法律违规行为对普通外科住院医师申请程序的影响。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-10-30 DOI:10.1016/j.jsurg.2024.103303

John T. McCarthy Med , Brett H. Waibel MD , Paul J. Schenarts MD

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引用次数: 0

摘要

目的：在大学生和医学生中，与酒精和毒品相关的违法行为很常见。这项工作的目的是量化这些违法行为对项目主任（PDs）在决定普外科住院医师申请人时的影响：设计：我们通过电子方式向 72 名有公开电子邮箱地址的项目主任发送了之前试用过的调查工具。收集的数据包括院长的人口统计学信息及其所在州娱乐性大麻的合法地位。调查采用 5 点李克特量表（无影响 - 不会选择）来量化各种与酒精和毒品相关的违法行为对申请者匹配其普外科住院医师能力的影响：美国普外科住院医师参与者：61 名普外科住院医师：回应率为 84%，占所有获得认证的普外科住院医师的 18.4%。与大学生相比，医学生的违法后果更为严重，包括酗酒闹事（p < 0.001）、酒后驾驶（DUI）（p < 0.001）、持有大麻（p < 0.001）、可卡因（p < 0.001）、芬太尼（p = 0.003）和甲基苯丙胺（p = 0.004）。对于大学生和医学生而言，违规行为的严重程度分为 3 级。最轻的是酗酒闹事和吸食大麻。这些违纪行为的负面影响极小，彼此没有区别。酒后驾车是第二级，其负面影响明显高于第一级违规行为（p = 0.002，p < 0.001）。涉及可卡因、芬太尼和甲基苯丙胺的违章行为的负面影响最大；每种违章行为都明显比第一级违章行为（每种违章行为的 p < 0.001）和酒驾（每种违章行为的 p < 0.001）严重。在大麻非法的州，医学生因持有大麻被捕的负面影响（p = 0.033）要大于大麻合法的州：结论：与医学院相比，大学期间发生的违法行为后果较轻。无论在什么时间，因酗酒闹事或持有大麻而被捕的影响都小于酒后驾车、持有可卡因、甲基苯丙胺或芬太尼。

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Consequences of Legal Infractions on the General Surgery Residency Application Process

OBJECTIVE

Alcohol and drug-related legal infractions are common among college and medical students. The objective of this work is to quantify the influence of these legal infractions on program directors (PDs) when making decisions on applicants to general surgery residencies.

DESIGN

A convenience sample of 72 PDs with publicly accessible email addresses were electronically sent a previously piloted survey tool. Data collected included demographic information about the PD, and the legal status of recreational marijuana in their state. A 5-point Likert scale (No influence – Would not select) was used to quantify the influence of various alcohol and drug-related legal infractions on an applicants’ ability to match into their general surgery residency.

SETTING

American general surgery PDs

PARTICIPANTS

61 general surgery PDs.

RESULTS

Response rate was 84% or 18.4% of all accredited general surgery residencies. The consequences of legal infractions were more significant for medical students than college students, this included drunk and disorderly (p < 0.001), driving under the influence (DUI) (p < 0.001), possession of marijuana (p < 0.001), cocaine (p < 0.001), fentanyl (p = 0.003), and methamphetamine (p = 0.004). For both college and medical students, infractions distribute into 3 tiers of severity. The lowest tier is for drunk and disorderly and marijuana. These have minimal negative impact and are not different from each other. DUI is the second tier and is significantly more negative than the first tier infractions (p = 0.002, p < 0.001). Infractions involving cocaine, fentanyl, and methamphetamine, have the most negative impact; with each being significantly worse than tier 1 offenses (p < 0.001 for each) and DUI (p < 0.001 for each). For residencies located in states where marijuana was illegal, arrest for possession of marijuana as a medical student has a greater negative influence (p = 0.033), than where it is legal.

CONCLUSIONS

Legal infractions occurring during college are less consequential than those in medical school. Regardless of the timing, being arrested for drunk and disorderly or marijuana possession had less impact than a DUI, possession of cocaine, methamphetamine or fentanyl.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.