Determinants of Residency Program Choice in Two Central African Countries: An Internet Survey of Senior Medical Students

Kanmounye, Ulrick Sidney; Temgoua, Mazou Ngou; Endomba, Francky Teddy

doi:10.5195/ijms.2020.470

Cited by 12 publications

(8 citation statements)

References 17 publications

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“…National Surgical Anesthesia and Obstetric Plans have evolved as a way to systematically address gaps in access to surgical care in LMICs through informed national policy and rely on scale-up of local surgical workforce to improve access to quality surgical care globally. [17][18][19] Inclusion of plastic surgeons in these processes combined with policies to support the plastic surgery workforce may help to improve access to plastic and reconstructive services.…”

Section: Discussionmentioning

confidence: 99%

The Plastic Surgery Workforce and Its Role in Low-income Countries

Truché

Moeller

Wurdeman

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Plastic surgery varies in scope, especially in different settings. This study aimed to quantify the plastic surgery workforce in low-income countries (LICs), understand commonly treated conditions by plastic surgeons working in these settings, and assess the impact on reducing global disease burden. Methods: We queried national and international surgery societies, plastic surgery societies, and non-governmental organizations to identify surgeons living and working in LICs who provide plastic surgical care using a cross-sectional survey. Respondents reported practice setting, training experience, income sources, and perceived barriers to care. Surgeons ranked commonly treated conditions and reported which of the Disease Control Priorities-3 essential surgery procedures they perform. Results: An estimated 63 surgeons who consider themselves plastic surgeons were identified from 15 LICs, with no surgeons identified in the remaining 16 LICs. Responses were obtained from 43 surgeons (70.5%). The 3 most commonly reported conditions treated were burns, trauma, and cleft deformities. Of the 44 “Essential Surgical Package'' procedures, 37 were performed by respondents, with the most common being skin graft (73% of surgeons performing), cleft lip/palate repair (66%), and amputations/escharotomy (61%). The most commonly cited barrier to care was insufficient equipment. Only 9% and 5% of surgeons believed that there are enough plastic surgeons to handle the burden in their local region and country, respectively. Conclusions: Plastic surgery plays a significant role in the coverage of essential surgical conditions in LICs. Continued expansion of the plastic surgical workforce and accompanying infrastructure is critical to meet unmet surgical burden in low- and middle-income countries.

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Section: Discussionmentioning

confidence: 99%

The Plastic Surgery Workforce and Its Role in Low-income Countries

Truché

Moeller

Wurdeman

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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“…This study examined the choice of future career path: Surgical specialties was the most selected career path followed by Internal Medicine with both representing more than sixty percent of the group. These two specialties feature in the top five choices among medical students in their clinical training years worldwide [9][10][11][12][13][14][15][16][17][18] and thus our participants are showing similar preferences. Intrinsic motivations were the most common factors influencing for future career paths with personal interest being the top choice, which is consistent with other reports involving clinical medical students.…”

Section: Discussionmentioning

confidence: 99%

“…22,28 Similar trends have been identified among medical students trained in other developing countries such as Cambodian and Republic of Congo. 29 In order for our medical school to support the needs of the region, future studies should explore reasons for such trends, especially since the Health at a Glance: Latin America and the Caribbean 2020 report suggested medical specialties are underserved throughout the region. 28 Overall, the study identified that less than half of the students were using electives to decide career paths; however, to improve alignment with the intended objectives, interventions are required.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies that surveyed medical students in their senior years and interns suggest prestige, perceived quality of life and anticipated income are common considerations among these trainees in both developed and developing countries. [9][10][11][12][13][14] For example, the study by Alshahrani et al 11 reported that in a sample of 379 participants, 44.7% of the participants were influenced by lifestyle in making their career choice.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Elective Choices and Motivations for Future Career Specialty Selection of Medical School Trainees and Junior Doctors of The University of the West Indies, Jamaica

