scholarly journals 457 Survey of Perceived Barriers to Medical Students for Progression into Surgery

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Toh ◽  
O Jayawardena ◽  
H Fowler ◽  
M Fok ◽  
R Clifford
Keyword(s):  
Medical Students ◽  
Gender Bias ◽  
Surgical Training ◽  
Postgraduate Training ◽  
Graduate Training ◽  
Career Pathways ◽  
Perceived Barriers ◽  
Male Ratio ◽  
Post Graduate Training ◽  
Surgical Career

Abstract Introduction Applications for surgical training have been decreasing despite higher numbers of medical school graduates. We sought to explore the perceived barriers to medical students for progression into surgery. Method An online anonymised SurveyMonkey® questionnaire aimed at medical students was disseminated in May 2020, with survey invitations advertised through social media. Results A total of 271 responses were obtained, with 95% of respondents being undergraduates and a 7:3 female to male ratio. Approximately one-fifth (19%) were considering pursuing a career in surgery. 82% of students had observed in an operating theatre. 54% of respondents agreed that their surgical rotation was a positive experience, 21% neutral, 8% negative. Most frequent perceived barriers included lack of work-life balance (77%), surgical culture (67%), lengthy post-graduate training pathway (63%), and competitive entry of surgical specialties (63%). Others included a lack of understanding of surgical career pathways (52%), limited exposure to surgery (47%), and lack of interest (37%). Notably, gender bias was a barrier for many (35%). Most wanted more exposure to surgery through surgical skills teaching (85%), theatre experience (67%), surgical placements (59%) and didactic teaching (33%). Conclusions Modifiable barriers need to be addressed in undergraduate and postgraduate training to boost the number of applications into surgical training.

A survey of how and why medical students and junior doctors choose a career in ENT surgery

2016 ◽  
Vol 130 (11) ◽  
pp. 1054-1058 ◽  
Author(s):  
M Bhutta ◽  
R Mandavia ◽  
I Syed ◽  
A Qureshi ◽  
R Hettige ◽  
...  
Keyword(s):  
Medical Students ◽  
Role Models ◽  
Graduate Training ◽  
Forced Response ◽  
Junior Doctors ◽  
Free Text ◽  
Post Graduate ◽  
Ent Surgery ◽  
Post Graduate Training ◽  
National Selection

AbstractObjective:To ascertain determinants of an interest in a career in ENT surgery through a survey of medical students and junior doctors.Methods:A survey was administered, comprising Likert scales, forced response and single option questions, and free text responses, at five different courses or events for those interested in a career in ENT.Results:The survey had an 87 per cent response rate; respondents consisted of 43 applicants for national selection, 15 foundation doctors and 23 medical students. The most important factors that encourage ENT as a career included: the variety of operative procedures, work–life balance, inherent interest in this clinical area and inspirational senior role models. Exposure to ENT in undergraduate or post-graduate training is critical in deciding to pursue this specialty.Conclusion:It is important to promote those aspects of ENT surgery that attract people to it, and to argue for greater exposure to ENT during undergraduate and post-graduate training.

Maximizing opportunities at medical school to support a career in surgery

2019 ◽  
Vol 80 (11) ◽  
pp. 670-673
Author(s):  
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Surgical Training ◽  
Nominal Group ◽  
Annual Conference ◽  
School Students ◽  
The Core ◽  
Surgical Career ◽  
Competency Based ◽  
The Uk

Introduction: During medical school, students have numerous opportunities to develop their portfolios for a career in surgery, such as undertaking additional surgical placements and participating in surgical research. However, at present, there is little guidance available for medical students on how to build a strong portfolio for the UK core surgical training application. This article outlines work undertaken to provide concise guidance to support future surgeons, via application of the competency-based CanMEDS framework to the current UK core surgical training specification. Materials and methods: A pre-conference meeting was arranged for medical students at the Society of Academic and Research Surgeons annual conference in January 2018. Self-selected research enthusiasts from different university years discussed practical approaches to pair the CanMEDS model with the core surgical training specification, with support from the STARSurg Collaborative committee to facilitate discussion. A nominal group-based method was adopted in order to reach areas of consensus. Results: Practical tips and recommendations for each respective CanMEDS domain (communicator, collaborator, leader, health advocate, scholar, professional) were made in relation to the core surgical training specification. These included key action points and named opportunities that are currently available to UK medical students. Conclusions: A consensus approach was taken to address key areas of competence across each CanMEDS domain. This informed the development of a guidance framework to support students to develop a strong portfolio for a core surgical training application. This framework can be followed by medical students, equipping them with the skills necessary to succeed in their future surgical career.

