当前位置： SCI文献检索 > NEUROSURGERY期刊下所有文献 > Predictors of neurosurgical career choice among residents and residency applicants.

Predictors of neurosurgical career choice among residents and residency applicants.

Abstract：

OBJECTIVE:Medical students applying for neurosurgery residency positions almost all aspire to become academic neurosurgeons. However, most graduates of neurosurgery residency programs ultimately follow careers in private practice. We hypothesized that there might be factors in a resident's application, interviews, or performance during residency that might predict this change in career orientation. METHODS:We retrospectively reviewed the applications, interview evaluations, and residency performance reviews of graduates from the Neurological Surgery program at the University of California, San Francisco and examined factors that might correlate with their career choices. RESULTS:Between 1968 and 2003, 69 neurosurgical residents graduated from the residency program. Of the 54 respondents (78%), 25 (46%) held academic positions and 29 (54%) were in private practice. None of the application data correlated with career choice, and no significant differences in interview scores were observed between academic and private practitioners. Board scores, publications, presentations, and awards received during residency were not predictive of practice orientation. Favorable evaluations during the junior (P = 0.04) and chief residency (P = 0.03) years and pursuit of a subspecialty fellowship (P = 0.006) were predictive. CONCLUSION:Honest discussion between residents and faculty about the choice between academic and private practice careers may be as informative as the three identified predictors of residents' career orientation. Academic faculty members can encourage communication by discouraging the perception that a resident's education might be compromised if he or she expresses interest in private practice rather than academic neurosurgery. Open communication on this issue might enable faculty mentors to actively advise residents in their career decisions and improve the residents' educational environment.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Lawton MT,Narvid J,Quiñones-Hinojosa A

doi

10.1227/01.NEU.0000255445.51989.33

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

934-9; discussion 934-9

issue

eissn

0148-396X

issn

1524-4040

pii

00006123-200705000-00018

journal_volume

pub_type

杂志文章

在线工具

Predictors of neurosurgical career choice among residents and residency applicants.