Literature DB >> 32195617

Does exposure to anatomy education in medical school affect surgical residency applications? An analysis of Canadian residency match data

Travis Schroeder1, Shiraz Elkheir1, Forough Farrokhyar1, Alexandra Allard-Coutu1, Kamyar Kahnamoui1.   

Abstract

Background: The time dedicated to teaching gross anatomy, including cadaveric dissection, has been decreasing in North American medical schools. The impact of this trend on surgical residency applications is unknown. We sought to identify trends in surgical residency applications in Canada and to determine if medical schools with more gross anatomy instruction and mandatory cadaveric dissection produced more applicants ranking surgical residency programs as their first choice.
Methods: Canadian Resident Matching Service (CaRMS) data from 1997 to 2016 were analyzed. A questionnaire was distributed to Canadian medical schools requesting current and historic information on their anatomy curricula and the number of hours of anatomy instruction.
Results: The survey response rate was 35% (6 of the 17 Canadian medical schools responded); partial data were available for 16 (94%) of the 17 Canadian medical schools. A total of 4.3% of graduating students ranked general surgery as their first choice in the CaRMS match and 17.2% ranked any surgical program first. Over time, the percentage of graduating students who ranked surgical programs as their first choice decreased (p < 0.001). Three schools were significantly more likely than the others to produce graduates ranking general surgery as their first choice. Between 2012 and 2016 the percentage of graduating students ranking surgical programs first was significantly higher (2.2%, p = 0.024) in schools with mandatory cadaver dissection. There was no correlation between the number of hours of gross anatomy instruction and the percentage of graduates ranking any surgical program or a general surgical program first.
Conclusion: The number of applications to surgical programs has decreased in Canada over the past 20 years. Certain schools are more likely than others to produce graduates ranking general surgery as their first choice. Programs with mandatory cadaver dissection produced more graduates favouring surgical programs.
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Mesh:

Year:  2020        PMID: 32195617      PMCID: PMC7828959          DOI: 10.1503/cjs.019218

Source DB:  PubMed          Journal:  Can J Surg        ISSN: 0008-428X            Impact factor:   2.089


  12 in total

1.  What influences medical students' choice of surgical careers.

Authors:  V Z Erzurum; R J Obermeyer; A Fecher; P Thyagarajan; P Tan; A K Koler; M K Hirko; J R Rubin
Journal:  Surgery       Date:  2000-08       Impact factor: 3.982

2.  Decline in popularity of general surgery as a career choice in North America: review of postgraduate residency training selection in Canada, 1996-2001.

Authors:  Jeff G Marschall; Ahmer A Karimuddin
Journal:  World J Surg       Date:  2003-02-27       Impact factor: 3.352

3.  Teaching anatomy without cadavers.

Authors:  John C McLachlan; John Bligh; Paul Bradley; Judy Searle
Journal:  Med Educ       Date:  2004-04       Impact factor: 6.251

Review 4.  Anatomical dissection as a teaching method in medical school: a review of the evidence.

Authors:  Andreas Winkelmann
Journal:  Med Educ       Date:  2007-01       Impact factor: 6.251

5.  Medical education in the anatomical sciences: the winds of change continue to blow.

Authors:  Richard L Drake; Jennifer M McBride; Nirusha Lachman; Wojciech Pawlina
Journal:  Anat Sci Educ       Date:  2009 Nov-Dec       Impact factor: 5.958

6.  Adequacy of medical school gross anatomy education as perceived by certain postgraduate residency programs and anatomy course directors.

Authors:  W W Cottam
Journal:  Clin Anat       Date:  1999       Impact factor: 2.414

Review 7.  Medical student experience in surgery influences their career choices: a systematic review of the literature.

Authors:  Dominic C Marshall; Justin D Salciccioli; Sarah-Jane Walton; Joan Pitkin; Joseph Shalhoub; George Malietzis
Journal:  J Surg Educ       Date:  2014-12-24       Impact factor: 2.891

8.  Supply versus demand: a review of application trends to Canadian surgical training programs.

Authors:  Ryan E Austin; Kyle R Wanzel
Journal:  Can J Surg       Date:  2015-04       Impact factor: 2.089

Review 9.  Factors influencing US medical students' decision to pursue surgery.

Authors:  Lauren E Schmidt; Clairice A Cooper; Weidun Alan Guo
Journal:  J Surg Res       Date:  2016-03-31       Impact factor: 2.192

Review 10.  Anatomy in a modern medical curriculum.

Authors:  B W Turney
Journal:  Ann R Coll Surg Engl       Date:  2007-03       Impact factor: 1.891

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  1 in total

1.  Influence of undergraduate medical education exposure to cadaveric dissection on choice of surgical specialty: a national survey of Canadian surgical residents.

Authors:  Tyler McKechnie; Jeremy E Springer; Aristithes G Doumouras; Travis Schroeder; Cagla Eskicioglu; Susan Reid
Journal:  Can J Surg       Date:  2021-03-19       Impact factor: 2.089

  1 in total

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