Bolger J C, MacNamara F, Hill A D
Department of Surgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Ir J Med Sci. 2016 Feb;185(1):177-82. doi: 10.1007/s11845-015-1264-y. Epub 2015 Feb 5.
Major changes are occurring in surgical training in the UK and Ireland. Training time is reduced due to the introduction of run-through training and the EWTD. Streamlined training also may affect the number of trainees engaging in full-time higher degrees by research, in spite of the fact that those who do engage are more academically productive. This study assesses the attitudes of medical students towards a career in surgery and their attitudes to research, especially in the context of an intercalated degree programme.
615 students comprising both undergraduates and postgraduates from RCSI were surveyed. The influence of a number of factors was ranked using five-point Likert scales. Students were asked to rate the importance of research to their future careers.
595 (97 %) of those surveyed completed the questionnaire satisfactorily. Those interested in surgery were more likely to be male, undergraduate students and younger. Factors encouraging students to pursue a surgical career were prestige, identification of a surgical mentor, financial reward and research opportunities on offer (p < 0.001 in all cases). Almost 27 % of students had already engaged with some form of research project. A significant proportion of those interested and not interested in surgery (26 and 29 % respectively) would consider taking time out to do an intercalated research degree as part of their primary medical studies.
Surgical training faces significant challenges. One way to encourage the next generation of academic surgeons may be to offer some candidates intercalated research degrees while pursuing their medical qualification.
英国和爱尔兰的外科培训正在发生重大变化。由于引入了贯通式培训和欧洲工作时间指令(EWTD),培训时间减少。尽管参与全日制更高学位研究的学员学术产出更高,但简化培训也可能影响参与此类研究的学员数量。本研究评估了医学生对外科职业的态度及其对研究的态度,特别是在插读学位课程的背景下。
对来自皇家外科医学院的615名本科生和研究生进行了调查。使用五点李克特量表对一些因素的影响进行排名。要求学生对研究对其未来职业的重要性进行评分。
595名(97%)受访者满意地完成了问卷。对手术感兴趣的人更可能是男性、本科生且年龄较小。鼓励学生从事外科职业的因素包括声望、找到外科导师、经济回报和提供的研究机会(所有情况p<0.001)。近27%的学生已经参与了某种形式的研究项目。对手术感兴趣和不感兴趣的学生中,有很大比例(分别为26%和29%)会考虑抽出时间攻读插读研究学位,作为其基础医学学习的一部分。
外科培训面临重大挑战。鼓励下一代学术外科医生的一种方法可能是在一些候选人攻读医学资格的同时,为他们提供插读研究学位。