Career change: In quest of a controllable lifestyle

Schwartz, Richard W.; Simpson, William G.; Strodel, William E.; Jarecky, Roy K.; Griffen, Ward O.; Young, A. Byron

doi:10.1016/0022-4804(89)90105-4

Cited by 51 publications

(34 citation statements)

References 2 publications

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“…These findings are compatible with the perspective that preferences for controllable lifestyle specialties are associated with interest in a stable and secure career, a good quality of life, and better control of the time spent during work (23,24).…”

Section: Discussionsupporting

confidence: 79%

Explaining the process of choosing clinical specialties in general medical graduates: A grounded theory

et al. 2018

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Objective: Internationally, the distribution of specialized physicians is a growing concern. The choice of medical specialties is a central issue in attempts to change this problematic situation. The current study aimed to explain the process of choosing clinical specialties in Iran's medical graduates. Materials and Methods: The authors used grounded theory methodology. In 2016-2017, they conducted 14 in-depth, face-to-face, semi structured interviews with a purposive and theoretical sample of 10 medical graduates based on two criteria (those who intended to participate in the medical assistant exam and those who participated in the exam and their test scores had not yet been announced). Results: After analysis of the interviews, 883 primary codes, 64 subcategories, 14 subclasses, and 4 main categories were obtained. The results of data collection and analysis at four levels by Strauss and Corbin (2008), which led to the theory and model in this field, showed the effectiveness of the process of choosing specialty results from the coordination between three dimensions of study, career, and favorable conditions imagined for the future life that takes place in a supportive environment with a developed welfare system and an inclusive academic culture. Conclusion: With the help of the findings of such a study, the process and the main elements involved in this process can be determined and the causal relationships and mechanisms can be identified and intervened, which in turn leads to choosing medical specialty in line with the national priorities.

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Section: Discussionsupporting

confidence: 79%

Explaining the process of choosing clinical specialties in general medical graduates: A grounded theory

et al. 2018

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“…Among these, 22 studies commented explicitly on the weight that students place on duration of training and work-life balance when making career decisions. 3,35,66,68,71,[80][81][82][83][84][85][86][87]89,91,[98][99][100][101][102]104,105 Lifestyle considerations included prolonged work hours, the perceived barrier to achieving work-life balance and the nature of patient interactions in surgery. These survey data showed that most medical students did not see their lives as compatible with surgery, and therefore considered the career-focused sur gical lifestyle their primary deterrent from surgical specialties.…”

Section: Surgical Lifestylementioning

confidence: 99%

A systematic review of the factors affecting choice of surgery as a career

Peel

Schlachta

Alkhamesi

2018

cjs

190

129

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A systematic review of the factors affecting choice of surgery as a careerBackground: Interest in surgical careers among medical students has declined over the past decade. Multiple explanations have been offered for why top students are deterred or rejected from surgical programs, though no consensus has emerged. Methods:We conducted a review of the literature to better characterize what factors affect the pursuit of a surgical career. We searched PubMed and EMBASE and performed additional reference checks. Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Education scores were used to evaluate the included data.Results: Our search identified 122 full-text, primary articles. Analysis of this evidence identified 3 core concepts that impact surgical career decision-making: gender, features of surgical education, and student "fit" in the culture of surgery. Conclusion:Real and perceived gender discrimination has deterred female medical students from entering surgical careers. In addition, limited exposure to surgery during medical school and differences between student and surgeon personality traits and values may deter students from entering surgical careers. We suggest that deliberate and visible effort to include women and early-career medical students in surgical settings may enhance their interest in carreers in surgery.Contexte : On constate que l'intérêt pour une carrière en chirurgie a décliné chez les étudiants en médecine depuis une dizaine d'années. Plusieurs raisons ont été invoquées pour expliquer le désintérêt des étudiants talentueux à l'égard des programmes de chirurgie ou leur rejet de ces programmes, sans qu'on en arrive à un consensus.

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“…Whereas in the late 1990s, the relationship between job candidate and place of employment was 12.3:1 in German academic hospitals; nowadays, the shortage of surgical residents has become evident [12,18]. Poor quality of life [19,20], as well as long education times and a very high amount of paperwork compared to the limited operative workload, have been mentioned as the underlying causes [16,21,22]. Hence, 50% of all medical students who were initially interested in surgery change their opinion and attitude during their medical studies [23].…”

Section: Discussionmentioning

confidence: 99%

Contribution of final-year medical students to operation room performance—economical and educational implications

Schuld

Justinger

Kollmar

et al. 2011

Langenbecks Arch Surg

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Final-year medical students contribute significantly to surgical operation room performance, similarly but less intensively than residents. Employment of students may counterbalance staff shortage in operating rooms. Therefore, it is likely that the German health care system relies on unpaid medical students to minimize the total cost of surgery. According to the extent of workload accomplished by final-year medical students, a remuneration of the "practical year" seems reasonable.

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Career change: In quest of a controllable lifestyle

Cited by 51 publications

References 2 publications

Explaining the process of choosing clinical specialties in general medical graduates: A grounded theory

Explaining the process of choosing clinical specialties in general medical graduates: A grounded theory

A systematic review of the factors affecting choice of surgery as a career

Contribution of final-year medical students to operation room performance—economical and educational implications

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