Can I cut it? Medical students' perceptions of surgeons and surgical careers

Hill, Elspeth J R; Bowman, Katherine; Stalmeijer, Renée E.; Solomon, Yvette; Dornan, Tim

doi:10.1016/j.amjsurg.2014.04.016

Cited by 135 publications

(84 citation statements)

References 38 publications

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“…Our data suggest that in Canada, the proportion of surgery applicants that are female is increasing. Perhaps the answer to why there are less applicants to surgery is multifaceted and may include: perceptions regarding the difficulty of residency, lack of knowledge and good role models, and misconceptions about future career satisfaction 7,11,12 . In addition, our data did not report on the number of females…”

Section: Applicants To Urologymentioning

confidence: 99%

“…This lack of a "controllable lifestyle" is often cited as an important factor that dissuades students from pursuing a career in surgery and does not seem to be based on gender 11,13 . One theory about the decreasing interest in surgery is that there are more women in medical school and therefore less people applying to surgical programs 7 . Our data suggest that in Canada, the proportion of surgery applicants that are female is increasing.…”

Section: Applicants To Urologymentioning

confidence: 99%

“…However, since the 1970s, the enrolment of women in medical schools across Canada and the USA has been increasing such that currently, females occupy approximately half of the seats 3,4,5 . There is emerging research that examines why medical students choose to pursue a career in surgery 6,7 and urology in particular 8 . Common themes regarding why women are dissuaded from applying to a surgical residency include: lack of female role models, perceived unattractive lifestyle, negative experiences in surgery, and supposed inability to fit into a masculine career 7,9,10 .…”

Section: Introductionmentioning

confidence: 99%

“…There is emerging research that examines why medical students choose to pursue a career in surgery 6,7 and urology in particular 8 . Common themes regarding why women are dissuaded from applying to a surgical residency include: lack of female role models, perceived unattractive lifestyle, negative experiences in surgery, and supposed inability to fit into a masculine career 7,9,10 . To date, there is limited research on why female medical students do or do not choose a career in urology.…”

Section: Introductionmentioning

confidence: 99%

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Trends in the training of female urology residents in Canada

Anderson

Tennankore

Cox

2017

CUAJ

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Introduction: There is limited research on why females do or do not choose a career in urology. Considering the increasing proportion of female medical students, we assessed for trends in female applicants to urology programs in Canada and their post-residency career choices. Methods: Data from the Canadian Residency Matching Service (CaRMS) was used (1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015). Trends in the proportions of females applying and matching to surgical subspecialties, and applying and matching to urology were computed. Surveys were sent to urology program directors to assess female residents' chosen career paths over the last decade. Results: A significant increasing trend in the proportion of females applying to urology as their first choice program was found (0.19 in 1998-99 to 0.27 in 2012-15; p=0.04). An increasing trend in the proportion of females successfully matching to urology was found, although it was not statistically significant (0.13 in 1998-99 to 0.24 in 2012-15; p=0.07). This was in keeping with the trends found for surgical programs overall. Female graduates choose a variety of career paths with urogynecology being the most common fellowship (26%). Conclusions: The last two decades has seen an increase in the proportion of female students applying to urology in Canada. Female urology graduates pursue a variety of career paths. It remains imperative that both female and male medical students have early exposure and education about our subspecialty to ensure we continue to recruit the most talented candidates.

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Section: Applicants To Urologymentioning

confidence: 99%

Section: Applicants To Urologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trends in the training of female urology residents in Canada

Anderson

Tennankore

Cox

2017

CUAJ

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“…An exploration of autonomy among trauma doctors would therefore potentially pit the traditional medical emphasis upon practitioner autonomy (Freidson 1970) against the structural nature of the inequalities underlying traumatic injury, which lie beyond the reach of any individual doctor to resolve on his or her own, no matter how autonomous. Additionally, the impression of surgeons as being arrogant swashbucklers (Hill et al 2014) would suggest that, to the extent that the impression is…”

Section: Appendix A: Methodologymentioning

confidence: 99%

Framing a Profession: Meaning and Autonomy in Medicine

Braswell¹

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Abstract:Research has stressed the importance of autonomy to professional identity. Autonomy, scholars have said, grants professionals the license to use their unique skills and esoteric knowledge on behalf of clients. The growth of constraints upon professional autonomy in the last several decades has been predicted by some scholars to herald a proletarianization of the professional class. Existing work also suggests that people turn to culture to reconcile themselves to challenges to their worldviews.This dissertation examines professionals' use of cultural logics to organize their work experiences into coherent landscapes of meaning. By using culture in this way, they manage the experience of declining autonomy and link their work to a vision of the good. Cultural logics do not exist solely in professionals' minds; rather, they exist in dialectical tension with the institutional infrastructure in which professionals work.As professionals for whom autonomy has been particularly emphasized but who face extensive intervention from external forces, doctors represent a highly appropriate group with which to analyze the use of culture in managing professional constraint. I identify and outline three cultural logics doctors use to make sense of and adapt to infringements upon their autonomy. Each logic places a special emphasis on one particular form of autonomy and encourages doctors to defend or pursue it. Sardonic pragmatism directs doctors' ambitions toward small victories and cultivates indifference toward the decline of autonomy. It stresses negative autonomy and encourages doctors to withdraw (emotionally if not physically) from that which is seen as distracting or counterproductive. Progressive planning fosters a tentative embrace of the structural changes as a means of directing the field toward the conservation of scarce resources and away from the preservation of exceedingly medicalized life. It emphasizes a form of hierarchical autonomy in which the peopling of the hierarchy is determined by insight rather than simply tenure. Neoclassical professionalism resists structural changes through a combination of denial and conflict, stressing the importance of preserving human connections between doctors and patients. It asserts interpersonal autonomy, through which doctors are empowered to make the connections to others that are, in this view, essential to optimal medical care.The larger implications of this research speak to the sociology of culture, the study of professions, and the contested organizational and moral visions underlying contemporary medical care. Through the use of culture, individuals can accommodate themselves to constraints that might seem intolerable when viewed through an economic or institutional logic. It is shown that action can, in fact, be driven by cultural models and not merely by practical consciousness. Additionally, the stakes of the cultural contestation at work in the medical field inform discussions regarding the meaning and value of life and the role of the medical field in...

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The Evolving Surgeon Image

Logghe

Rouse²,

Beekley

et al. 2018

AMA Journal of Ethics

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The stereotype of the abrasive, technically gifted white male surgeon is ubiquitous among members of the public and the medical profession. Yet modern surgeons are far more diverse and socially adept than the stereotype suggests. While the stereotype is largely a relic of days gone by, it continues to influence patients' expectations and surgeons' interactions with their clinical colleagues. The #ILookLikeASurgeon movement and subsequent #NYerORCoverChallenge demonstrate the changing face of surgery and the roles of social media in resisting the social and cultural force of long-standing stereotypes.

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Can I cut it? Medical students' perceptions of surgeons and surgical careers

Abstract: Strong stereotypes of surgery deterred students from a surgical career. As a field, surgery must actively engage medical students to encourage participation and dispel negative stereotypes that are damaging recruitment into surgery.

Cited by 135 publications

References 38 publications

Trends in the training of female urology residents in Canada

Trends in the training of female urology residents in Canada

Framing a Profession: Meaning and Autonomy in Medicine

The Evolving Surgeon Image

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