Literature DB >> 15051271

Is there declining interest in general surgery training?

W Todd Cockerham1, Joseph B Cofer, Michael D Biderman, Patricia L Lewis, S Michael Roe.   

Abstract

PURPOSE: To monitor and report the quality of categorical first-year surgery residents matched to U.S. general surgery training programs from 1996 to 2001.
METHODS: A survey was sent to 258 program directors of accredited general surgery training programs. In this survey, data were requested regarding United States Medical Licensing Exam (USMLE) Step 1 and 2 scores, matched residents' rank list position, Alpha Omega Alpha (AOA) status, number of applications received, and interviews granted pertaining to all National Residency Matching Program (NRMP) residents matched. In addition, the USMLE and NRMP were petitioned for national data regarding Step 1 and 2 scores in all entering surgery residents and first-time USMLE takers.
RESULTS: Usable survey data were received on 1241 residents. The number for each year (and percent of total matched PGY-1 residents) was as follows: 1996-196 (20.0), 1997-206 (20.4), 1998-204 (19.9), 1999-212 (21.0), 2000-212 (20.7), and 2001-211 (21.7). The mean Step 1 scores increased over time (p < 0.001), and programs with 5 or more categorical spots had higher scores than those with 4 or less (p < 0.001). The depth required to fill the rank list increased over the study period (p < 0.05). National data received from the NRMP from 1994 to 2001 (mean of 916 residents at each year) showed a similar increase in USMLE Step 1 scores when compared with our survey. The proportion of AOA students matching into general surgery has decreased from 30% in 1996 to 15% in 2001 (p < 0.001).
CONCLUSIONS: Over the 6 years of our study, USMLE Step 1 scores increased and the results of our survey are in agreement with the national data. However, the proportion of AOA students declined, implying the top 10% of the medical school class found general surgery training less attractive. Also, programs went deeper into their rank lists to fill, implying a shrinking pool of candidates.

Entities:  

Mesh:

Year:  2004        PMID: 15051271     DOI: 10.1016/j.cursur.2003.11.003

Source DB:  PubMed          Journal:  Curr Surg        ISSN: 0149-7944


  6 in total

1.  Impact of AOA status and perceived lifestyle on career choices of medical school graduates.

Authors:  Martha S Grayson; Dale A Newton; Patricia A Patrick; Lawrence Smith
Journal:  J Gen Intern Med       Date:  2011-08-12       Impact factor: 5.128

2.  Trauma Leagues-A Novel Option to Attract Medical Students to a Surgical Career.

Authors:  Romeo Lages Simões; Alcir Escocia Dorigatti; Henrique José Virgili Silveira; Thiago Rodrigues Araujo Calderan; Sandro Rizoli; Gustavo Pereira Fraga
Journal:  World J Surg       Date:  2018-02       Impact factor: 3.352

3.  Generation Y and surgical residency - Passing the baton or the end of the world as we know it? Results from a survey among medical students in Germany.

Authors:  Robert Kleinert; Claudia Fuchs; Vanessa Romotzky; Laura Knepper; Marie-Luise Wasilewski; Wolfgang Schröder; Christiane Bruns; Christiane Woopen; Jessica Leers
Journal:  PLoS One       Date:  2017-11-27       Impact factor: 3.240

4.  Securing an OTL-HNS residency: how competitive is it? Comparing medical student perceptions to actual Canadian statistics.

Authors:  E Kay-Rivest; N Varma; G M Scott; J J Manoukian; M Desrosiers; J P Vaccani; L H P Nguyen
Journal:  J Otolaryngol Head Neck Surg       Date:  2017-02-27

5.  Declining interest in general surgical training - Challenging misconceptions and improving access at undergraduate level.

Authors:  Amal Thomas; Aasim Nisar Murtaza; Harry Victor Michael Spiers; Alexander Zargaran; Mohammed Turki; Jai Mathur; Akiko Fukui; David Zargaran; Omar Khan
Journal:  Ann Med Surg (Lond)       Date:  2018-11-10

6.  The Change of USMLE Step 1 to Pass/Fail: Perspectives of the Surgery Program Director.

Authors:  Matthew E Pontell; Alan T Makhoul; Nishant Ganesh Kumar; Brian C Drolet
Journal:  J Surg Educ       Date:  2020-07-10       Impact factor: 2.891

  6 in total

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