Abstract：
BACKGROUND:In recent years, a significant decline in the number of medical school graduates who choose general surgery as a career has been noted in Israel. The aim of this study is to characterize the factors that deter Israeli medical students from choosing general surgery. Previous studies in the United States identified lifestyle and financial issues as the most important factors. METHODS:A web-based survey was distributed to graduating medical students throughout Israel. The survey covered different factors and aspects affecting career choice, requiring participants to rate their choices with a 1-5 score. RESULTS:In all, 218 surveys were completed; 72 (33%) students considered general surgery before the surgical clerkship versus only 48 (22%) students after. Professional interest and satisfaction (4.7) were ranked as the most important factors for choosing a residency, followed by an amiable working atmosphere (4.3). The 2 strongest deterrents from general surgery were doctors' inter-relationships (3.5) and compromised lifestyle (3.3). The decision to avoid surgery can be reversed by improving both lifestyle (3.5) and inter-relationships (3.0), but it is less influenced by a substantial increase in residents' salary. CONCLUSIONS:More medical graduates would consider general surgery as a career option if the lifestyle and inter-relationships were perceived as better. An increase in monetary reward did not seem to have a paramount impact among Israeli medical graduates. The surgical clerkship is an important turning point in the students' attitude toward surgery as a career and efforts must be made to improve students' experience significantly during this clerkship.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Mazeh H,Mizrahi I,Eid A,Freund HR,Allweis TMdoi
10.1016/j.jsurg.2010.07.015subject
Has Abstractpub_date
2010-09-01 00:00:00pages
303-8issue
5eissn
1931-7204issn
1878-7452pii
S1931-7204(10)00195-9journal_volume
67pub_type
杂志文章abstract：OBJECTIVE:Though many medical schools applied various admission criteria in the selection process, the evidence of using those criteria is unclear. This study examined the predictive validity of each admission criterion for student competency. DESIGN, SETTING, AND PARTICIPANTS:We conducted a prospective cohort study o...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2016.03.006
更新日期：2016-07-01 00:00:00
abstract：OBJECTIVES:To assure that orthopaedic residents have the knowledge needed to critically appraise the medical/surgical literature and the skills needed to design and conduct musculoskeletal and orthopaedic research. SETTING:Residency program of the Department of Orthopaedic Surgery, Sports Medicine and Rehabilitation a...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.04.002
更新日期：2010-05-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to analyze the decay of information with multiple sequential patient handoff reports given by third-year medical students who have not had standardized patient handoff training. METHODS:We examine the information decay of quantitative parameters included in 2 different simulated...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.12.002
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Workplace-based assessments are a mandatory component of postgraduate surgical training within the United Kingdom and Ireland. Procedure-based assessments (PBAs) and direct observation of practical skills (DOPS) are integrated within the Intercollegiate Surgical Curriculum Programme online platform and aim t...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.03.005
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:The Luke Commission, a provider of comprehensive mobile health outreach in rural Swaziland, focuses on human immunodeficiency virus testing and prevention, including the performance of over 100 circumcisions weekly. Educational objectives for medical student global health electives are essential. Learning re...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.09.015
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:There is a growing need to address the global burden of surgical disease along with increasing interest in international surgical practice, necessitating an understanding of the challenges and issues that arise on a systems level when practicing abroad. DESIGN:This elective is a month-long rotation in which ...
journal_title：Journal of surgical education
pub_type： 杂志文章,评审
doi：10.1016/j.jsurg.2015.09.019
更新日期：2016-03-01 00:00:00
abstract：INTRODUCTION:Orthopedic surgery residents are at risk for daily work-related hazards and exposures. Hazards related specific to this specialty includes radiation exposure, smoke inhalation (from electrocautery), and disease transmission through contact with surgical instruments or sharps during procedures. However, min...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.05.007
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:Given limitations in surgical educational resources, more efficient teaching methods are needed. We sought to evaluate 3 strategies for improving skills in subcuticular suturing-practice with an instructional video, practice with expert instructor supervision, and independent practice. DESIGN:Fifty-eight med...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2011.04.006
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:Visualization tools are essential for effective medical education, to aid students understanding of complex anatomical systems. Three dimensional (3D) printed models are showing a wide-reaching potential in the field of medical education, to aid the interpretation of 2D imaging. This study investigates the us...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2017.07.023
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Although good communication skills are essential for surgeons, there is no formal communication training during general surgery residency. OBJECTIVES:To implement a communication skills training program based on evidence-based teaching methods in general surgery residency. DESIGN:We developed a 2-hour comm...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.04.001
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To determine if playing music would affect novice surgical trainees' ability to perform a complex surgical task. BACKGROUND:The effect of music in the operating room (OR) is controversial. Some studies from the anesthesiology literature suggest that OR music is distracting and should be banned. Other nonblin...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.08.020
更新日期：2020-09-08 00:00:00
abstract：OBJECTIVE:Nontechnical skills, such as situation awareness, decision making, leadership, communication, and teamwork play a crucial role on the quality of care and patient safety in the operating room (OR). In our previous work, we developed an interdisciplinary training program, based on the NOTSS (Non-Technical Skill...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2021.01.011
更新日期：2021-01-27 00:00:00
abstract：PURPOSE:The amount of financial debt incurred by Texas medical students and residents during training was examined as well as the impact of this debt on these trainees' career choices. METHOD:An invitation to participate was sent in a Web-based survey to medical students and residents at 6 university programs in Texas...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2008.09.003
