in orthopaedic training: resident selection and predictors of quality performance. J Am Acad Orthop Surg 2011; 19: 72-80.
  • Lambert EM and Holmboe ES. The relationship between specialty choice and gender of U.S. medical students, 1990-2003. Acad Med 2005; 80: 797-802.
  • Pico K, Gioe TJ, Vanheest A, et al. Do men outperform women during orthopaedic residency training? Clin Orthop Relat Res 2010; 468: 1804-8.
  • Johnson AL, Sharma J, Chinchilli VM, et al. Why do medical students choose orthopaedics as a career? J Bone Joint Surg Am 2012; 94: 78.

Anticipated decrease in surgeons: does orthopedic internship affect medical students career choice?

Year 2020, Volume: 3 Issue: 4, 395 - 402, 22.10.2020
https://doi.org/10.32322/jhsm.769373

Abstract

Aim
The aim of this study is to determine medical students' career choices and to identify the effect of both demographic factors and the orthopedics residency education program on medical students’ career choices.
Materials and Methods
This study was performed on a total of 154 medical students (92 females and 62 males; mean age 23.7 ± 2.8) who attended Orthopedic internship program between 2018 and 2019 academic years. The students were subjected to a questionnaire twice on the first and last days of their internship program, which investigated distribution of selection of final year medical students’ career choices and factors that may play role on this selection.
Results
Eighty-three (53.9%) students had changed their preferences and 72 (46.8%) had changed the order of preferences after Orthopedic internship program. The increase in the number of students who chose Orthopedics (p<0.001) and who placed Orthopedics in first order in their list of preferences (p=0.039) was statistically significant after the Orthopedic internship program. There was no significant difference between the female and male students in terms of placing surgical branches first in their list of preferences before (p=0.955) and after Orthopedic internship program (p=0.182). It was found that male students chose Orthopedics significantly more than females both before (p<0.001) and after (p<0.001) the internship.
Conclusion
We demonstrated that early and active recruitment in surgery and operating theatre with positive support of faculty, residents and even operating room staff may increase interest in orthopedic surgery both for male and female medical students.

