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外科医生低估了他们对进入外科的医学生的影响。

Surgeons underestimate their influence on medical students entering surgery.

机构信息

Department of Surgery, University of Cincinnati, Cincinnati, Ohio, USA.

出版信息

J Surg Res. 2012 Oct;177(2):201-6. doi: 10.1016/j.jss.2012.05.064. Epub 2012 Jun 12.

Abstract

BACKGROUND

Positive surgical role models influence medical students to pursue a career in surgery. However, the perception by role models of their own effectiveness has yet to be examined. In this study, we evaluated the influence of surgical role models on medical student career choice, and how these role models perceive themselves.

METHODS

We distributed a voluntary and anonymous survey to third-year medical students, general surgery resident applicants, general surgery residents, and attending surgery faculty during the 2010-2011 academic year. We performed statistical analysis using the chi-square and Cochran-Mantel-Haenszel tests (P < 0.05 was significant).

RESULTS

Medical students and resident applicants agreed that faculty and residents are important in shaping the career paths of students. The applicants were more likely to agree than were students that clerkship role models (P = 0.0049) and mentors (P = 0.0035) affected their interest in surgery. The applicants were also more likely to agree than the students that attending surgeons (P = 0.0004), senior (P = 0.0019) and junior (P = 0.0028) surgery residents served as positive role models. Although the surgical faculty and residents agreed with the students that each level of the surgical team served as positive role models, they did not agree as strongly with the students that they have an important role in shaping students' career path (P < 0.0001).

CONCLUSIONS

Surgical faculty and residents serve as positive role models for medical students. They have an essential role in shaping students' career paths and should be more cognizant of their influence, which may draw a student toward or lead them away from the field of surgery.

摘要

背景

积极的外科榜样会影响医学生选择外科职业。然而,榜样对自身效能的看法尚未得到检验。本研究旨在评估外科榜样对医学生职业选择的影响,以及这些榜样如何看待自己。

方法

我们在 2010-2011 学年向三年级医学生、普通外科住院医师申请人、普通外科住院医师和外科主治医生发放了一份自愿和匿名的调查问卷。我们使用卡方检验和 Cochran-Mantel-Haenszel 检验进行统计分析(P<0.05 为显著)。

结果

医学生和住院医师申请人均认为教师和住院医师在塑造学生的职业道路方面非常重要。与医学生相比,住院医师申请人更有可能认为实习带教医师(P=0.0049)和导师(P=0.0035)对他们对手术的兴趣有影响。与医学生相比,住院医师申请人也更有可能认为主治外科医生(P=0.0004)、高年资(P=0.0019)和低年资(P=0.0028)外科住院医师是积极的榜样。尽管外科教师和住院医师同意学生的观点,即外科团队的各个层次都可以作为积极的榜样,但他们并不像学生那样强烈认为自己在塑造学生的职业道路方面发挥了重要作用(P<0.0001)。

结论

外科教师和住院医师是医学生的积极榜样。他们在塑造学生的职业道路方面发挥了至关重要的作用,应该更加意识到自己的影响力,这可能会吸引学生从事或远离外科领域。

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