Surgery clerkships & general surgery careers: A systematic review

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-04-29 DOI:10.1016/j.amjsurg.2025.116340

Sanidhya Singh , Maedeh Marzoughi , Danika E. Meldrum , Caleb Ernst , Fotovat-Ahmadi Navid , Kareem Sharabi , R. Evey Aslanian , Serena S. Bidwell , Mark P. MacEachern , Sarah E. Bradley , Pasithorn A. Suwanabol

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引用次数: 0

Abstract

Introduction

By 2050, the U.S. is projected to face a critical shortage of surgeons, with general surgery experiencing the most significant shortfall. Medical student clerkship experiences play a crucial role in sustaining interest in surgical careers, making them a key area for intervention.

Methods

This study provides a comprehensive review of the current literature on the attributes of general surgery clerkships that influence students’ decisions to pursue a career in general surgery.

Results

Using the Social Ecological Model (SEM), we identify clerkship factors and facilitators and barriers to student interest in general surgery careers at the individual, interpersonal, environmental, community, and policy level.

Conclusion

Our findings suggest that targeted interventions - such as supporting students underrepresented in surgery, enhancing the quality of clerkships, and improving perceptions of the surgical lifestyle and culture - could increase interest in the field and address the impending surgeon shortage.

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外科办事员与普通外科职业：系统回顾

到2050年，美国预计将面临外科医生的严重短缺，其中普通外科医生的短缺最为严重。医学生见习经历在维持对外科职业的兴趣方面起着至关重要的作用，使其成为干预的关键领域。方法本研究对影响学生选择普通外科职业的普外科见习人员属性的文献进行了全面的综述。结果使用社会生态模型（SEM），我们从个人、人际、环境、社区和政策层面确定了学生对普外科职业兴趣的促成因素和障碍。结论：我们的研究结果表明，有针对性的干预措施，如支持在外科中代表性不足的学生，提高办业员的质量，改善对外科生活方式和文化的认识，可以增加对该领域的兴趣，解决即将到来的外科医生短缺问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.