Cochran Amalia, Paukert Judy L, Neumayer Leigh A
Salt Lake City Veterans Affairs Healthcare System and Department of Surgery, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
Surgery. 2003 Aug;134(2):153-7. doi: 10.1067/msy.2003.216.
Student perceptions of surgeons and surgical careers may influence their decision to pursue a surgical career. We evaluated the impact of a general surgery clerkship on medical student perceptions of surgeons and surgical careers and of the clerkship on student interest in surgical careers.
We conducted voluntary pre- and postclerkship surveys of third-year medical students who were enrolled in their required general surgery clerkship and used 5-point Likert scale rankings to capture agreement with declarative statements (1 = strongly agree; 5 = strongly disagree). T-tests were used to evaluate both paired and individual items.
Students indicated that their surgical clerkship improved their opinion of surgeons (2.47; P <.001). Several perceptions changed after the clerkship. First, students agreed more strongly that surgeons were compassionate physicians (ranking, 2.87 vs 2.53; P =.003) and that patients respected surgeons (ranking, 1.84 vs 1.62; P =.026). Acknowledgment of career satisfaction by students increased (ranking, 2.57 vs 2.22; P =.008). Students more strongly disagreed that "surgeons [were] respectful of other physicians" (ranking, 3.29 vs 3.62; P =.009). Interest in surgical careers did not change significantly during the clerkship (ranking, 2.83 vs 2.68; P =.218).
Medical student perceptions of surgeons and surgical careers generally improve during the surgical clerkship. However, student impressions of surgeons' collegial behavior and commitment to teaching deteriorate significantly during the surgical clerkship.
医学生对外科医生和外科职业的认知可能会影响他们从事外科职业的决定。我们评估了普通外科实习对医学生对外科医生和外科职业的认知的影响，以及该实习对学生从事外科职业兴趣的影响。
我们对参加必修普通外科实习的三年级医学生进行了自愿的实习前和实习后调查，并使用5点李克特量表排名来获取对陈述性语句的认同程度（1 = 强烈同意；5 = 强烈不同意）。采用t检验来评估配对项目和单个项目。
学生表示他们的外科实习改善了他们对外科医生的看法（2.47；P <.001）。实习后有几种认知发生了变化。首先，学生更强烈地认同外科医生是有同情心的医生（排名，2.87对2.53；P =.003）以及患者尊重外科医生（排名，1.84对1.62；P =.026）。学生对职业满意度的认可增加了（排名，2.57对2.22；P =.008）。学生更强烈地不同意“外科医生尊重其他医生”（排名，3.29对3.62；P =.009）。在实习期间，学生对外科职业的兴趣没有显著变化（排名，2.83对2.68；P =.218）。
在外科实习期间，医学生对外科医生和外科职业的认知总体上有所改善。然而，在外科实习期间，学生对外科医生团队合作行为和教学投入的印象显著恶化。
