Medical Students’ and Interns’ Interest in Orthopedic Surgery: The Gender Factor

Schroeder, Joshua; Zisk-Rony, Rachel Yaffa; Liebergall, Meir; Tandeter, Howard; Kaplan, Leon; Weiss, Yoram; Weissman, Charles

doi:10.1016/j.jsurg.2013.08.005

Cited by 38 publications

(41 citation statements)

References 22 publications

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“…Chew et al (33) stated that female medical students in Malaysia were 1.91 times more likely to choose internal medicine than their male counterparts. In terms of orthopedic surgery, the results in relation to male and female preferences appear more concerning as only 16.3% of female students reported an interest in orthopedic surgery, whereas only 3 students (3.3%) reported placing orthopedics first in their list of preferences post-OIP, and these results are similar to other studies concerning orthopedic residency programs and interest among female students (16,19,31,33). Despite an increase in the number of female medical school students, lower reported rates of interest in surgery and an even lower interest in orthopedics are likely to provide challenges in recruiting high-achieving students into these specialties (31).…”

Section: Discussionsupporting

confidence: 84%

Anticipated decrease in surgeons: does orthopedic internship affect medical students career choice?

Canbeyli

Çirpar

2020

Journal of Health Sciences and Medicine

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Section: Discussionsupporting

confidence: 84%

Anticipated decrease in surgeons: does orthopedic internship affect medical students career choice?

Canbeyli

Çirpar

2020

Journal of Health Sciences and Medicine

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“…Portions of these data have been reported in a methodological validation paper, a report of student’s perceptions of six key specialties and a report of the differences between male and female interests in orthopedic surgery [17–19]. …”

Section: Methodsmentioning

confidence: 99%

Using medical specialty and selection criteria clusters to study specialty selection by Israeli medical students

et al. 2017

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BackgroundDuring their final year of medical school, Israeli students must consider which specialty to choose for residency. Based on the vocational counseling literature we presumed that choices are made by selecting from a cluster of related specialties while considering professional and socio-economic issues.MethodsQuestionnaires distributed to final-year medical students at two Israeli medical schools ascertained inclinations toward various medical specialties and the importance of various selection criteria. Analysis focused on seven specialties where >20% of students reported they had positive inclinations. For each such specialty, the specialty and selection criteria query were compared using unpaired two-tailed Student’s t-tests to determine differences between students with positive inclinations toward the specialty with those not so inclined. These data were placed in tables, with the significant differences highlighted to facilitate visual recognition of cluster patterns.ResultsCompleted questionnaires were obtained from 317 of 455 students. Students often had positive inclinations toward more than one specialty (specialty clusters) associated with a group of selection criteria (selection criteria clusters). For example, interest in internal medicine was clustered with interest in internal medicine subspecialties, cardiology and research. Furthermore, there was a “reciprocal” aspect to some specialty cluster patterns. For example, those interested in internal medicine had little interest in surgical specialties. Selection criteria clusters revealed occupational interests and socio-environmental factors associated with the specialty clusters. For example, family medicine, which clustered with pediatrics and psychiatry, had a sub-cluster of: Bedside specialty with family orientation affording long-term patient care. Another sub-cluster was time for childrearing and family, only daytime work and outpatient care. Clusters also revealed students’ perceptions that differed from expected: Cardiology is changing from a cognitive to a procedure-oriented subspecialty, clustering not only with internal medicine and its subspecialties but also with emergency medicine, surgical subspecialties and anesthesiology.ConclusionsThe concept that career choice involves selecting from a cluster of related specialties provides information about the specialties students might be considering. Moreover, students are not only looking for individual aspects of a specialty, but for a package including clusters of socio-economic and occupational features. Practically, examining clusters can help in career counseling of medical students and assist residency program directors in marketing their specialties.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-017-0854-y) contains supplementary material, which is available to authorized users.

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“…Our search identified 13 cross-sectional studies discussing gender discrimination. [15][16][17][18][19][20][21][22][23][24][25][26][27] An AHRQ grade of moderate strength was awarded to this body of evidence, with a mean NewcastleOttawa score of 6.9. The experience of gender discrimination is reported across all medical specialties, and is not unique to surgery.…”

Section: Gender Discriminationmentioning

confidence: 99%

“…22 However, the perception of gender bias is frequently reported during surgical experiences and has been shown to decrease interest in the pursuit of further surgical training. [15][16][17][18][19][20][21][22][23][24][25][26][27] This perceived culture in surgery has been described as "a gender-specific deterrence to a career in surgery for women." 16 Six large-scale surveys of medical trainees independently reported that a significant portion of female medical students experienced gender discrimination (68%-96%) and that this experience of bias influenced their career decisions.…”

Section: Gender Discriminationmentioning

confidence: 99%

A systematic review of the factors affecting choice of surgery as a career

Peel

Schlachta

Alkhamesi

2018

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173

129

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A systematic review of the factors affecting choice of surgery as a careerBackground: Interest in surgical careers among medical students has declined over the past decade. Multiple explanations have been offered for why top students are deterred or rejected from surgical programs, though no consensus has emerged. Methods:We conducted a review of the literature to better characterize what factors affect the pursuit of a surgical career. We searched PubMed and EMBASE and performed additional reference checks. Agency for Healthcare Research and Quality (AHRQ) and Newcastle-Ottawa Education scores were used to evaluate the included data.Results: Our search identified 122 full-text, primary articles. Analysis of this evidence identified 3 core concepts that impact surgical career decision-making: gender, features of surgical education, and student "fit" in the culture of surgery. Conclusion:Real and perceived gender discrimination has deterred female medical students from entering surgical careers. In addition, limited exposure to surgery during medical school and differences between student and surgeon personality traits and values may deter students from entering surgical careers. We suggest that deliberate and visible effort to include women and early-career medical students in surgical settings may enhance their interest in carreers in surgery.Contexte : On constate que l'intérêt pour une carrière en chirurgie a décliné chez les étudiants en médecine depuis une dizaine d'années. Plusieurs raisons ont été invoquées pour expliquer le désintérêt des étudiants talentueux à l'égard des programmes de chirurgie ou leur rejet de ces programmes, sans qu'on en arrive à un consensus.

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Medical Students’ and Interns’ Interest in Orthopedic Surgery: The Gender Factor

Cited by 38 publications

References 22 publications

Anticipated decrease in surgeons: does orthopedic internship affect medical students career choice?

Anticipated decrease in surgeons: does orthopedic internship affect medical students career choice?

Using medical specialty and selection criteria clusters to study specialty selection by Israeli medical students

A systematic review of the factors affecting choice of surgery as a career

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