Foundation rotations in medical training: is it love at first sight?

2021 ◽  
pp. postgradmedj-2021-140198
Author(s):  
Hannah Collins ◽  
Catherine Eley ◽  
George Kohler ◽  
Holly Morgan
Keyword(s):  
Career Choice ◽  
Medical Training ◽  
Medical Specialty ◽  
Specialty Choice ◽  
Physician Specialty ◽  
Survey Tool ◽  
Obstetrics And Gynaecology ◽  
Recruitment Challenges ◽  
Career Specialty ◽  
Positive Effect

Purpose of studyFactors influencing physician specialty choice is a prominent topic given the recruitment challenges faced by various specialties. We aimed to assess whether specialty exposure in the first foundation year was a positive predictive factor for permanent career choice.Study designA questionnaire-based study was distributed online using a survey tool. Questions recorded the foundation rotations of participants as well as their chosen medical specialty.Results1181 responses were included in the analysis. 23% of respondents had undertaken a Foundation Year 1 (F1) rotation in their career specialty. Having undertaken a foundation rotation in anaesthetics, cardiology, emergency medicine, endocrinology, gastroenterology, genito-urinary medicine, intensive care, obstetrics and gynaecology, oncology, paediatrics, palliative care, psychiatry, radiology, respiratory and rheumatology was found to be statistically significantly linked to choosing that specialty as a career (p<0.01). There was a significant correlation between the second foundation rotation and career choice (p=0.02).ConclusionsFor many specialties, direct experience within foundation training has a positive effect on later career choice.

scholarly journals Career choices for obstetrics and gynaecology: recent updates from 40 years of national surveys of UK medical graduates

JRSM Open ◽  
2019 ◽  
Vol 10 (10) ◽  
pp. 205427041986161 ◽  
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
Gender Gap ◽  
Career Choices ◽  
Career Pathways ◽  
Specialty Choice ◽  
Early Career ◽  
Medical Graduates ◽  
Obstetrics And Gynaecology ◽  
First Choice ◽  
Questionnaire Surveys ◽  
Career Specialty

Summary Objective To report doctors' early career choices for obstetrics and gynaecology, their eventual career destinations and factors influencing their career pathways. Design Multi-cohort multi-purpose national questionnaire surveys of medical graduates in selected graduation years between 1974 and 2015. Setting UK. Participants UK-trained medical graduates. Main outcome measures Career specialty choices; certainty about specialty choice; factors which influenced doctors' career choices; career specialty destinations 10 years after graduation. Results Obstetrics and Gynaecology was the first choice of career for 5.7% of post-2002 graduates in year 1, 4.3% in year 3 and 3.8% in year 5. A much higher percentage of women than men specified Obstetrics and Gynaecology as their first choice: in year 1, 7.7% of women and 2.3% of men did so. The gender gap has widened since the 1970s and 1980s. In recent years, of those who specified Obstetrics and Gynaecology as their first choice in year 1 after graduation, 48% were working in Obstetrics and Gynaecology in year 10 (63% of men, 45% of women). Looking backwards from career destinations, 85% of doctors working in Obstetrics and Gynaecology in year 10 had specified Obstetrics and Gynaecology as a first, second or third choice of preferred career in year 1. Conclusions Interest in Obstetrics and Gynaecology among UK graduates appears to be exceeding the demand for new specialists. Policy needs to address risks of over-production of trainees and ensure that some graduates interested in Obstetrics and Gynaecology consider alternative careers. The large gender imbalance should encourage consideration of the reasons for men choosing Obstetrics and Gynaecology in falling numbers.

scholarly journals Vascular Surgery is An Unattractive Career Option for Current Basic Surgical Trainees: A Regional Perspective

2007 ◽  
Vol 89 (8) ◽  
pp. 792-795 ◽  
Author(s):  
S Currie ◽  
PA Coughlin ◽  
S Bhasker ◽  
J Hossain ◽  
CD Irvine ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Career Choice ◽  
Surgical Training ◽  
Specialty Choice ◽  
Vascular Surgeon ◽  
Positive Role ◽  
Surgical Trainees ◽  
Career Option ◽  
Single Region ◽  
Career Specialty

INTRODUCTION The workload of vascular services will substantially increase in the foreseeable future with the recent changes in surgical training presenting a challenge to training and recruitment in vascular surgery. This study aimed to determine the current feelings towards vascular surgery as a career choice from basic surgical trainees (BSTs) within a single region. MATERIALS AND METHODS BSTs from a single region were questioned. Probable career specialty choice was ascertained, as were suggestions for changes to the career pathway of a vascular surgeon to make it a more attractive career choice. RESULTS Seventy-seven of 110 BSTs returned the questionnaire. Of the 77, 52 had previous experience of a vascular firm. Ten BSTs had been on a pure vascular firm as an SHO and 52 had been on a general surgical firm. No BST specified vascular surgery as their ultimate career choice. Career choices included general surgery (n = 30), orthopaedics (n = 17), plastic surgery (n = 9) and urology (n = 5). Thirty-three BSTs would not be tempted at all to a career in vascular surgery. Changes in the career structure that would result in BSTs contemplating a career in vascular surgery included the inclusion of endovascular surgery (n = 13), no compulsion to undertake a period of research (n = 5), pure vascular training (n = 2), more general surgical training (n = 2) and less onerous on-calls when older (n = 2). CONCLUSIONS The lack of trainees wishing to become vascular surgeons is of grave concern. Increasing the endovascular capabilities of vascular surgeons as well as altering the stance on research may have an increasingly positive role in recruitment.

