Transforming the Culture of Surgical Education

Cahan, Mitchell A.; Starr, Susan; Larkin, Anne C.; Litwin, Demetrius E. M.; Sullivan, Kate; Quirk, Mark E.

doi:10.1001/archsurg.2011.157

Cited by 12 publications

(5 citation statements)

References 25 publications

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“…Of these studies, 11 showed that clinical exposure improves student knowledge of and interest in surgery. [55][56][57][58][59][60][61][62][63][64][65] Clerkship changed student perception of surgery and the surgical lifestyle in 6 of the studies we identified. [66][67][68][69][70][71] This has a variable impact on student interest in a surgical career.…”

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

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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Section: Clinical Exposurementioning

confidence: 99%

“…[55][56][57][58][59][60][61][62][63][64][65] Specifically, students with early interest in surgery were more likely to seek out surgical experiences and were more inclined to report a positive clerkship experience, thereby artificially strengthening the association be tween exposure and interest.…”

Section: Limitationsmentioning

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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“…Furthermore there is no agreement on evaluation of medical teacher effectiveness [18,19]. Most of the studies regarding teachers’ perceptions of effective teacher are either focussed on a specific subgroup of the medical profession like clinical skills lab [16] or surgical education [20], or have been done in non-medical or allied medical fields such as language [21], agriculture [22], business [23], nursing [24] and pharmacy [13]. Terese Stenfors-Hayes et al [25] have said, “Most studies so far within this field have focused on teaching per se, whilst few focus on being a teacher”.…”

Section: Introductionmentioning

confidence: 99%

Qualities of an effective teacher: what do medical teachers think?

et al. 2013

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BackgroundEffective teaching in medicine is essential to produce good quality doctors. A number of studies have attempted to identify the characteristics of an effective teacher. However, most of literature regarding an effective medical teacher includes student ratings or expert opinions. Furthermore, interdisciplinary studies for the same are even fewer. We did a cross-sectional study of the characteristics of effective teachers from their own perspective across medicine and dentistry disciplines.MethodsA questionnaire comprising of 24 statements relating to perceived qualities of effective teachers was prepared and used. The study population included the faculty of medicine and dentistry at the institution. Respondents were asked to mark their response to each statement based on a 5-point Likert scale ranging from strongly disagree to strongly agree. These statements were grouped these into four main subgroups, viz. Class room behaviour/instructional delivery, interaction with students, personal qualities and professional development, and analysed with respect to discipline, cultural background, gender and teaching experience using SPSS v 13.0. For bivariate analysis, t-test and one way ANOVA were used. Multiple linear regression for multivariate analysis was used to control confounding variables.ResultsThe top three desirable qualities of an effective teacher in our study were knowledge of subject, enthusiasm and communication skills. Faculty with longer teaching experienced ranked classroom behaviour/instructional delivery higher than their less experienced counterparts. There was no difference of perspectives based on cultural background, gender or discipline (medicine and dentistry).ConclusionThis study found that the faculty perspectives were similar, regardless of the discipline, gender and cultural background. Furthermore, on review of literature similar findings are seen in studies done in allied medical and non-medical fields. These findings support common teacher training programs for the teachers of all disciplines, rather than having separate training programs exclusively for medical teachers. Logistically, this would make it much easier to arrange such programs in universities or colleges with different faculties or disciplines.

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“…Un total de 252 estudiantes (65,87% mujeres), denotando una tasa de respuesta de 50%, fueron incluidos en el análisis. La edad promedio de los participantes fue 22,20 ± 1,92 (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) años. El promedio global de la intención de optar por una carrera en cirugía fue 3,15 ± 1,34 (IC 95% 2,99-3,32).…”

Section: Resultsunclassified

“…Nuestros hallazgos tienen varias explicaciones. La intención de "convertirse" en cirujano denota la voluntad individual para desarrollar una identidad profesional en un complejo ambiente de práctica, cultura y normas, que implican un estilo de vida y práctica profesional exigentes [25][26][27] . Creemos que el estilo de vida y la práctica son factores que continúan siendo atractivos para quienes quieren optar por la especialidad, y evocan aspectos emocionales, pasionales y relacionados con los valores de la profesión 28,29 .…”

Section: Tabla 1 Estadísticas Descriptivas Y Correlaciones De Las Vaunclassified

¿Tienes lo que hay que tener?: Un análisis de los factores asociados con la intención de optar por una carrera en cirugía entre estudiantes de medicina.

et al. 2020

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Introducción: Los cambios en la práctica profesional han transformado la intención de los estudiantes de medicina de optar por una carrera en cirugía. El propósito de este este estudio es evaluar los factores asociados con esta intención en un contexto de acelerada dinámica educativa y sanitaria. Métodos: Evaluamos la intención de los estudiantes de diez facultades de medicina en Colombia, y los factores asociados, mediante un cuestionario (escala de Likert) desarrollado a partir de la revisión de la literatura. Identificamos la asociación entre los factores y la intención mediante un análisis de regresión lineal. Los resultados de la regresión se presentan mediante coeficientes b (p<,05). Resultados: Un total de 252 estudiantes (65,87% mujeres) fueron incluidos en el análisis. El promedio de la intención fue 3,15 ± 1,34 (1-5). Los factores significativamente asociados fueron: identificación con el estilo de vida quirúrgico (b = 0,25); identificación con modelos (b = 0,18); atributos personales (b = 0,25) e identificación con la práctica profesional del cirujano (b = 0,16). No encontramos asociación significativa con el genero (mujeres en la especialidad), prestigio, dinámica del posgrado ni recompensa futura. Conclusión: Existe una intención moderada de elegir una carrera de cirugía entre estudiantes de medicina colombianos. Optar por esta carrera requiere atributos personales, modelos e identificación con el estilo de vida y práctica profesional del cirujano. Se requieren estudios cualitativos que exploren en profundidad estos resultados e intervenciones focalizadas a estimular esta intención entre los estudiantes.

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Transforming the Culture of Surgical Education

Cited by 12 publications

References 25 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

Qualities of an effective teacher: what do medical teachers think?

¿Tienes lo que hay que tener?: Un análisis de los factores asociados con la intención de optar por una carrera en cirugía entre estudiantes de medicina.

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