Evidence map›Paper›PMID 37442696›Full record

ArticleJournal of surgical education2023

Survey Study of Clerkship Curriculum on Learner's Choice to Pursue Surgery: Positive Impact of Extracurricular Opportunities.

Yoshiko Iwai, Alice Yunzi L Yu, Samantha M Thomas, Carolyn S Quinsey, Georgia M Beasley, Ranjan Sudan, Oluwadamilola M Fayanju

Open access · greenAbstract read
In one paragraph

Article in Journal of surgical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Yoshiko IwaiDepartment of Surgery, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina. Electronic address: yoshiko_iwai@med.unc.edu.
Alice Yunzi L YuDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois. Electronic address: aliceyunzi.yu@northwestern.edu.
Samantha M ThomasDuke Cancer Institute, Duke University School of Medicine, Durham, North Carolina; Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, North Carolina.
Carolyn S QuinseyDepartment of Neurosurgery, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina.
Georgia M BeasleyDuke Cancer Institute, Duke University School of Medicine, Durham, North Carolina; Department of Surgery, Duke University School of Medicine, Durham, North Carolina.
Ranjan SudanDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina.
Oluwadamilola M FayanjuDivision of Breast Surgery, Department of Surgery, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania; Rena Rowan Breast Center, Abramson Cancer Center, Philadelphia, Pennsylvania; Penn Center for Cancer Care Innovation (PC3I), The University of Pennsylvania, Philadelphia, Pennsylvania; Leonard Davis Institute of Health Economics (LDI), The University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: Oluwadamilola.Fayanju@pennmedicine.upenn.edu.
Duke University · USUniversity of North Carolina at Chapel Hill · USNorthwestern University · USPenn Center for AIDS Research · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
Using Modifiable Risk Factors to Predict Inferior Care and Survival after Breast Cancer Diagnosis: A Novel Approach to Addressing Health DisparitiesK08CA241390 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FAYANJU, OLUWADAMILOLA M. · 2019 to 2023
$1.1M
NCI NIH HHS K08 CA241390NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

objectivePrior studies have focused on the role of the learning environment on students' decisions to pursue surgery, but few have analyzed the impact of the clerkship curriculum. This study assessed surgical clerkship curricula across United States (US) medical schools and their impact on students' likelihood of pursuing a surgical residency.

designA cross-sectional survey was developed to assess surgery clerkship characteristics. Questions included clerkship duration, number of offered and required surgical services, method of service assignment, and number of advanced clinical electives (e.g., fourth-year sub-internships) and additional surgical clinical opportunities (e.g., surgical elective rotations). Survey results were merged by the Association of American Medical Colleges with the percentages of students who matched into a surgical specialty. Linear regression models estimated the association of covariates with the percentage of students who (1) matched in surgical specialties, (2) were interested in surgery at medical school matriculation and ultimately matched into surgical residency (retention rate), and (3) were not interested in surgery at medical school matriculation but ultimately matched into surgical residency (recruitment rate).

settingThe survey was distributed to clerkship directors and coordinators at 66 medical schools through the Association for Surgical Education (ASE) from 5/1/2021 to 8/1/2021.

participantsAll US medical schools in the ASE.

resultsA total of 21 medical schools responded (34.8% response rate). The overall retention rate was 36.4%, and the overall recruitment rate was 25.0%. Clerkships were 4 to 12 weeks. In 81% of programs, students submitted preferences and were assigned services. The percentage of students applying to surgical specialties was not associated with clerkship duration (p=0.79) or the number of required services (p=0.15), subspecialty services offered (p=0.33), or advanced clinical electives (p=0.24) but was associated with a program's having additional surgical clinical opportunities (p=0.02). Most of these factors were not associated with retention or recruitment rates.

conclusionsOffering more extracurricular surgical clinical opportunities was associated with having more students pursue surgical careers. Though limited by a relatively small sample size, our findings suggest that having shorter clerkships or limited subspecialty offerings may not have a significant influence on students' career choices.

Indexed as

Clinical ClerkshipEducation, Medical, UndergraduateStudents, MedicalCareer ChoiceCross-Sectional StudiesCurriculumHumansUnited Statescurriculummedical educationmedical knowledgesurgical educationundergraduate medical education

Identifiers

PMID37442696
PMCPMC10806402
OpenAlexW4384038521

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.