How to train plastic surgeons of the future

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• 作者：Christopher R. Davis^a ; ^b ; ^c ; ^{drcdavis@stanford.edu" class="auth_mail" title="E-mail the corresponding author} ; ^{chrisdavis959@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Alexander E.J. Trevatt^d ; Rory B. McGoldrick^a ; ^e ; Francesca E. Parrott^c ; Pari-Naz Mohanna^f
• 关键词：Training ; Influence ; Career ; Workforce ; Planning
• 刊名：Journal of Plastic, Reconstructive & Aesthetic Surgery
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：69
• 期：8
• 页码：1134-1140
• 全文大小：476 K

文摘

Plastic surgery is a competitive and over-subscribed career choice despite minimal medical school exposure. We quantify factors influencing career interest in plastic surgery, speciality appeal and workforce planning. These findings optimise and refine evidence-based plastic surgery training and postgraduate selection criteria.

Methods

Medical students from two national plastic surgery courses complete a post-course questionnaire. Data categories included past experience and career interest in plastic surgery, sources of exposure, motivational factors, and sub-speciality interest. Data were recorded on modified Likert scales, with linear regression and t-test analyses performed.

Results

175 students completed the questionnaire (81% response). Duration of medical student exposure to plastic surgery was significantly associated with career interest (Linear coefficient 0.12, 95% CI 0.08–0.17, P < 0.0001; r² = 0.15). 75 h experience is a significant cut-off to categorise students. Mean (95% CI) career interest is 31 percentage points higher in students with >75 h experience (89.2%, 83.2–95.2) compared to students with ≤75 h experience (58.1%, 52.9–63.3) (P < 0.0001). Influential sources included: (1) Operating Room (2) Consultant/Attending interaction (3) Resident interaction. Motivational factors towards a career in plastic surgery included operative satisfaction (91%), improving patient quality of life (89%), and reconstructive surgery (88%). Sub-speciality interests included: (1) Hand and Upper Limb (28%); (2) Cleft Lip and Palate (26%); (3) Burns (15%).

Conclusion

This study identified influential and motivational factors upon a career in plastic surgery. Medical student exposure can be tailored to maximise positive educational exposure to optimise evidence-based plastic surgery training and workforce planning.