References

  • Hauer KE, Durning SJ, Kernan WN, et al. Factors associated with medical students’ career choices regarding internal medicine. JAMA 2008; 300: 1154-64.
  • Lefevre JH, Roupret M, Kerneis S, et al. Career choices of medical students: a national survey of 1780 students. Med Educ 2010; 44: 603-12.
  • Wigney T and Parker G. Factors encouraging medical students to a career in psychiatry: qualitative analysis. Aust N Z J Psychiatry 2008; 42: 520-5.
  • Takeda Y, Morio K, Snell L, et al. Characteristic profiles among students and junior doctors with specific career preferences. BMC Med Educ 2013; 13: 125.
  • Newton DA, Grayson MS and Thompson LF. The variable influence of lifestyle and income on medical students’ career specialty choices: data from two U.S. medical schools, 1998-2004. Acad Med 2005; 80: 809-14.
  • Gorenflo DW, Ruffin MTt and Sheets KJ. A multivariate model for specialty preference by medical students. J Fam Pract 1994; 39: 570-6.
  • Harris MG, Gavel PH and Young JR. Factors influencing the choice of specialty of Australian medical graduates. Med J Aust 2005; 183: 295-300.
  • Cleland JA, Johnston PW, Anthony M, et al. A survey of factors influencing career preference in new-entrant and exiting medical students from four UK medical schools. BMC Med Educ 2014; 14: 151.
  • Schwartz RW, Jarecky RK, Strodel WE, et al. Controllable lifestyle: a new factor in career choice by medical students. Acad Med 1989; 64: 606-9.
  • Dorsey ER, Jarjoura D and Rutecki GW. Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 2003; 290: 1173-8.
  • Saigal P, Takemura Y, Nishiue T, et al. Factors considered by medical students when formulating their specialty preferences in Japan: findings from a qualitative study. BMC Med Educ 2007; 7: 31.
  • Cleland J, Johnston PW, French FH, et al. Associations between medical school and career preferences in Year 1 medical students in Scotland. Med Educ 2012; 46: 473-84.
  • Rosenblatt RA, Cherkin DC, Schneeweiss R, et al. The structure and content of family practice: current status and future trends. J Fam Pract 1982; 15: 681-722.
  • Craton N and Matheson GO. Training and clinical competency in musculoskeletal medicine. Identifying the problem. Sports Med 1993; 15: 328-37.
  • Rekola KE, Keinanen-Kiukaanniemi S and Takala J. Use of primary health services in sparsely populated country districts by patients with musculoskeletal symptoms: consultations with a physician. J Epidemiol Community Health 1993; 47: 153-7.
  • Schroeder JE, Zisk-Rony RY, Liebergall M, et al. Medical students’and interns’interest in orthopedic surgery: the gender factor. J Surg Educ 2014; 71: 198-204.
  • Weissman C, Schroeder J, Elchalal U, et al. Using marketing research concepts to investigate specialty selection by medical students. Med Educ 2012; 46: 974-82.
  • Bath MF, Harries RL and Gokani VJ. Medical Students’and Interns’Interest in Orthopedic Surgery: The Gender Factor. J Surg Educ 2017; 74: 1.
  • Correia Lima de Souza L, Mendonca VR, Garcia GB, et al. Medical Specialty Choice and Related Factors of Brazilian Medical Students and Recent Doctors. PLoS One 2015; 10: 0133585.
  • Baldwin K, Namdari S, Bowers A, et al. Factors affecting interest in orthopedics among female medical students: a prospective analysis. Orthopedics 2011; 34: 919-32.
  • Williams TE, Jr., Satiani B, Thomas A, et al. The impending shortage and the estimated cost of training the future surgical workforce. Ann Surg 2009; 250: 590-7.
  • 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: 438-45.
  • Sedaghat N, Mondy J, Eslick GD, et al. Exposure of medical students to surgery: the Nepean summer vacation surgical program. J Surg Educ 2012; 69: 580-7.
  • Cloyd J, Holtzman D, O’Sullivan P, et al. Operating room assist: surgical mentorship and operating room experience for preclerkship medical students. J Surg Educ 2008; 65: 275-82.
  • Berman L, Rosenthal MS, Curry LA, et al. Attracting surgical clerks to surgical careers: role models, mentoring, and engagement in the operating room. J Am Coll Surg 2008; 207: 793-800.
  • Redlich PN, Milkowski T, Bragg D, et al. Multiple variables influence the educational value of surgical clerkship sites. Am J Surg 2006; 191: 178-82.
  • Fernando N, McAdam T, Youngson G, et al. Undergraduate medical students’perceptions and expectations of theatre-based learning: how can we improve the student learning experience? Surgeon 2007; 5: 271-4.
  • Wijnen-Meijer M, van der Schaaf M, Nillesen K, et al. Essential facets of competence that enable trust in medical graduates: a ranking study among physician educators in two countries. Perspect Med Educ 2013; 2: 290-7.
  • Anand, R. and P.S. Sankaran, Factors influencing the career preferences of medical students and interns: a cross-sectional, questionnaire-based survey from India. J Educ Eval Health Prof, 2019. 16: 12.
  • Brotherton SE, Rockey PH and Etzel SI. US graduate medical education, 2003-2004. JAMA 2004; 292: 1032-7.
  • Blakemore LC, Hall JM and Biermann JS. Women in surgical residency training programs. J Bone Joint Surg Am 2003; 85: 2477-80.
  • Boyle E, Healy D, Hill AD, et al. Career choices of today’s medical students: where does surgery rank? Ir J Med Sci 2013; 182: 337-43.
  • Chew YW, Rajakrishnan S, Low CA, et al. Medical students’choice of specialty and factors determining their choice: a cross-sectional questionnaire survey in Melaka-Manipal Medical College, Malaysia. Biosci Trends 2011; 5: 69-76.
  • Bernstein J, Dicaprio MR and Mehta S. The relationship between required medical school instruction in musculoskeletal medicine and application rates to orthopaedic surgery residency programs. J Bone Joint Surg Am 2004; 86: 2335-8.
  • Egol KA, Collins J and Zuckerman JD. Success in orthopaedic training: resident selection and predictors of quality performance. J Am Acad Orthop Surg 2011; 19: 72-80.
  • Lambert EM and Holmboe ES. The relationship between specialty choice and gender of U.S. medical students, 1990-2003. Acad Med 2005; 80: 797-802.
  • Pico K, Gioe TJ, Vanheest A, et al. Do men outperform women during orthopaedic residency training? Clin Orthop Relat Res 2010; 468: 1804-8.
  • Johnson AL, Sharma J, Chinchilli VM, et al. Why do medical students choose orthopaedics as a career? J Bone Joint Surg Am 2012; 94: 78.
There are 38 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

İbrahim Deniz Canbeyli

Meriç Çırpar

Publication Date October 22, 2020
Published in Issue Year 2020 Volume: 3 Issue: 4

Cite

AMA Canbeyli İD, Çırpar M. Anticipated decrease in surgeons: does orthopedic internship affect medical students career choice?. J Health Sci Med / JHSM. October 2020;3(4):395-402. doi:10.32322/jhsm.769373

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