Johnston Peter F, Scholer Anthony, Bailey Joanelle A, Peck Gregory L, Aziz Shahid, Sifri Ziad C
Rutgers New Jersey Medical School, Newark, New Jersey.
Rutgers New Jersey Medical School, Newark, New Jersey.
J Surg Res. 2018 Aug;228:112-117. doi: 10.1016/j.jss.2018.02.056. Epub 2018 Apr 5.
Surgical residents increasingly seek global surgery (GS) experiences during training. Understanding their motives and goals is important to develop the optimal educational programs. A survey for surgical residents was developed to explore this interest.
A survey administered in 2016 to residents in three surgical programs within the same academic institution assessed interest, prior global health experience, preferred training opportunities, and career goals in GS.
Seventy-four surgical residents responded (78%) with 82% expressing interest in GS and 86% motivated by a desire for volunteerism. International electives (65%) and volunteer missions (49%) were the preferred experiences during residency over longer commitments such as advanced degrees. A majority of residents planned to incorporate GS into their career (76%) most commonly by volunteering on missions (70%) with a smaller group aiming for a career in GS (13%). Residents with prior global health experience (n = 27, 36%) showed greater interest in GS (96% versus 72%, P = 0.02) and a commitment after residency (93% versus 68%, P = 0.02), and trended toward greater interest in GS careers (22% versus 6%, P = 0.06).
Institutional interest in GS remains high among surgical residents, motivated primarily by a desire for volunteerism. Following training, most residents plan to participate in short-term volunteer commitments, though a small group envisions GS as part of their long-term career goals. Prior global health experience is associated with interest in GS both in the present and long term. Providing these experiences early may be a strategy to support academic interest.
外科住院医师在培训期间越来越多地寻求全球外科（GS）经验。了解他们的动机和目标对于制定最佳教育计划很重要。开展了一项针对外科住院医师的调查，以探究这种兴趣。
2016年对同一学术机构内三个外科项目的住院医师进行了一项调查，评估他们对GS的兴趣、先前的全球健康经验、偏好的培训机会以及在GS方面的职业目标。
74名外科住院医师做出了回应（回应率为78%），其中82%表示对GS感兴趣，86%是出于志愿服务的愿望。在住院期间，国际选修课程（65%）和志愿任务（49%）比攻读高级学位等更长时间的投入更受青睐。大多数住院医师计划将GS纳入其职业生涯（76%），最常见的方式是参与志愿任务（70%），一小部分人旨在从事GS方面的职业（13%）。有先前全球健康经验的住院医师（n = 27，36%）对GS表现出更大的兴趣（96%对72%，P = 0.02），并且在住院医师培训结束后更愿意投身于此（93%对68%，P = 0.02），并且在对GS职业的兴趣方面呈上升趋势（22%对6%，P = 0.06）。
外科住院医师对GS的机构兴趣仍然很高，主要是出于志愿服务的愿望。培训结束后，大多数住院医师计划参与短期志愿活动，尽管一小部分人将GS视为其长期职业目标的一部分。先前的全球健康经验与当前和长期对GS的兴趣相关。尽早提供这些经验可能是支持学术兴趣的一种策略。
