Skip to main content
Top
Published in: World Journal of Surgery 4/2011

01-04-2011

Defining Surgical Role Models and Their Influence on Career Choice

Authors: P. Ravindra, J. E. F. Fitzgerald

Published in: World Journal of Surgery | Issue 4/2011

Login to get access

Abstract

Background

Positive encounters with surgeons have previously been shown to influence perceptions of surgical careers. Despite this, negative perceptions persist. We investigated whether identifying role models in surgery influences career choice and defined the ideal qualities of a surgical role model as perceived by newly qualified doctors.

Methods

A 36-item questionnaire was distributed to newly qualified graduates from a large UK medical school. Results were analysed using GraphPad Prism 5.00.

Results

Questionnaires were returned by 208 of 320 graduates (65%). Median age was 24 years (range = 23–51); 63% female, 37% male; 71% standard undergraduate course, 28% graduate-entry course. Overall, 131 respondents (63%) felt they were able to identify a surgical role model; there were no statistically significant differences between gender or course type. There was a significant difference between identification of a surgical role model and interest in pursuing surgical careers (P = 0.0006), with 41% of those who identified a role model interested compared with 17% of those who did not. Overall, 564 key qualities for a surgical role model were suggested by respondents. These were grouped by theme, with common attributes including good teacher, enthusiastic, and approachable.

