Why Are Fewer Medical Students in Florida Choosing Obstetrics and Gynecology?

Deutsch, Aaron; McCarthy, Joan; Murray, Kelly; Sayer, Robyn

doi:10.1097/01.smj.0000286757.82926.48

Cited by 7 publications

(4 citation statements)

References 3 publications

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“…Of the students who eventually practiced obstetrics and gynecology, 85.7% considered leaving for other states to continue an obstetrics and gynecology career. 23 This finding supports our suggestion for a facilitator to help mitigate medical disputes and legal problems as a way to encourage medical students' intention to choose surgery as a career.…”

Section: Changes In the Specialization Preferencesupporting

confidence: 80%

Exploring Factors That Have Caused a Decrease in Surgical Manpower in Taiwan

Chen¹,

Shih

et al. 2014

Surg Innov

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The decreasing availability of surgical physicians is a concern in most countries. In the past decade, total physician manpower in Taiwan increased by 12%, but the number of surgical physicians decreased by 11%. Medical students are not inclined to choose surgery as a career--this study examines the factors involved in students' career choices. This study was conducted from January 2011 to April 2011. In total, 401 interns successfully completed questionnaires; this population makes up 34% of all interns in Taiwan. The structural questionnaire was designed to investigate factors affecting specialty decisions, with additional open-ended questions to investigate students' preferences in career specialty. Based on the research findings, the 3 most relevant factors in decreasing order of priority are personal interest, career-oriented lifestyle, and specialty characteristics (including workload and stress). For students likely to become surgical physicians, concerns about the work environment include the balance between work and family, wages that are incompatible with the workload, and the shortage of manpower on duty. Addressing the following concerns would increase medical students' likelihood of choosing a career in surgery: the need for a facilitator to help mitigate medical disputes and legal problems, decreased work hours, and decreased on-call duty hours. This study shows both motivating and discouraging factors affecting whether medical students choose surgery as a career. The purpose of this study is to strengthen the incentives for medical students to choose surgery as a career and to minimize the influence of factors that negatively affect such a choice.

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Section: Changes In the Specialization Preferencesupporting

confidence: 80%

Exploring Factors That Have Caused a Decrease in Surgical Manpower in Taiwan

Chen¹,

Shih

et al. 2014

Surg Innov

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“…With an estimated shortage of 22,000 ob/gyns in the United States by 2050 [ 8 ], it is vital to better understand factors deterring medical students and residents from pursuing careers in ob/gyn. According to a recent study of medical students interested in ob/gyn, 27% ultimately decided on another specialty and cited “fear of being sued” as a major reason [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Medical Malpractice Lawsuits Involving Trainees in Obstetrics and Gynecology in the USA

et al. 2022

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Background: While the liability risks for obstetrics and gynecology (ob/gyn) physicians are widely recognized, little is known about how trainees have been involved in ob/gyn lawsuits. Objectives: To characterize involvement of trainees in malpractice lawsuits related to ob/gyn. Methods: The legal database Westlaw was utilized to collect ob/gyn-related malpractice lawsuits involving trainees reported from 1986 to 2020 in the USA. Outcome: Forty-six malpractice cases involving ob/gyn trainees were identified, including 34 cases related to obstetrics and 12 to gynecology. There were 11 cases alleging lack of informed consent, including 7 cases alleging lack of consent for trainee involvement. Of the 34 obstetrics cases, 27 related to procedural complications, 17 to treatment, 13 to diagnosis, and 4 to informed consent. Of these, 17 were decided in favor of the physician, 6 resulted in findings of negligence, 9 had unknown outcomes, and 3 ended in settlement. For the 6 cases ending in a finding of negligence, the mean award was $2,174,472 compared to $685,000 for those that were settled. Of the 12 gynecology cases, 8 related to procedural complications, 7 to informed consent, 3 to diagnosis, and 2 to treatment. Of these, 6 were decided in favor of the physician, 3 resulted in findings of negligence, and 3 had unknown outcomes. For the cases ending in a finding of negligence, the mean award was $465,000. Conclusions and Outlook: This review of malpractice cases highlights types of situations in which trainees are sued and reveals the importance of designing curriculum around faculty training and supervision regarding trainee involvement in patient care.

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“…Most of the world countries claim the shortage of nursing staff. Despite the doctor/nurse ratio number in Finland equals 1:4,3, in Norway -1:4,7, and in Denmark -1:5,6, these countries still announce the fact of nursing staff shortage [5][6], as in Britain nurse shortage number was presented up to 35000, and in Finland up to 100000. One of the factors generating this problem is application of information and communication technologies, as well as modern innovative medical technologies in medical sphere, formation of e-health, and it reasons the partial decrease of demand for doctors and increase of demand for nursing staff [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Despite of all abovementioned, the tendency of staff shortage, personnel decrease is now observed [4][5][6][7]. It is announced that number of staff shortage in USA for 2020 is prognosticated to be 85000 people, and for 2025 the demand and supply will gain the upper hand from 46000 to 90000 [7].…”

Section: Introductionmentioning

confidence: 99%