AI Article Synopsis

  • The study aimed to compare factors influencing match rates into general surgery among medical students from two different campuses.
  • Results showed that the match rate was significantly higher for students on the hybrid campus (14.7%) compared to the academic campus (4.0%), linked to more OR time and student engagement.
  • The findings suggest that to improve match rates, programs should maximize student participation in surgeries and provide more clinical exposure during clerkships.

Article Abstract

Objective: The purpose of this study was to compare factors that contribute to increased match rates into general surgery.

Design: Survey study.

Setting: University of Kansas School of Medicine Campuses.

Participants: A survey assessing experiences and perceptions during their surgical clerkship was sent to graduating medical students from a single university with a hybrid (academic-affiliated community-based) campus, and an academic campus. Specific questions were asked with regard to residents and attendings, procedural experiences, perceived lifestyle, and general interest in surgery before and after clerkship.

Results: The match rate into general surgery was significantly higher on the hybrid campus (14.7% vs 4.0%, p = 0.215). Factors that were positively correlated with interest in surgery included interactions with attendings (0.86) and residents (0.63), time spent in the OR (0.77), participation in the OR (0.62), and complexity of cases (0.61). Students on the hybrid campus spent more weeks on general surgery services (6 vs 4, p < 0.001). More students from the hybrid campus were "Not interested at all" in surgery prior to their surgery clerkship (26.5% vs 16.0). Significantly more academic students indicated they were "Not interested at all" in surgery after their surgery clerkship (52.0 vs 17.6%), while more students on the hybrid campus indicated they were "extremely interested" (29.4 vs 12.0%, p = 0.005) after their surgery clerkship.

Conclusion: The rate of students matching into general surgery between the 2 campuses are different, with the hybrid campus having nearly 4 times the rate of students matching into general surgery. Programs may be able to increase their match rate by allowing students more opportunities to participate in the operating room, spending more time on a general surgery service, and by ensuring that medical students are included as members of the surgical team.

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Source
http://dx.doi.org/10.1016/j.jsurg.2019.12.004DOI Listing

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