scholarly journals Barriers to Women Entering Surgical Careers: A Global Study into Medical Student Perceptions

2019 ◽  
Vol 44 (1) ◽  
pp. 37-44 ◽  
Author(s):  
I. H. Marks ◽  
A. Diaz ◽  
M. Keem ◽  
Seyedeh-Sanam Ladi-Seyedian ◽  
G. S. Philipo ◽  
...  
Keyword(s):  
Medical Students ◽  
Postgraduate Training ◽  
Univariate Analysis ◽  
Middle Income ◽  
Subset Analysis ◽  
Poor Access ◽  
Low Middle Income Countries ◽  
Surgical Career ◽  
Heavy Workload

Abstract Background Barriers to female surgeons entering the field are well documented in Australia, the USA and the UK, but how generalizable these problems are to other regions remains unknown. Methods A cross-sectional survey was developed by the International Federation of Medical Students’ Associations (IFMSA)’s Global Surgery Working Group assessing medical students’ desire to pursue a surgical career at different stages of their medical degree. The questionnaire also included questions on students’ perceptions of their education, resources and professional life. The survey was distributed via IFMSA mailing lists, conferences and social media. Univariate analysis was performed, and statistically significant exposures were added to a multivariate model. This model was then tested in male and female medical students, before a further subset analysis by country World Bank income strata. Results 639 medical students from 75 countries completed the survey. Mentorship [OR 3.42 (CI 2.29–5.12) p = 0.00], the acute element of the surgical specialties [OR 2.22 (CI 1.49–3.29) p = 0.00], academic competitiveness [OR 1.61 (CI 1.07–2.42) p = 0.02] and being from a high or upper-middle-income country (HIC and UMIC) [OR 1.56 (CI 1.021–2.369) p = 0.04] all increased likelihood to be considering a surgical career, whereas perceived access to postgraduate training [OR 0.63 (CI 0.417–0.943) p = 0.03], increased year of study [OR 0.68 (CI 0.57–0.81) p = 0.00] and perceived heavy workload [OR 0.47 (CI 0.31–0.73) p = 0.00] all decreased likelihood to consider a surgical career. Perceived quality of surgical teaching and quality of surgical services in country overall did not affect students’ decision to pursue surgery. On subset analysis, perceived poor access to postgraduate training made women 60% less likely to consider a surgical career [OR 0.381 (CI 0.217–0.671) p = 0.00], whilst not showing an effect in the men [OR 1.13 (CI 0.61–2.12) p = 0.70. Concerns about high cost of training halve the likelihood of students from low and low-middle-income countries (LICs and LMICs) considering a surgical career [OR 0.45 (CI 0.25–0.82) p = 0.00] whilst not demonstrating a significant relationship in HIC or UMIC countries. Women from LICs and LMICs were 40% less likely to consider surgical careers than men, when controlling for other factors [OR 0.59 CI (0.342–1.01 p = 0.053]. Conclusion Perceived poor access to postgraduate training and heavy workload dissuade students worldwide from considering surgical careers. Postgraduate training in particular appears to be most significant for women and cost of training an additional factor in both women and men from LMICs and LICs. Mentorship remains an important and modifiable factor in influencing student’s decision to pursue surgery. Quality of surgical education showed no effect on student decision-making.

scholarly journals EC4 European Syllabus for Post-Graduate Training in Clinical Chemistry and Laboratory Medicine: version 3 – 2005

2006 ◽  
Vol 44 (1) ◽  
Author(s):  
Simone Zerah ◽  
Janet McMurray ◽  
Bernard Bousquet ◽  
Hannsjorg Baum ◽  
Graham H. Beastall ◽  
...  
Keyword(s):  
Postgraduate Training ◽  
Graduate Training ◽  
Clinical Chemistry ◽  
Laboratory Medicine ◽  
Post Graduate ◽  
Post Graduate Training ◽  
European Register ◽  
The Common

AbstractThe EC4 Syllabus for Postgraduate Training is the basis for the European Register of Specialists in Clinical Chemistry and Laboratory Medicine.The syllabus:The syllabus is not primarily meant to be a training guide, but on the basis of the overview given (common minimal programme), national societies should formulate programmes that indicate where knowledge and experience is needed.The main points of this programme are:The aim of this version of the syllabus is to be in accordance with the Directive of Professional Qualifications published on 30 September 2005.To prepare the common platforms planned in this directive, the disciplines are divided into four categories:

scholarly journals Postgraduate Course “History and Philosophy of Science”: What? How? What for?

