The impact of medical student interest in surgery on clerkship performance and career choice

Am J Surg. 2020 Feb;219(2):359-365. doi: 10.1016/j.amjsurg.2019.09.040. Epub 2019 Oct 9.

Abstract

Background: Interest in surgery has declined for two decades. This study aimed to evaluate the impact of one's interest in surgery on career choice.

Methods: Students who completed the surgical clerkship (2016-2017) were invited to complete surveys assessing rotation experience, learning style, burnout, and grit. Students were grouped according to interest or no interest in surgery after the clerkship.

Results: Surveys were completed by 62 students of whom 51.6% reported an interest in surgery. No minority students expressed interest compared with Caucasian (51.1%) and Asian (71.4%) students (p = 0.02). Disinterested students had higher emotional exhaustion (EE, 20 vs 25, p = 0.03). There was no difference in clerkship grade between groups (86.3% vs 85.3%, p = 0.56). Students who matched into surgery had lower EE and higher grit.

Conclusions: Interest in surgery was not associated with improved clerkship performance. Disinterested students had higher EE, suggesting interest may play a role in adapting to clerkship challenges.

Keywords: Burnout; Grit; Learning styles; Medical students; Surgical education.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attitude of Health Personnel
  • Career Choice*
  • Clinical Clerkship / organization & administration*
  • Clinical Competence*
  • Education, Medical, Undergraduate / organization & administration*
  • Female
  • General Surgery / education*
  • Humans
  • Male
  • Students, Medical / psychology*
  • Students, Medical / statistics & numerical data
  • Surveys and Questionnaires
  • Task Performance and Analysis
  • Young Adult