Emotional intelligence and medical specialty choice: findings from three empirical studies

2009 ◽  
Vol 43 (6) ◽  
pp. 565-572 ◽  
Author(s):  
Nicole J Borges ◽  
Terry D Stratton ◽  
Peggy J Wagner ◽  
Carol L Elam
Keyword(s):  
Emotional Intelligence ◽  
Empirical Studies ◽  
Medical Specialty ◽  
Specialty Choice

scholarly journals Swedish doctors’ experiences and personality regarding medical specialty choice: a qualitative study

2019 ◽  
Vol 10 ◽  
pp. 36-42
Author(s):  
Caroline Olsson ◽  
Susanne Kalén ◽  
Cecilia Mellstrand Navarro ◽  
Sari Ponzer
Keyword(s):  
Qualitative Study ◽  
Medical Specialty ◽  
Specialty Choice

scholarly journals Student Perceptions About Benefits From an Extracurricular Curriculum:

PRiMER ◽  
2017 ◽  
Vol 1 ◽  
Author(s):  
David V. Evans ◽  
Benjamin Krasin ◽  
Kevin Brown ◽  
Sharon Dobie ◽  
Amanda Kost
Keyword(s):  
Career Choice ◽  
Student Perceptions ◽  
Underserved Populations ◽  
Qualitative Content Analysis ◽  
Specialty Choice ◽  
Medical Graduates ◽  
Vulnerable Communities ◽  
Student Interests ◽  
High Concordance ◽  
Graduating Students

Introduction: Too few medical graduates choose to care for underserved populations. This qualitative study explores medical student perceptions of the benefits of participating in the Underserved Pathway (UP), a 4-year extracurricular program designed to nurture interest in, and develop skills to serve vulnerable populations. Methods: Fourteen of 28 graduating students in the class of 2013 who completed the UP were interviewed. Using conventional qualitative content analysis, an iterative process was used to code transcriptions until there was high concordance among the assigned codes. The research team analyzed the data for common themes, theme saturation, and unique perspectives. Results: Four major thematic areas emerged: 1) the underserved curriculum scaffold, 2) influence on career choice, 3) influence on residency choice, and 4) capacity to match. Of all participants, 78.6% thought the UP influenced their career choice, 64.3% stated the UP played a role in residency choice and rank, and 85.7% thought participation in the UP would improve match success. No single curricular component of the UP was individually responsible for career or specialty choice, or as being most useful to student understanding of the underserved. Conclusions: Students noted that participation in the UP provided them with a scaffold to support their interest in underserved careers, and influenced their specialty and residency choice. They also perceived it as making them more competitive as residency applicants. This study provides medical educators with insight into the importance of building robust frameworks, even extracurricular ones, to support student interests in serving vulnerable communities.

scholarly journals Factors Associated with Choice of Career in Family Medicine Among Junior Doctors in Oman

2020 ◽  
Vol 20 (3) ◽  
pp. 337
Author(s):  
Asma Ali Al-Salmani ◽  
Asma Al-Shidhani ◽  
Najlaa Jaafar ◽  
Abdulaziz Al-Mahrezi
Keyword(s):  
Family Medicine ◽  
Career Choice ◽  
Family Physicians ◽  
Medical Specialty ◽  
World Health ◽  
Junior Doctors ◽  
Myers Briggs Type Indicator ◽  
Factors Influencing ◽  
Type Indicator ◽  
Myers Briggs

Objectives: The number of family physicians in Oman is far below that recommended by the World Health Organization. This study aimed to determine factors influencing junior doctors’ choice of a career in family medicine. Methods: This cross-sectional study was conducted between March and June 2018 and targeted applicants to Oman Medical Specialty Board residency programmes during the 2018–2019 academic year. Applicants were grouped according to their choice of either family medicine (n = 64) or other specialities (n = 81). A self-administered questionnaire was utilised to compare the applicants’ sociodemographic characteristics, factors influencing their choice of career and their Myers-Briggs Type Indicator® (MBTI) personality traits. Results: A total of 52 family medicine and 43 other residency applicants participated in the study (response rates: 81.3% and 53.1%, respectively). Most family medicine applicants were female (86.5%), married (65.4%) and resided in rural areas (73.1%); moreover, 19.2% were ≥30 years of age. Overall, emphasis on continuity of care, opportunity to deal with a variety of medical problems, the ability to use a wide range of skills and knowledge, early exposure to the discipline, opportunity to teach and perform research and the influence of family or friends were important factors in determining choice of a career in family medicine. Moreover, the MBTI analysis revealed that family medicine applicants were commonly extroverted-sensing-thinking-judging personality types. Conclusion: Knowledge of the factors influencing career choice among junior doctors may be useful in determining future admission policies in order to increase the number of family physicians in Oman.Keywords: Career Choice; Internship and Residency; Medical Specialty; Family Practice; Family Physicians; Myers-Briggs Type Indicator; Oman.