Conclusions

Junior doctors were twice as likely to express interest in pursuing a surgical career if they identified a positive surgical role model. Changes in medical school demographics are occurring, with increasing proportions of female and graduate-entry doctors. These groups are less likely to choose a surgical career, so promoting interest in surgery will become increasingly important to maintain high-quality applicants. Defining and promoting perceptions of surgical role models to the wider surgical community may be one way of addressing this.
Literature
1.
go back to reference Markert RJ (1983) Change in specialty choice during medical school. J Fam Pract 17(2):295–300PubMed Markert RJ (1983) Change in specialty choice during medical school. J Fam Pract 17(2):295–300PubMed
2.
go back to reference Azizzadeh A, McCollum CH, Miller CC 3rd et al (2003) Factors influencing career choice among medical students interested in surgery. Curr Surg 60(2):210–213PubMedCrossRef Azizzadeh A, McCollum CH, Miller CC 3rd et al (2003) Factors influencing career choice among medical students interested in surgery. Curr Surg 60(2):210–213PubMedCrossRef
3.
go back to reference Polk HC Jr (1999) The declining interest in surgical careers, the primary care mirage, and concerns about contemporary undergraduate surgical education. Am J Surg 178(3):177–179PubMedCrossRef Polk HC Jr (1999) The declining interest in surgical careers, the primary care mirage, and concerns about contemporary undergraduate surgical education. Am J Surg 178(3):177–179PubMedCrossRef
4.
go back to reference Dorsey ER, Jarjoura D, Rutecki GW (2003) Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 290(9):1173–1178PubMedCrossRef Dorsey ER, Jarjoura D, Rutecki GW (2003) Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 290(9):1173–1178PubMedCrossRef
5.
go back to reference Erzurum VZ, Obermeyer RJ, Fecher A et al (2000) What influences medical students’ choice of surgical careers. Surgery 128(2):253–256PubMedCrossRef Erzurum VZ, Obermeyer RJ, Fecher A et al (2000) What influences medical students’ choice of surgical careers. Surgery 128(2):253–256PubMedCrossRef
6.
go back to reference Frey C (2008) Mentoring is about inspiring interest and excitement in others. An interview with Charles Frey, MD, Professor Emeritus, University of California, Davis, CA, USA. Interview by Martin E. Fernandez-Zapico. Pancreatology 8(4–5):415-419 Frey C (2008) Mentoring is about inspiring interest and excitement in others. An interview with Charles Frey, MD, Professor Emeritus, University of California, Davis, CA, USA. Interview by Martin E. Fernandez-Zapico. Pancreatology 8(4–5):415-419
7.
8.
go back to reference Zutshi M, Hammel J, Hull T (2010) Colorectal surgeons: gender differences in perceptions of a career. J Gastrointest Surg 14(5):830–843PubMedCrossRef Zutshi M, Hammel J, Hull T (2010) Colorectal surgeons: gender differences in perceptions of a career. J Gastrointest Surg 14(5):830–843PubMedCrossRef
9.
go back to reference Ek EW, Ek ET, Mackay SD (2005) Undergraduate experience of surgical teaching and its influence on career choice. ANZ J Surg 75(8):713–718PubMedCrossRef Ek EW, Ek ET, Mackay SD (2005) Undergraduate experience of surgical teaching and its influence on career choice. ANZ J Surg 75(8):713–718PubMedCrossRef
10.
go back to reference Brown J, de Cossart L, Wiltshire C (2002) Exploring the views of basic surgical trainees (senior house officers) on a basic surgical training scheme. Med Teach 24(5):559–561PubMedCrossRef Brown J, de Cossart L, Wiltshire C (2002) Exploring the views of basic surgical trainees (senior house officers) on a basic surgical training scheme. Med Teach 24(5):559–561PubMedCrossRef
11.
go back to reference Ullian JA, Bland CJ, Simpson DE (1994) An alternative approach to defining the role of the clinical teacher. Acad Med 69(10):832–838PubMedCrossRef Ullian JA, Bland CJ, Simpson DE (1994) An alternative approach to defining the role of the clinical teacher. Acad Med 69(10):832–838PubMedCrossRef
12.
go back to reference Cochran A, Paukert JL, Scales EM et al (2004) How medical students define surgical mentors. Am J Surg 187(6):698–701PubMedCrossRef Cochran A, Paukert JL, Scales EM et al (2004) How medical students define surgical mentors. Am J Surg 187(6):698–701PubMedCrossRef
13.
go back to reference General Medical Council (1993) Recommendations on undergraduate medical education. In: Tomorrow’s doctors. General Medical Council, London General Medical Council (1993) Recommendations on undergraduate medical education. In: Tomorrow’s doctors. General Medical Council, London
14.
go back to reference British Medical Association (2004) Demography of medical schools. British Medical Association, London British Medical Association (2004) Demography of medical schools. British Medical Association, London
15.
go back to reference Glynn RW, Kerin MJ (2010) Factors influencing medical students and junior doctors in choosing a career in surgery. Surgeon 8(4):187–191PubMedCrossRef Glynn RW, Kerin MJ (2010) Factors influencing medical students and junior doctors in choosing a career in surgery. Surgeon 8(4):187–191PubMedCrossRef
16.
go back to reference Goldacre MJ, Davidson JM, Lambert TW (2007) Career preferences of graduate and non-graduate entrants to medical schools in the UK. Med Educ 41(4):349–361PubMedCrossRef Goldacre MJ, Davidson JM, Lambert TW (2007) Career preferences of graduate and non-graduate entrants to medical schools in the UK. Med Educ 41(4):349–361PubMedCrossRef
17.
go back to reference Tambyraja AL, McCrea CA, Parks RW et al (2008) Attitudes of medical students toward careers in general surgery. World J Surg 32(6):960–963PubMedCrossRef Tambyraja AL, McCrea CA, Parks RW et al (2008) Attitudes of medical students toward careers in general surgery. World J Surg 32(6):960–963PubMedCrossRef
18.
go back to reference Arnold MW, Patterson AF, Tang AS (2005) Has implementation of the 80-hour work week made a career in surgery more appealing to medical students? Am J Surg 189(2):129–133PubMedCrossRef Arnold MW, Patterson AF, Tang AS (2005) Has implementation of the 80-hour work week made a career in surgery more appealing to medical students? Am J Surg 189(2):129–133PubMedCrossRef
19.
go back to reference Wilkinson TJ, Gill DJ, Fitzjohn J et al (2006) The impact on students of adverse experiences during medical school. Med Teach 28(2):129–135PubMedCrossRef Wilkinson TJ, Gill DJ, Fitzjohn J et al (2006) The impact on students of adverse experiences during medical school. Med Teach 28(2):129–135PubMedCrossRef
20.
go back to reference Nagraj S, Wall D, Jones E (2006) Can STEEM be used to measure the educational environment within the operating theatre for undergraduate medical students? Med Teach 28(7):642–647PubMedCrossRef Nagraj S, Wall D, Jones E (2006) Can STEEM be used to measure the educational environment within the operating theatre for undergraduate medical students? Med Teach 28(7):642–647PubMedCrossRef
21.
go back to reference Cochran A, Paukert JL, Neumayer LA (2003) Does a general surgery clerkship influence student perceptions of surgeons and surgical careers? Surgery 134(2):153–157PubMedCrossRef Cochran A, Paukert JL, Neumayer LA (2003) Does a general surgery clerkship influence student perceptions of surgeons and surgical careers? Surgery 134(2):153–157PubMedCrossRef
22.
go back to reference Nguyen SQ, Divino CM (2007) Surgical residents as medical student mentors. Am J Surg 193(1):90–93PubMedCrossRef Nguyen SQ, Divino CM (2007) Surgical residents as medical student mentors. Am J Surg 193(1):90–93PubMedCrossRef
Metadata
Title
Defining Surgical Role Models and Their Influence on Career Choice
Authors
P. Ravindra
J. E. F. Fitzgerald
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 4/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-011-0983-0

Other articles of this Issue 4/2011

World Journal of Surgery 4/2011 Go to the issue

Editorial Perspective

Charles Mock Introduction