et al. 2021

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Background: Clinical electives, provide opportunities to inform future career paths. The primary purpose of this study was to examine whether the clinical electives were being used as intended i.e. to help with specialization choice and to determine the factors that influence trainee decisions for specialty training at The University of the West Indies. Methods: A cross-sectional study was conducted between July 2019 and March 2020, using a self-administered questionnaire. Results: 193 participants completed the questionnaire, aged 20 to 35 years, 133 (68.9%) were females. The most common electives completed were internal medicine specialties (80, 41.5%), followed by surgical specialties (53. 27.5%). Only 64(33.2%) participants reported electives used to gain experience for future career; other reasons included filling knowledge gaps (101, 52.3%), having to repeat failed clerkships (19, 9.8%). Future career preferences were the specialties of surgery (75, 40.8%), internal medicine (41, 22.3%), anaesthetics (20,10.4%) and obstetrics & gynaecology (18, 9.3%). Males showed a preference for surgical specialties (p=0.002). The use of the elective for determining career path showed significant correlation with future specialty choice (Likelihood ratio chi-square test (32) = 98.37, p<0.001). Career motivation factors correlating significantly with future specialty choices were intellectual challenge (p=0.025), income (p=0.010), prestige(p=0.015) and working hours(p=0.012). Conclusions: There was use of clinical elective rotations as intended by senior medical students and junior doctors. Surgical specialties were the top selections especially for males. Career counseling was needed to guide beneficial use of the clinical electives and to encourage the alignment of specialty choice with trainee motivations.

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“…Other studies demonstrate a slightly lower rate of medical students selecting cardiology as a top career choice, though geographical differences in upbringing and training may account for this difference. 26 Students valuing personal interest in the medical conditions managed by a specialty were more likely to be interested in cardiology. Participants who valued high income potential, high status, and acceptable work hours had no correlation with cardiology interest.…”

Section: Ijmsmentioning

confidence: 99%

The Impact of Previous Cardiology Electives on Canadian Medical Student Interest and Understanding of Cardiology

2021

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Background: Most Canadian medical schools do not have mandatory cardiology rotations. Early exposure to clinical cardiology aids career navigation, but clerkship selectives are chosen during pre-clerkship. This study investigates whether prior elective experiences affect medical student interest as well as understanding of cardiology before clerkship selections. Methods: A literature search was conducted using Google Scholar, Embase and PubMed to create an evidence-based cross-sectional survey. The anonymous questionnaire was administered to 53 second-year medical students at a Canadian medical school via Opinio, an online survey platform. Students were assessed on their interest and understanding of cardiology practice using a 5-point Likert Scale. Descriptive statistics and Chi-Square analysis were applied to assess the relationship between previous elective experience, medical student interest, and understanding of career-related factors pertaining to cardiology. Results: Overall, 26 (49.1%) students reported cardiology interest, while it was a preferred specialty for 9 (17.0%). Medical students reported low understanding of community practice (n=20, 37.7%), duration of patient relationships (n=14, 26.4%), spectrum of disorders (n=13, 24.5%), and in-patient care (n=11, 20.8%) associated with cardiology practice. Students with prior cardiology electives had increased understanding of in-patient care (χ2 = 4.688, Cramer’s V = 0.297, p = 0.030 and were more likely to select cardiology as a top specialty choice (χ2 = 7.983, Cramer’s V = 0.388, p = 0.005). Conclusions: Pre-clerkship medical students have a low understanding of cardiology practice. Increasing pre-clerkship exposure to cardiology may help students determine their interest in the specialty before clerkship selectives are chosen.

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Determinants of Residency Program Choice in Two Central African Countries: An Internet Survey of Senior Medical Students

Cited by 12 publications

References 17 publications

The Plastic Surgery Workforce and Its Role in Low-income Countries

The Plastic Surgery Workforce and Its Role in Low-income Countries

Clinical Elective Choices and Motivations for Future Career Specialty Selection of Medical School Trainees and Junior Doctors of The University of the West Indies, Jamaica

The Impact of Previous Cardiology Electives on Canadian Medical Student Interest and Understanding of Cardiology

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