Association of Surgrons in Training, 35-43 Lincoln's Inn Fields, London, WC2A 3PE, United Kingdom.
Association of Surgrons in Training, 35-43 Lincoln's Inn Fields, London, WC2A 3PE, United Kingdom.
Int J Surg. 2019 Jul;67:107-112. doi: 10.1016/j.ijsu.2019.01.007. Epub 2019 Jan 19.
Core surgical training (CST) programmes in the UK have seen a significant reduction in competition ratios over the past five years. This study aimed to determine motivating factors and perceived barriers to pursuing a career in surgery amongst junior doctors in training and medical students attending an annual conference.
A self-reported, electronic questionnaire was distributed to medical students, foundation year doctors, and doctors in postgraduate surgical training programmes (DIPST) who attended the Association of Surgeons in Training (ASiT) Conference in 2016. Respondents ranked factors attracting them to a career in surgery and factors that could improve perceptions of surgical careers. Chi-square test was used to test for differences between groups (a = 0.05, R Studio, V3.3.1).
Of 394 respondents (response rate = 50.9%), 44.9% were medical students or foundation doctors ('Pre-CST') and 55.1% were DIPST ('Peri/post-CST'). Practical application of skills (97.4%), enjoyment of the theatre environment (95.4%) and positive experiences in surgical firms (84.7%) were primary driving factors towards a surgical career. Availability of private practice (32.2%), and sustainability of consultant jobs (49.0%) had less influence. For 'Pre-CST' respondents, role models (82.8% pre-CST v 74.9% peri-post CST, p < 0.05) and defined career progression (67.2% pre-CST v 47.0% peri-post CST, p < 0.001) were particularly important. 91% of all respondents agreed that a better balance of training and service within worked hours would improve perceptions of surgery.
Addressing the motivating factors and perceived barriers to surgical careers will help bolster recruitment of the future surgical workforce.
在过去的五年中，英国的核心外科培训（CST）计划的竞争比例显著下降。本研究旨在确定在接受年度会议培训的初级医生和医学生中，从事外科工作的动机因素和感知障碍。
向参加 2016 年外科医生培训协会（ASiT）会议的医学生、基础年医生和研究生外科培训计划（DIPST）的医生发放了一份自我报告的电子问卷。受访者对吸引他们从事外科职业的因素以及可以改善对外科职业看法的因素进行了排名。使用卡方检验（a = 0.05，R Studio，V3.3.1）检验组间差异。
在 394 名受访者中（应答率为 50.9％），44.9％为医学生或基础医生（“CST 前”），55.1％为 DIPST（“CST 后”）。技能的实际应用（97.4％）、喜欢手术室环境（95.4％）和外科实习经历（84.7％）是从事外科职业的主要驱动因素。私人执业的机会（32.2％）和顾问工作的可持续性（49.0％）的影响较小。对于“CST 前”的受访者，榜样（82.8％的“CST 前”比 74.9％的“CST 后”，p <0.05）和明确的职业发展（67.2％的“CST 前”比 47.0％的“CST 后”，p <0.001）尤为重要。所有受访者中有 91％的人同意，更好地平衡培训和工作时间内的服务将改善对外科的看法。
解决外科职业的激励因素和感知障碍将有助于增加未来外科劳动力的招聘。
