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A survey of how and why medical students and junior doctors choose a career in ENT surgery

Published online by Cambridge University Press:  17 October 2016

M Bhutta*
Affiliation:
UCL Ear Institute, London, UK Children's Surgical Centre, Phnom Penh, Cambodia
R Mandavia
Affiliation:
UCL Ear Institute, London, UK
I Syed
Affiliation:
ENT Department, University Hospital Lewisham, London, UK
A Qureshi
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford, UK
R Hettige
Affiliation:
ENT Department, John Radcliffe Hospital, Oxford, UK
B Y W Wong
Affiliation:
ENT Department, Pinderfield Hospitals, Wakefield, UK
S Saeed
Affiliation:
UCL Ear Institute, London, UK Royal National Throat, Nose and Ear Hospital, London, UK
J Cartledge
Affiliation:
Academic Centre for Medical Education, University College London, UK
*
Address for correspondence: Mr Mahmood Bhutta, Children's Surgical Centre, Phnom Penh, Cambodia E-mail: m.bhutta@doctors.org.uk

Abstract

Objective:

To ascertain determinants of an interest in a career in ENT surgery through a survey of medical students and junior doctors.

Methods:

A survey was administered, comprising Likert scales, forced response and single option questions, and free text responses, at five different courses or events for those interested in a career in ENT.

Results:

The survey had an 87 per cent response rate; respondents consisted of 43 applicants for national selection, 15 foundation doctors and 23 medical students. The most important factors that encourage ENT as a career included: the variety of operative procedures, work–life balance, inherent interest in this clinical area and inspirational senior role models. Exposure to ENT in undergraduate or post-graduate training is critical in deciding to pursue this specialty.

Conclusion:

It is important to promote those aspects of ENT surgery that attract people to it, and to argue for greater exposure to ENT during undergraduate and post-graduate training.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Maiorova, T, Stevens, F, Scherpbier, A, van der Zee, J. The impact of clerkships on students' specialty preferences: what do undergraduates learn for their profession? Med Educ 2008;42:554–62CrossRefGoogle ScholarPubMed
2 Sternszus, R, Cruess, S, Cruess, R, Young, M, Steinert, Y. Residents as role models: impact on undergraduate trainees. Acad Med 2012;87:1282–7CrossRefGoogle ScholarPubMed
3 McCord, JH, McDonald, R, Sippel, RS, Leverson, G, Mahvi, DM, Weber, SM. Surgical career choices: the vital impact of mentoring. J Surg Res 2009;155:136–41CrossRefGoogle ScholarPubMed
4 Newton, DA, Grayson, MS, Thompson, LF. The variable influence of lifestyle and income on medical students' career specialty choices: data from two U.S. medical schools, 1998–2004. Acad Med 2005;80:809–14CrossRefGoogle ScholarPubMed
5 Scott, IM, Matejcek, AN, Gowans, MC, Wright, BJ, Brenneis, FR. Choosing a career in surgery: factors that influence Canadian medical students' interest in pursuing a surgical career. Can J Surg 2008;51:371–7Google Scholar
6 Lefevre, JH, Roupret, M, Kerneis, S, Karila, L. Career choices of medical students: a national survey of 1780 students. Med Educ 2010;44:603–12CrossRefGoogle ScholarPubMed
7 van der Horst, K, Siegrist, M, Orlow, P, Giger, M. Residents' reasons for specialty choice: influence of gender, time, patient and career. Med Educ 2010;44:595602 CrossRefGoogle ScholarPubMed
8 West, CP, Drefahl, MM, Popkave, C, Kolars, JC. Internal medicine resident self-report of factors associated with career decisions. J Gen Intern Med 2009;24:946–9CrossRefGoogle ScholarPubMed
9 Irish, B, Lake, J. When and why do doctors decide to become general practitioners? Implications for recruitment into UK general practice specialty training. Educ Prim Care 2011;22:20–4CrossRefGoogle ScholarPubMed
10 Goodyear, HM, Lakshminarayana, I, Wall, D, Bindal, T. Choosing a career in paediatrics: do trainees' views change over the first year of specialty training? JRSM Open 2014;5:2054270414536552CrossRefGoogle ScholarPubMed
11 Bindal, T, Wall, D, Goodyear, HM. Medical students' views on selecting paediatrics as a career choice. Eur J Pediatr 2011;170:1193–9CrossRefGoogle ScholarPubMed
12 Lyons, Z. Impact of the psychiatry clerkship on medical student attitudes towards psychiatry and to psychiatry as a career. Acad Psychiatry 2014;38:3542 CrossRefGoogle ScholarPubMed
13 Augustin, ID, Long, TR, Rose, SH, Wass, CT. Recruitment of house staff into anesthesiology: a longitudinal evaluation of factors responsible for selecting a career in anesthesiology and an individual training program. J Clin Anesth 2014;26:91105 CrossRefGoogle Scholar
14 Seelandt, JC, Kaderli, RM, Tschan, F, Businger, AP. The surgeon's perspective: promoting and discouraging factors for choosing a career in surgery as perceived by surgeons. PloS One 2014;9:e102756 CrossRefGoogle Scholar
15 Marshall, DC, Salciccioli, JD, Walton, SJ, Pitkin, J, Shalhoub, J, Malietzis, G. Medical student experience in surgery influences their career choices: a systematic review of the literature. J Surg Educ 2015;72:438–45CrossRefGoogle Scholar
16 McCaffrey, JC. Medical student selection of otolaryngology-head and neck surgery as a specialty: influences and attitudes. Otolaryngol Head Neck Surg 2005;133:825–30CrossRefGoogle ScholarPubMed
17 Royal College of Surgeons of England. Surgical Workforce 2011. London: Royal College of Surgeons of England, 2012 Google Scholar
18 Dorsey, ER, Jarjoura, D, Rutecki, GW. Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA 2003;290:1173–8CrossRefGoogle ScholarPubMed
19 Burack, JH, Irby, DM, Carline, JD, Ambrozy, DM, Ellsbury, KE, Stritter, FT. A study of medical students' specialty-choice pathways: trying on possible selves. Acad Med 1997;72:534–41CrossRefGoogle ScholarPubMed
20 Davies, KL, Elhassan, HA. Clinical ear, nose and throat training as a percentage of the undergraduate medical curriculum. Clin Otolaryngol 2012;37:500–1CrossRefGoogle ScholarPubMed
21 Khan, MM, Saeed, SR. Provision of undergraduate otorhinolaryngology teaching within General Medical Council approved UK medical schools: what is current practice? J Laryngol Otol 2012;126:340–4CrossRefGoogle ScholarPubMed
22 Ranta, M, Hussain, SS, Gardiner, Q. Factors that inform the career choice of medical students: implications for otolaryngology. J Laryngol Otol 2002;116:839–41CrossRefGoogle ScholarPubMed
23 Surman, G, Lambert, TW, Goldacre, MJ. Trends in junior doctors' certainty about their career choice of eventual clinical specialty: UK surveys. Postgrad Med J 2013;89:632–7CrossRefGoogle ScholarPubMed
24 Goldacre, MJ, Laxton, L, Harrison, EM, Richards, JM, Lambert, TW, Parks, RW. Early career choices and successful career progression in surgery in the UK: prospective cohort studies. BMC Surgery 2010;10:32 CrossRefGoogle Scholar
25 Powell, S, Doshi, J. Career choices in otolaryngology: implications for modernising medical careers. Clin Otolaryngol 2007;32:219–20CrossRefGoogle ScholarPubMed