Undergraduate Surgery Clerkship and the Choice of Surgery as a Career: Perspective from a Developing Country

Ekenze, Sebastian Okwuchukwu; Ugwumba, FO; Obi, U. M.; Ekenze, Oluchi

doi:10.1007/s00268-013-2073-y

Cited by 16 publications

(11 citation statements)

References 23 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

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: 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

189

129

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“…Seen as an essential skill required for learner improvement, effective feedback may support the learner in accomplishing defined goals 29. In one of a few studies evaluating perceptions of undergraduate surgical training amongst medical students in the developing world, a study from Nigeria30 reported that just over half of students believed that feedback on their performance was adequate. The current study found UCT faculty to be significantly more consistent in evaluating students when compared to KI faculty.…”

Section: Discussionmentioning

confidence: 99%

<p>Medical Student And Faculty Perceptions Of Undergraduate Surgical Training In The South African And Swedish Tertiary Institutions: A Cross-Sectional Survey</p>

Scott¹,

Drevin²,

Pavlović³

et al. 2019

AMEP

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PurposeTo evaluate and compare medical student and faculty perceptions of undergraduate surgical training and compare results between South Africa and Sweden.Patients and methodsAn electronic, online questionnaire was anonymously distributed to medical students and surgical faculty at the University of Cape Town (UCT), South Africa, and the Karolinska Institutet (KI), Sweden. The questionnaire explored the perceptions of medical students and surgical faculty regarding the current undergraduate surgical curriculum, as well as existing clinical and theoretical instructional methods.ResultsA total of 120 students (response rate of 24.4%) and 41 faculty (response rate of 74.5%) responded. Students believed they ought to receive significantly more teaching when compared to surgical faculty (p=0.018). Students and faculty generally agreed that students should expect to study approximately six to 20 hrs per week outside of clinical duty. There was general agreement that “small-group tutorials” was the area students learn the most from, whereas students reported “lectures” least helpful. Registrars were reported as the first person students should consult regarding patient care. Fifty-one (42.5%) medical students believed that faculty viewed students as an inconvenience, and 42 (35.0%) students believed that faculty would rather not have students on the clinical team. The majority of faculty (68.3%) reported significantly more negative views on the current undergraduate surgical curriculum when compared to students (p=0.002). UCT faculty reported giving significantly less feedback to students during their surgical rotation when compared to KI faculty (p=0.043).ConclusionSignificant differences exist between surgical faculty and medical student perceptions regarding undergraduate surgical training in developing and developed countries. In order to increase surgical interest among undergraduate medical students, it is imperative for surgical educators to be aware of these differences and find specific strategies to bridge this gap.

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“…1 Departments try to counteract this decline by improving their teaching, as positive experience is regarded to increase students' interest to pursue a surgical career. [2][3][4] This renewed interest in surgical education has led to an increasing amount of educational research in this field. Resulting studies have revealed significant gaps in clinical exposure during surgical clerkships.…”

Section: Introductionmentioning

confidence: 99%