Tambyraja Andrew L, McCrea Caroline A, Parks Rowan W, Garden O James
Department of Clinical & Surgical Sciences (Surgery), School of Clinical Sciences & Community Health, University of Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, United Kingdom.
World J Surg. 2008 Jun;32(6):960-3. doi: 10.1007/s00268-008-9529-5.
Changes to general surgical undergraduate curricula, alongside changes in work force and postgraduate training, may be associated with a decline in interest in surgical careers. This study examines the attitudes of students toward surgical training and their career intentions.
A prospective, questionnaire-based survey was submitted to final year students at the end of their general surgery attachment over a single academic year at a UK medical school. Career ambitions and reasoning were assessed.
Of 223 eligible students, 193 (87%) completed the questionnaire. There were 118 (61%) females and 75 (39%) males with a median (range) age of 23 (21-41) years. Ninety-eight (51%) respondents undertook their placement at a Teaching Hospital, whereas 93 (41%) were attached to a District General Hospital. One-hundred forty-three (74%) students felt that a four-week attachment had given them a satisfactory exposure to General Surgery, and 36 (19%) disagreed. Sixty-eight (53%) students were unable to select a single specialty that they would most like to pursue as a future career. Of the remainder, 23 (12%) chose general surgery, 24 (12%) chose general medicine, and 22 (11%) chose general practice. Seventy-eight (40%) students would consider a career in general surgery, and 75 (39%) would not; 40 (29%) were undecided. The two most popular attractions to general surgery were challenging postgraduate training and highly regarded career esteem. The two most common disincentives were family considerations and the sacrifice of personal time.
Fewer than half of the final year medical students surveyed were willing to consider general surgery as a future career choice. Potential disincentives should be targeted to promote recruitment into the specialty.
普通外科本科课程的变化，以及劳动力和研究生培训的变化，可能与对外科职业兴趣的下降有关。本研究调查了学生对外科培训的态度及其职业意向。
在英国一所医学院的一个学年里，在普通外科实习结束时，向最后一年的学生进行了一项基于问卷的前瞻性调查。评估职业抱负和理由。
在223名符合条件的学生中，193名（87%）完成了问卷。有118名（61%）女性和75名（39%）男性，年龄中位数（范围）为23岁（21 - 41岁）。98名（51%）受访者在教学医院实习，而93名（41%）在地区综合医院实习。143名（74%）学生认为四周的实习让他们对普通外科有了满意的了解，36名（19%）学生不同意。68名（53%）学生无法选择一个他们未来最想从事的单一专业。其余学生中，23名（12%）选择了普通外科，24名（12%）选择了普通内科，22名（11%）选择了全科医疗。78名（40%）学生考虑从事普通外科职业，75名（39%）学生不考虑；40名（29%）学生未决定。普通外科最吸引人的两个方面是具有挑战性的研究生培训和备受尊重的职业声誉。两个最常见的不利因素是家庭因素和个人时间的牺牲。
接受调查的最后一年医学生中，不到一半愿意将普通外科作为未来的职业选择。应针对潜在的不利因素，以促进该专业的人才招募。