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:There is an increasing demand for physicians to possess strong personal and social qualities embodied in the concept of emotional intelligence (EI). However, the residency selection process emphasizes mainly academic accomplishments. In this system, the faculty interview is the primary means of evaluating th...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.03.010
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:Attrition rates in general surgery training are higher than other surgical disciplines. We sought to determine the prevalence with which Canadian general surgery residents consider leaving their training and the contributing factors. DESIGN, SETTING, AND PARTICIPANTS:An anonymous survey was administered to a...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.11.008
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Identifying personality factors that account for individual differences in surgical training and performance has practical implications for surgical education. Movement-specific reinvestment is a potentially relevant personality factor that has a moderating effect on laparoscopic performance under time press...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.04.003
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:A fundamental premise of establishing collaborative relationships between residents and nurses is a basic understanding of the attributes of each group. The intent of this study was to determine what surgical nurses know about surgical residents. DESIGN:A piloted survey tool was administered to a cross-secti...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2009.08.001
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:Training for the Fundamentals of Laparoscopic Surgery (FLS) skills test can be expensive. Previous work demonstrated that training on an ergonomically different, low-cost platform does not affect FLS skills test outcomes. This study compares the average training cost with standard FLS equipment and medical-gr...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2016.11.013
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:International Medical Graduates (IMGs) secured greater than 10% of all general surgery (GS) residency positions in the US during the past decade. The Match process remains competitive, with a significant number of IMGs performing dedicated research before residency application. The impact of such research rem...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.06.003
更新日期：2019-01-01 00:00:00
abstract：:The scope of patient management increasingly crosses the defined lines of multiple medical specialties and services to meet patient needs. Concurrently, many hospitals and health-care systems have adapted new multidisciplinary team structures that provide patient-centric care as opposed to the more traditional discipl...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2007.10.003
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Possessing adequate nontechnical skills (NTS) in operating theaters is of increasing interest to health care professionals, yet these are rarely formally taught. Teams make human errors despite technical expertise and knowledge, compromising patient safety. We designed a 1-day, multiprofessional, multidiscip...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2016.06.020
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:The Massachusetts General Hospital (MGH) Department of Surgery established the Global Surgery Initiative (GSI) in 2013 to transform volunteer and mission-based global surgery efforts into an educational experience in surgical systems strengthening. The objective of this newly conceived mission is not only to ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.12.018
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To examine if there were circadian variations in surgeons' ability to diagnose acute appendicitis. DESIGN:Retrospective database study of all patients admitted to an acute surgical procedure under the potential diagnosis of acute appendicitis in a 4-year period. The day was divided into 2 time intervals, day...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.11.003
更新日期：2016-03-01 00:00:00
abstract：PURPOSE:Our recent publication demonstrated that unprofessional behavior on Facebook is common among surgical residents. In the formulation of standards and curricula to address this issue, it is important that surgical faculty lead by example. Our current study refocuses on the Facebook profiles of faculty surgeons in...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.07.007
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVES:In an effort to move training programs toward competency-based education, the Accreditation Council for Graduate Medical Education (ACGME) introduced the Next Accreditation System (NAS), which organizes specific milestones regarding resident skills, knowledge, and abilities along a continuum. In order to fos...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.12.007
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:Autonomy is of foremost concern in the current era of surgical residency, and it is especially important to trainees when considering their surgical education. Factors impacting trainee independence include the restriction of clinical work hours and the development of advanced minimally invasive techniques...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.08.004
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To review the ability of junior doctors (JDs) in identifying the correct anatomical site for intercostal chest drain insertion and whether prior Advanced Trauma Life Support (ATLS) training influences this. DESIGN:We performed a prospective, observational study using a structured survey and asked a group of ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.01.022
更新日期：2015-07-01 00:00:00
abstract：:Intracardiac foreign bodies may be caused by direct penetrating trauma, embolization from injury to another area of the body, or iatrogenically from fragments of intravascular access devices. Penetrating cardiac trauma commonly presents with a hemodynamically unstable patient necessitating emergent life-saving procedu...
journal_title：Journal of surgical education
pub_type： 杂志文章,评审
doi：10.1016/j.jsurg.2009.04.002
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVE:Residency coordinators are valuable members of the education leadership administration. In General Surgery, program directors must devote time to both their clinical practice and as the leader of the education program for surgical residents. With the introduction of competencies and the Next Accreditation Sys...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.07.003
更新日期：2018-11-01 00:00:00
abstract：INTRODUCTION:Despite recent changes to medical education, surgical training remains largely based on the apprenticeship model. However, after completing training, there are few structured learning opportunities available for surgeons in practice to refine their skills or acquire new skills. Personalized observation wit...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.01.007
更新日期：2020-01-01 00:00:00