2021 ◽  
Vol 30 (10) ◽  
pp. 38-52
Author(s):  
E. N. Ivakhnenko
Keyword(s):  
Graduate Students ◽  
Philosophy Of Science ◽  
Postgraduate Training ◽  
Graduate Training ◽  
Post Graduate ◽  
Existing Problems ◽  
Post Graduate Training ◽  
The Subject ◽  
Russian Universities ◽  
And Training

The article addresses the problem of teaching the course of history and philosophy of science. This course has been taught to graduate students of Russian universities for more than 15 years. But disputes over its content and expediency still do not subside, but only flare up with renewed vigor. Those disputes were in three directions. The author proposes to return to the discussion of the existing problems in each of the areas of criticism of postgraduate discipline. These are: 1) the content of the subject from the standpoint of the coordination of its historical and philosophical parts (What?); 2) pedagogical and methodological support of training (How?); and 3) the ultimate goals of postgraduate training in general (For what?). The questions “how?” and “ what for?” are included in a broader context – the formation of the competence of a future scientist, his readiness to solve complex and non-trivial scientific problems. Reflections outlined in the article are built into the overall picture of post-graduate training in universities that has developed to date. The author sums up his reflections by calling for non-stop communication in a mode of continuous “recursive adjoining”. Such a strategy, in his opinion, remains the most reliable means of highquality promotion of both teaching and training of graduate students in general.

The present situation of psychopharmacology teaching suggests the need for a European curriculum

2016 ◽  
Vol 33 (S1) ◽  
pp. S61-S62
Author(s):  
P. Baumann ◽  
G. Laux
Keyword(s):  
Postgraduate Training ◽  
Graduate Training ◽  
Present Situation ◽  
European Countries ◽  
International Exchange ◽  
The European Union ◽  
European Level ◽  
Post Graduate Training ◽  
Competing Interest

IntroductionIn most European countries postgraduate training for specialization in psychiatry and psychotherapy is acquired over the course of 4–6-year programs. In the European Union, qualification in one country is recognized within other countries of the Union.Objectives and aimsTo analyze the present situation of psychopharmacology-pharmacopsychiatry postgraduate teaching in Europe and to present the needs and preliminary instruments for improving the situation by harmonization of the programs.MethodsAnalysis of the data available from national psychiatric societies and from the literature; development of a consensus among experts in this field.ResultsDespite efforts to standardize post-graduate training, the curricula in different European countries vary greatly. This variability limits comparability between countries and international exchange while carrying consequences in the breadth and quality of education that trainees receive. Literature and curricula mainly published in USA as well as a recently published curriculum and learning catalogue in Germany [1] offer useful tools for the development of a curriculum at a European level.ConclusionsThere is clearly a need for standardization of psychopharmacology-pharmacopsychiatry teaching at the European level. This can be achieved by the introduction of a curriculum and learning catalogue developed by European experts and based on tools already available.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals ОПЫТ ИСПОЛЬЗОВАНИЯ SMART-ТЕХНОЛОГИЙ В ПОСЛЕДИПЛОМНОМ ОБРАЗОВАНИИ ВРАЧЕЙ ПРОФИЛАКТИЧЕСКОЙ МЕДИЦИНЫ

2018 ◽  
Vol 65 (3) ◽  
pp. 236 ◽  
Author(s):  
Olesia P. Hulchiy ◽  
Iryna M. Khomenko ◽  
Nadiia M. Zakharova ◽  
Olena O. Zelikovska
Keyword(s):  
Preventive Medicine ◽  
Postgraduate Training ◽  
Graduate Training ◽  
Educational Institution ◽  
Cognitive Activity ◽  
Educational Process ◽  
Post Graduate ◽  
Post Graduate Training ◽  
Smart Technologies ◽  
It Skills

The article describes the activities of scientific and pedagogical staff on information technology (IT) in the modernization of the educational process in the context of health reform and the development of public health in Ukraine. The major challenges and obstacles facing the institutions of postgraduate training preventive medicine physicians have been analyzed. By surveying the trainees, the authors have investigated and summarized the needs of post-graduate students for the development of their IT skills in the workplace, methods for enhancing and supporting their motivation, their vision of how their educational institution is committed to meeting their expectations. The article considers the implementation of smart technologies from the standpoint of a practically oriented approach to modernizing of the post-graduate training. The possibilities of smart-technologies to raise cognitive activity, develop communication skills (trainee-trainee, trainee-educator), distribute individual vitagenic and professional experience in the course of training, as well as their role in adapting the training to the needs of a particular audience have been analyzed. The use of the most effective smart-technologies in each of the main stages of the pedagogical process (updating of knowledge and understanding, application of knowledge, analysis, synthesis and evaluation) has been shown. The authors have presented the algorithm for information and analytical competence development in preventive medicine physicians, including smart-technologies application, in terms of performing by pedagogical staff’s different professional roles as a manager, a change agent, a coach etc. It has been proved that one of strategic tasks of postgraduate training of preventive medicine physicians is systemic and complex implementation of smart-technologies into educational process with a perspective informatization of educational environment.