Training in Medicine – Oxford University Press, 2016 Edited by Elaine Jolly, Andrew Fry and Afzal Chaudhry

2017 ◽  
Vol 16 (2) ◽  
pp. 98-98
Author(s):  
Chris Roseveare ◽  
Keyword(s):  
Medical Training ◽  
Early Years ◽  
Text Book ◽  
Life Balance ◽  
Oxford University ◽  
Obstetrics And Gynaecology ◽  
Initial Assumption ◽  
Speciality Training ◽  
Recent Addition ◽  
Oxford University Press

When I first saw the title of this book, my initial assumption was that it was a training ‘guidebook’ – one of those texts which aims to help trainees to navigate their way through the treacherous waters of work-life balance, ARCPs, e-portfolio and so on. In this regard the title is misleading – this is in fact a medical text book, aimed at those undertaking ‘early years speciality training’ with a particular focus on Core Medical Training. Published in 2016, it is the most recent addition in of a series of books produced by Oxford University Press, whose other titles include Training in Anaesthesia, Ophthalmology and Obstetrics and Gynaecology.

scholarly journals Specialty choice determinants among Mexican medical students: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Carlos Gutiérrez-Cirlos ◽  
J. Jesús Naveja ◽  
Manuel García-Minjares ◽  
Adrián Martínez-González ◽  
Melchor Sánchez-Mendiola
Keyword(s):  
Medical Students ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Specialty Choice ◽  
Three Dimensions ◽  
Chi Square ◽  
Cross Sectional ◽  
Middle Income ◽  
Healthcare Needs ◽  
Gynecology And Obstetrics

Abstract Background The choice of medical specialty is related to multiple factors, students’ values, and specialty perceptions. Research in this area is needed in low- and middle-income countries, where the alignment of specialty training with national healthcare needs has a complex local interdependency. The study aimed to identify factors that influence specialty choice among medical students. Methods Senior students at the National Autonomous University of Mexico (UNAM) Faculty of Medicine answered a questionnaire covering demographics, personal experiences, vocational features, and other factors related to specialty choice. Chi-square tests and factor analyses were performed. Results The questionnaire was applied to 714 fifth-year students, and 697 provided complete responses (response rate 81%). The instrument Cronbach’s alpha was 0.8. The mean age was 24 ± 1 years; 65% were women. Eighty percent of the students wanted to specialize, and 60% had participated in congresses related to the specialty of interest. Only 5% wanted to remain as general practitioners. The majority (80%) wanted to enter a core specialty: internal medicine (29%), general surgery (24%), pediatrics (11%), gynecology and obstetrics (11%) and family medicine (4%). The relevant variables for specialty choice were grouped in three dimensions: personal values that develop and change during undergraduate training, career needs to be satisfied, and perception of specialty characteristics. Conclusions Specialty choice of medical students in a middle-income country public university is influenced by the undergraduate experience, the desire to study a subspecialty and other factors (including having skills related to the specialty and type of patients).

scholarly journals BASH: badmouthing, attitudes and stigmatisation in healthcare as experienced by medical students

2016 ◽  
Vol 40 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Ali Ajaz ◽  
Rhodri David ◽  
Damien Brown ◽  
Melanie Smuk ◽  
Ania Korszun
Keyword(s):  
Medical Students ◽  
Career Choice ◽  
Academic Staff ◽  
Medical Schools ◽  
Specialty Choice ◽  
Direct Result ◽  
Clinical Implications ◽  
Online Questionnaire ◽  
Medical Specialties ◽  
Negative Comments

Aims and methodWe used an online questionnaire to investigate medical students' perceptions of the apparent hierarchy between specialties, whether they have witnessed disparaging comments (‘badmouthing’ or ‘bashing’) against other specialists and whether this has had an effect on their career choice.ResultsIn total, 960 students from 13 medical schools completed the questionnaire; they ranked medical specialties according to the level of badmouthing and answered questions on their experience of specialty bashing. Psychiatry and general practice attracted the greatest number of negative comments, which were made by academic staff, doctors and students. Twenty-seven per cent of students had changed their career choice as a direct result of bashing and a further 25.5% stated they were more likely to change their specialty choice. Although 80.5% of students condemned badmouthing as unprofessional, 71.5% believed that it is a routine part of practising medicine.Clinical implicationsBashing of psychiatry represents another form of stigmatisation that needs to be challenged in medical schools. It not only has an impact on recruitment into the specialty, but also has the wider effect of stigmatising people with mental health disorders.

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