Factors Influencing a Medical Student’s Decision to Pursue Surgery as a Career

• Published in: World journal of surgery 2019-12, Vol.43 (12), p.2986-2993
• Main Authors: Shelton, Jarod, Obregon, Michael, Luo, Jessica, Feldman-Schultz, Oren, MacDowell, Martin
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Adult; Cardiac Surgery; Career Choice; Careers; Colleges & universities; Decision Making; Education, Medical, Undergraduate - methods; Exposure; Female; General Surgery; General Surgery - education; General Surgery - trends; Humans; Illinois; Laparoscopy; Life Style; Lifestyles; Male; Medical personnel; Medical students; Medicine; Medicine & Public Health; Original Scientific Report; Psychomotor Performance; Rural communities; Rural Population; Students; Students, Medical - psychology; Students, Medical - statistics & numerical data; Surgery; Surgical Procedures, Operative - education; Surgical Procedures, Operative - psychology; Surveys and Questionnaires; Thoracic Surgery; Urban areas; Vascular Surgery; Young Adult
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/s00268-019-05167-9

Background Recent match trends from the National Resident Matching Program suggest that the number of allopathic medical students (MD) pursuing general surgery is declining. This decline may have profound consequences given the surgeon shortage predicted by the Association of American Medical Colleges. Early exposure to surgery opportunities may increase a student’s desire to pursue the specialty as a career. The aim of this study was to evaluate the effect surgical activities have on promoting student interest in surgery. Methods Medical students (years 1–3) at the University of Illinois at Rockford completed a two-component activity: a questionnaire and laparoscopic box activity. Differences in lifestyle factors, psychomotor aptitude, and future career interests were compared. Results A total of 64 medical students completed the activity. 45.3% of students reported that the activity positively influenced their decision to pursue a career in surgery. Rating of the importance of living in a rural versus urban community was an important lifestyle factor ( p  = 0.01) for students without rather than with an interest in surgery, 3.95 and 3.19, respectively. No differences were observed in other lifestyle factors. Conclusion Early exposure to surgical activities may foster interest in students who lacked previous intention to pursue the specialty.