Medical Student Perceptions of Academic Surgery: Rose-Colored Glasses or Jaded Prism?
J Surg Educ
; 81(3): 373-381, 2024 Mar.
Article
en En
| MEDLINE
| ID: mdl-38177035
ABSTRACT
OBJECTIVE:
Stereotypes of surgeons are pervasive and play a role in medical students' decisions about pursuing a surgical career. This study aimed to determine (1) how medical students' perceptions of surgery and surgeons changed following exposure to surgery during clerkship rotations; and (2) if gender and racial/ethnic identification played a role in this process. DESIGN, SETTING, ANDPARTICIPANTS:
In this mixed-method study, clerkship students at one U.S. medical school were asked to anonymously contribute words and phrases that they associated with surgery to an online "word cloud" at the beginning and end of their 12-week surgery clerkship. In addition, an end-of-year, anonymous survey of their perceptions was administered and analyzed using a Grounded Theory approach.RESULTS:
Of 154 students invited to complete the online survey, analysis of 24 completed surveys suggested that students believe surgical culture to be toxic, with unfriendly attitudes, strict hierarchy, and lack of work-life balance. Analysis of 678 Word Cloud responses, however, indicated that the frequency of complimentary responses increased following surgery clerkships (25% vs 36%; zâ¯=â¯-3.26; pâ¯=â¯0.001), while the proportion of responses describing surgery/surgeons as male-dominated, egotistical, and scary decreased (5% vs 1%, zâ¯=â¯2.86, pâ¯=â¯0.004; 9% vs 4%, zâ¯=â¯2.78, pâ¯=â¯0.005; 3% vs 0.3%, zâ¯=â¯2.56, pâ¯=â¯0.011, respectively). The association between surgeons and being White disappeared entirely. Female students were more likely than male students to state that their perceptions did not change following exposure (40% vs 0%; zâ¯=â¯2.19; pâ¯=â¯0.029).CONCLUSIONS:
With exposure to surgery, students' preconceived notions may be positively influenced. However, students continue to hold negative perceptions, and this effect may be stratified by gender identification. Institutions should work to address these perceptions in pre-clerkship years to attract a more diverse pool of future surgeons.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estudiantes de Medicina
/
Cirugía General
/
Prácticas Clínicas
/
Educación de Pregrado en Medicina
/
Cirujanos
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Surg Educ
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos