Long-term impact of a preclinical endovascular skills course on medical student career choices

Lee, Jason T.; Son, Ji; Chandra, Venita; Lilo, Emily; Dalman, Ronald L.

doi:10.1016/j.jvs.2011.04.052

Cited by 52 publications

(28 citation statements)

References 20 publications

(31 reference statements)

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“…3,31,32,36,49,56,61,74,91,96,97,[106][107][108][109][110][111][112][113][114][115][116][117][118][119][120] Clinical experience is known to have a significant impact on career decisions, but the mentorship during exciting clinical opportunities may lead to an especially transformative ex perience during surgical clerkship. We encourage that mentor relationships be established with medical students whenever possible and that same-gender mentors are more favourable if available.…”

Section: Discussionmentioning

confidence: 99%

“…The impact of surgical simulation training on developing medical student interest in surgery was assessed in 4 studies identified by our search strategy. [72][73][74][75] Surgical simulation training improved student experience of surgical clerkship in all of these studies and improved interest in surgery in 2 studies. 73,74 Galiñanes and colleagues 72 found that orientation to basic laparoscopy can benefit a student's clerkship experience, but does not improve student interest in surgery.…”

Section: Clinical Exposurementioning

confidence: 99%

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

Peel

Schlachta

Alkhamesi

2018

cjs

189

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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Section: Discussionmentioning

confidence: 99%

Section: Clinical Exposurementioning

confidence: 99%

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

Peel

Schlachta

Alkhamesi

2018

cjs

189

129

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“…Based on the parameters assessed, 12 studies were classified as “high risk” for internal validity [[6], [7], [8], [9], [10],[12], [13], [14], [15], [16], [17], [18]] and 5 as “low risk” [[19], [20], [21], [22], [23]]. Sixteen studies used a representative population of undergraduate students and were therefore considered as low risk for external validity.…”

Section: Resultsmentioning

confidence: 99%

Are interventional radiology and allied specialities neglected in undergraduate medical education? A systematic review

Emin

Ruhomauly

Theodoulou

et al. 2019

Annals of Medicine and Surgery

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ObjectivesMinimally invasive interventional approaches are gaining wider acceptance with several specialities incorporating such principles. Awareness and understanding of interventional principles require efficacious education and training methodologies. We performed a systematic review to identify all available interventional speciality learning modules or training opportunities available for undergraduate medical students. We also propose a standardised framework for relevant modules.MethodsWe searched PubMed and all Ovid databases with no language restriction for studies that report and evaluate interventional speciality educational modules or similar training initiatives. We followed a prospective protocol (PROSPERO registration: CRD42018110006). Internal and external validity of the included studies was assessed. Qualitative synthesis of data was performed to define performance improvement and/or motivation towards a career in an interventional speciality.ResultsOut of 6081 records, 17 studies met the inclusion criteria, 15 of which were focused on interventional radiology. More than half of studies (9/17) were surveys where student knowledge and interest were reported as poor. 5 out of 6 studies which assessed the effect of educational interventions concluded to improved knowledge or performance. Most surveys concluded that early exposure can increase interest towards such specialities, improve knowledge and relevant motivation.ConclusionsFew studies report teaching initiatives in interventional radiology and other interventional specialities, reflecting the poor relevant motivation and knowledge amongst medical students. Simple interventions e.g. introductory lectures and simulation sessions spark interest in students and also improve knowledge as proven in the case of interventional radiology. Standardisation of such efforts via a suggested framework, Strategy Development Framework for Interventional Radiology, can further optimise such outcomes.

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“…Interviews with Internal Medicine house staff revealed that they were often steered toward Pulmonary and Critical Care Medicine by their ICU experiences, specifically by the high-stakes medicine, the ability to see physiology in action, exposure to strong role models, and the ability to care for a wide range of issues (45). Early medical student exposure to other fields including surgery (46), vascular surgery (47), and primary care (48,49) has been shown to positively influence their career choice.…”

Section: Opportunitiesmentioning

confidence: 99%

Undergraduate medical education in critical care

Fessler¹

2012

Critical Care Medicine

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Undergraduate medical education in critical care would be advanced by consolidation and organization into formal curricula. These would teach biomedical and humanistic skills essential to critical care but valuable in all medical settings. Early, well-planned exposure to critical care as a distinct discipline might increase student interest in careers in the field. The effects of educational interventions on the acquisition of knowledge, attitudes, and skills as well as long-term career choice should be subjected to rigorous study.

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Long-term impact of a preclinical endovascular skills course on medical student career choices

Cited by 52 publications

References 20 publications

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

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

Are interventional radiology and allied specialities neglected in undergraduate medical education? A systematic review

Undergraduate medical education in critical care

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