Surgical training in the UK: is cost a barrier to entry?

2021 ◽  
pp. postgradmedj-2020-139170
Author(s):  
Zak Vinnicombe ◽  
Max Little ◽  
Jonathan Super ◽  
Raymond Anakwe
Keyword(s):  
Medical Students ◽  
Surgical Training ◽  
Student Loan ◽  
Socioeconomic Background ◽  
Training Costs ◽  
Surgical Trainees ◽  
Important Relationship ◽  
Surgical Career ◽  
Barrier To Entry ◽  
The Uk

BackgroundThere is good quality evidence linking socioeconomic background and the likelihood of a surgical career. Additionally, training in surgery is more expensive than in other specialties. Our aim was to assess the awareness and perceptions of trainees and medical students of the relative costs of surgical training and to determine whether perceptions of cost deter potential surgical trainees.MethodsMedical students, foundation doctors and core trainees in England were surveyed over a 2-week period. χ2 tests of independence were used to assess statistically significant associations between measured variablesMain findingsA total of 284 responses were received. More than half of respondents (54%) were not previously aware of the high costs of surgical training. More than a quarter of respondents (27%) did not take out a student loan. There was a significant association (p=0.003) between familial income and being less likely to consider a surgical career due to the costs. Respondents who reported receipt of a student loan were also significantly less likely to consider a surgical career due to the costs (p=0.033).ConclusionOur study demonstrates an important relationship between perceived costs of surgical training and future career aspirations. This suggests that access to surgical training may still be difficult for many. This study also highlights a general lack of awareness of high surgical training costs. It is important that surgical training is accessible. Financial status should not be a significant disincentive and widening access to surgical training can only serve to enrich and advance the specialty.

scholarly journals Cross-sectional study of the financial cost of training to the surgical trainee in the UK and Ireland

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018086 ◽  
Author(s):  
John O’Callaghan ◽  
Helen M Mohan ◽  
Anna Sharrock ◽  
Vimal Gokani ◽  
J Edward Fitzgerald ◽  
...  
Keyword(s):  
Medical Students ◽  
Surgical Training ◽  
Postgraduate Training ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Trainee ◽  
Cross Sectional ◽  
Training Costs ◽  
Surgical Trainees ◽  
The Uk

ObjectivesApplications for surgical training have declined over the last decade, and anecdotally the costs of training at the expense of the surgical trainee are rising. We aimed to quantify the costs surgical trainees are expected to cover for postgraduate training.DesignProspective, cross-sectional, questionnaire-based study.Setting/ParticipantsA non-mandatory online questionnaire for UK-based trainees was distributed nationally. A similar national questionnaire was distributed for Ireland, taking into account differences between the healthcare systems. Only fully completed responses were included.ResultsThere were 848 and 58 fully completed responses from doctors based in the UK and Ireland, respectively. Medical students in the UK reported a significant increase in debt on graduation by 55% from £17 892 (2000–2004) to £27 655 (2010–2014) (p<0.01). 41% of specialty trainees in the UK indicated that some or all of their study budget was used to fund mandatory regional teaching. By the end of training, a surgical trainee in the UK spends on average £9105 on courses, £5411 on conferences and £4185 on exams, not covered by training budget. Irish trainees report similarly high costs. Most trainees undertake a higher degree during their postgraduate training. The cost of achieving the mandatory requirements for completion of training ranges between £20 000 and £26 000 (dependent on specialty), except oral and maxillofacial surgery, which is considerably higher (£71 431).ConclusionsMedical students are graduating with significantly larger debt than before. Surgical trainees achieve their educational requirements at substantial personal expenditure. To encourage graduates to pursue and remain in surgical training, urgent action is required to fund the mandatory requirements and annual training costs for completion of training and provide greater transparency to inform doctors of what their postgraduate training costs will be. This is necessary to increase diversity in surgery, reduce debt load and ensure surgery remains a popular career choice.

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