Literature DB >> 22637218

Why do medical students choose orthopaedics as a career?

Amanda L Johnson1, Jyoti Sharma, Vernon M Chinchilli, Sanford E Emery, C McCollister Evarts, Mark W Floyd, Christopher C Kaeding, William F Lavelle, J Lawrence Marsh, Vincent D Pellegrini, Ann E Van Heest, Kevin P Black.   

Abstract

BACKGROUND: The primary influence on medical students' career choice is their third-year clerkship. However, orthopaedics is not a required rotation in the curriculum of most medical schools. Our goals were to identify factors that motivate students to choose an orthopaedic career and to compare these with the factors that influence students to choose nonorthopaedic disciplines.
METHODS: Fourth-year medical students and orthopaedic residents at the postgraduate year (PGY)-1 level at eight orthopaedic training programs in the United States were surveyed to determine the reasons that they chose orthopaedics instead of other medical or surgical fields.
RESULTS: Of the 622 individuals who responded to our survey, 125 were entering orthopaedics and 497 were not. Although career choice in both groups was most heavily influenced by third and fourth-year clinical rotations and faculty contacts, orthopaedics-bound respondents were more likely than non-orthopaedics-bound respondents to be strongly influenced by experiences and people prior to medical school. Orthopaedics-bound respondents were less likely to report a faculty member as the most important person influencing career choice. Fifty-one percent (sixty-three) of 124 students who selected orthopaedics had already decided to pursue this field prior to their third-year rotation. Patient care was chosen by 71% (347) of 490 non-orthopaedics-bound respondents and 75% (ninety-four) of 125 orthopaedics-bound respondents as the most important factor for pursuing a particular field. Income was not selected as the deciding factor by respondents in either group.
CONCLUSIONS: Although faculty contacts and third-year clinical rotations played an important role in student selection of specialty training, they were less influential for those choosing an orthopaedic career than for those choosing other disciplines. Many students choosing orthopaedics made this decision prior to medical school. We believe that increased exposure to positive clinical role models and experiences during medical school would enhance medical students' options for choosing orthopaedic surgery as a career. Anticipated income did not play a deciding role in career selection.

Entities:  

Mesh:

Year:  2012        PMID: 22637218     DOI: 10.2106/JBJS.K.00826

Source DB:  PubMed          Journal:  J Bone Joint Surg Am        ISSN: 0021-9355            Impact factor:   5.284


  23 in total

1.  The Perry Initiative's Medical Student Outreach Program Recruits Women Into Orthopaedic Residency.

Authors:  Lisa L Lattanza; Laurie Meszaros-Dearolf; Mary I O'Connor; Amy Ladd; Amy Bucha; Amy Trauth-Nare; Jenni M Buckley
Journal:  Clin Orthop Relat Res       Date:  2016-09       Impact factor: 4.176

Review 2.  Gendered innovations in orthopaedic science: Title IX education: book learnin' and bone mendin'.

Authors:  Amy L Ladd
Journal:  Clin Orthop Relat Res       Date:  2014-06-26       Impact factor: 4.176

3.  Factors Influencing Subspecialty Choice of Orthopedic Residents: Effect of Gender, Year in Residency, and Presumptive Subspecialty.

Authors:  Bennet A Butler; Daniel Johnson; Robert A Christian; Stephen D Bigach; Matthew D Beal; Terrance D Peabody
Journal:  Iowa Orthop J       Date:  2020

Review 4.  A systematic review of the factors affecting choice of surgery as a career.

Authors:  John K Peel; Christopher M Schlachta; Nawar A Alkhamesi
Journal:  Can J Surg       Date:  2018-02       Impact factor: 2.089

Review 5.  Medical School Experiences Shape Women Students' Interest in Orthopaedic Surgery.

Authors:  Mary I O'Connor
Journal:  Clin Orthop Relat Res       Date:  2016-09       Impact factor: 4.176

6.  Gender Preferences of Patients When Selecting Orthopaedic Providers.

Authors:  Hannah A Dineen; J Megan M Patterson; Scott M Eskildsen; Zoe S Gan; Quefeng Li; Brendan C Patterson; Reid W Draeger
Journal:  Iowa Orthop J       Date:  2019

7.  Gender Diversity in Orthopedic Surgery: We All Know It's Lacking, but Why?

Authors:  Ann Van Heest
Journal:  Iowa Orthop J       Date:  2020

8.  Where Are the Women in Orthopaedic Surgery?

Authors:  Rachel S Rohde; Jennifer Moriatis Wolf; Julie E Adams
Journal:  Clin Orthop Relat Res       Date:  2016-09       Impact factor: 4.176

9.  Improvement of Orthopedic Residency Programs and Diversity: Dilemmas and Challenges, an International Perspective.

Authors:  Hangama C Fayaz; Raymond M Smith; Mohammad H Ebrahimzadeh; Hans-Christoph Pape; Javad Parvizi; Khaled J Saleh; Jens-Peter Stahl; Johannes Zeichen; James F Kellam; Javad Mortazavi; Ashok Rajgopal; Vivek Dahiya; Wolfgang Zinser; Leonid Reznik; Igor Shubnyakov; Marko Pećina; Jesse B Jupiter
Journal:  Arch Bone Jt Surg       Date:  2019-07

10.  Factors affecting orthopedic residency selection: a cross-sectional survey.

Authors:  Jason Strelzow; Robert Petretta; Henry M Broekhuyse
Journal:  Can J Surg       Date:  2017-06       Impact factor: 2.089

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