Cook Mackenzie R, Yoon Moon, Hunter John, Kwong Karen, Kiraly Laszlo
Department of Surgery, Oregon Health and Science University, Mail Code L611, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.
Department of Surgery, Oregon Health and Science University, Mail Code L611, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.
Am J Surg. 2015 Jan;209(1):21-5. doi: 10.1016/j.amjsurg.2014.08.027. Epub 2014 Oct 22.
The optimal way to recruit the best and brightest medical students to fill the impending shortfall of general surgeons is uncertain.
Forty-three students were placed into nonmetropolitan sites for their basic surgical clerkship over 3 years. We surveyed students and compared match trends.
When students selected to participate in the nonmetropolitan clerkship were examined, only 22% of students reported interest in a surgical career before their clerkship. This interest in surgery increased to 63% after the nonmetropolitan clerkship, P < .05. When match numbers were examined, students who completed the nonmetropolitan clerkship were significantly more likely to match to a general surgical residency than students who completed the standard clerkship (17% vs 6%, P < .02).
These data challenge the perception that students should remain at a teaching university for their introductory clerkships. It may be that pairing students with individual faculty, or chief residents, could increase interest in a surgical career.
招募最优秀、最聪明的医学生以填补即将出现的普通外科医生短缺的最佳方式尚不确定。
在3年时间里，43名学生被安排到非大都市地区进行基础外科实习。我们对学生进行了调查，并比较了匹配趋势。
当对选择参加非大都市实习的学生进行调查时，只有22%的学生在实习前表示对外科职业感兴趣。在非大都市实习后，这种对手术的兴趣增加到了63%，P<0.05。当检查匹配人数时，完成非大都市实习的学生比完成标准实习的学生更有可能匹配到普通外科住院医师培训（17%对6%，P<0.02）。
这些数据挑战了学生应该留在教学型大学进行入门实习的观念。将学生与个别教员或总住院医师配对，可能会增加他们对外科职业的兴趣。
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