Factors influencing surgical career choices and advancement in Ireland and Britain.

Hdl Handle:
http://hdl.handle.net/10147/209269
Title:
Factors influencing surgical career choices and advancement in Ireland and Britain.
Authors:
Corrigan, Mark A; Shields, Conor J; Redmond, Henry P
Affiliation:
Department of Academic Surgery, Cork University Hospital, Cork, Ireland., macorrigan@iformix.com
Citation:
World J Surg. 2007 Oct;31(10):1921-9.
Journal:
World journal of surgery
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209269
DOI:
10.1007/s00268-007-9175-3
PubMed ID:
17676377
Abstract:
BACKGROUND: The aim of this study was to analyze the factors that influence the advancement and the career choices of doctors and medical students. METHODS: Using the combined databases of the iformix and surgent websites, 450 doctors and medical students were invited to complete an internet-based survey. Surgent (http://www.surgent.ie) and iformix (http://www.iformix.com) are two free internet services administered by the authors. Surgent is a medical educational website, while iformix facilitates the online submission of abstracts to surgical and medical conferences across Britain and Ireland. The combined database of these two websites is approximately 4500 entries. Four hundred and fifty users represented a 10% sample based on an expected 40%-45% response rate. This was anticipated to yield between 180 and 202 respondents, statistically sufficient to analyze the data. A detailed Likert scale assessed the importance of "academic," "clinical," and "lifestyle" factors in determining career choice and progression. Analysis included descriptive statistics and inferential testing. RESULTS: Fifty percent (N = 222) of surveys were returned; 142 men and 78 women. Thirty-seven percent of respondents were Irish, 28% British, and 35% non-European. Fifteen percent were undergraduates, 4% interns, 12% had 2-4 years of clinical experience, while 69% had completed more than 4 years. Fifty-six percent had decided upon a career in general surgery. Overall, the most important factors for career choice were intellectual challenge (95%), academic opportunities (61%), and research opportunities(54%). Doctors with more than 4 years of experience deemed duration of training (p = 0.002), lifestyle during training (p = 0.02), and stress (0.005) as less important factors when considering career choice. Correlation analyses demonstrated that prestige (p = 0.002), patient relationships (p = 0.006), and advice from friends or family (p = 0.01) were more important influencing factors for interns. In terms of career advancement, 66% of non-Europeans considered family contacts important as opposed to 20% of British and 45% of Irish doctors (p < 0.001). In addition, 47% of females felt gender was important for career advancement as opposed to 31% of males (p = 0.01). CONCLUSIONS: Academic and clinical factors play an important role in career choice. However, it is clear that lifestyle factors predominate in determining an individual's career decisions in surgery.
Language:
eng
MeSH:
Adult; *Career Choice; *Career Mobility; Female; *General Surgery/economics; Great Britain; Humans; Income; Ireland; Life Style; Male; Physicians, Women/statistics & numerical data
ISSN:
0364-2313 (Print); 0364-2313 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCorrigan, Mark Aen_GB
dc.contributor.authorShields, Conor Jen_GB
dc.contributor.authorRedmond, Henry Pen_GB
dc.date.accessioned2012-02-03T15:16:44Z-
dc.date.available2012-02-03T15:16:44Z-
dc.date.issued2012-02-03T15:16:44Z-
dc.identifier.citationWorld J Surg. 2007 Oct;31(10):1921-9.en_GB
dc.identifier.issn0364-2313 (Print)en_GB
dc.identifier.issn0364-2313 (Linking)en_GB
dc.identifier.pmid17676377en_GB
dc.identifier.doi10.1007/s00268-007-9175-3en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209269-
dc.description.abstractBACKGROUND: The aim of this study was to analyze the factors that influence the advancement and the career choices of doctors and medical students. METHODS: Using the combined databases of the iformix and surgent websites, 450 doctors and medical students were invited to complete an internet-based survey. Surgent (http://www.surgent.ie) and iformix (http://www.iformix.com) are two free internet services administered by the authors. Surgent is a medical educational website, while iformix facilitates the online submission of abstracts to surgical and medical conferences across Britain and Ireland. The combined database of these two websites is approximately 4500 entries. Four hundred and fifty users represented a 10% sample based on an expected 40%-45% response rate. This was anticipated to yield between 180 and 202 respondents, statistically sufficient to analyze the data. A detailed Likert scale assessed the importance of "academic," "clinical," and "lifestyle" factors in determining career choice and progression. Analysis included descriptive statistics and inferential testing. RESULTS: Fifty percent (N = 222) of surveys were returned; 142 men and 78 women. Thirty-seven percent of respondents were Irish, 28% British, and 35% non-European. Fifteen percent were undergraduates, 4% interns, 12% had 2-4 years of clinical experience, while 69% had completed more than 4 years. Fifty-six percent had decided upon a career in general surgery. Overall, the most important factors for career choice were intellectual challenge (95%), academic opportunities (61%), and research opportunities(54%). Doctors with more than 4 years of experience deemed duration of training (p = 0.002), lifestyle during training (p = 0.02), and stress (0.005) as less important factors when considering career choice. Correlation analyses demonstrated that prestige (p = 0.002), patient relationships (p = 0.006), and advice from friends or family (p = 0.01) were more important influencing factors for interns. In terms of career advancement, 66% of non-Europeans considered family contacts important as opposed to 20% of British and 45% of Irish doctors (p < 0.001). In addition, 47% of females felt gender was important for career advancement as opposed to 31% of males (p = 0.01). CONCLUSIONS: Academic and clinical factors play an important role in career choice. However, it is clear that lifestyle factors predominate in determining an individual's career decisions in surgery.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.mesh*Career Choiceen_GB
dc.subject.mesh*Career Mobilityen_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*General Surgery/economicsen_GB
dc.subject.meshGreat Britainen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIncomeen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshLife Styleen_GB
dc.subject.meshMaleen_GB
dc.subject.meshPhysicians, Women/statistics & numerical dataen_GB
dc.titleFactors influencing surgical career choices and advancement in Ireland and Britain.en_GB
dc.contributor.departmentDepartment of Academic Surgery, Cork University Hospital, Cork, Ireland., macorrigan@iformix.comen_GB
dc.identifier.journalWorld journal of surgeryen_GB
dc.description.provinceMunster-

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