title: Does a general surgery clerkship influence student perceptions of surgeons and surgical careers?
abstract: BACKGROUND
  Student perceptions of surgeons and surgical careers may influence their decision to pursue a surgical career. We evaluated the impact of a general surgery clerkship on medical student perceptions of surgeons and surgical careers and of the clerkship on student interest in surgical careers.
  
  
  METHODS
  We conducted voluntary pre- and postclerkship surveys of third-year medical students who were enrolled in their required general surgery clerkship and used 5-point Likert scale rankings to capture agreement with declarative statements (1 = strongly agree; 5 = strongly disagree). T-tests were used to evaluate both paired and individual items.
  
  
  RESULTS
  Students indicated that their surgical clerkship improved their opinion of surgeons (2.47; P <.001). Several perceptions changed after the clerkship. First, students agreed more strongly that surgeons were compassionate physicians (ranking, 2.87 vs 2.53; P =.003) and that patients respected surgeons (ranking, 1.84 vs 1.62; P =.026). Acknowledgment of career satisfaction by students increased (ranking, 2.57 vs 2.22; P =.008). Students more strongly disagreed that "surgeons [were] respectful of other physicians" (ranking, 3.29 vs 3.62; P =.009). Interest in surgical careers did not change significantly during the clerkship (ranking, 2.83 vs 2.68; P =.218).
  
  
  CONCLUSIONS
  Medical student perceptions of surgeons and surgical careers generally improve during the surgical clerkship. However, student impressions of surgeons' collegial behavior and commitment to teaching deteriorate significantly during the surgical clerkship.
authors.affiliation: Salt Lake City Veterans Affairs Healthcare System and Department of Surgery, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
authors.forename: Amalia
authors.initials: A
authors.lastname: Cochran
authors.forename: Judy L
authors.initials: JL
authors.lastname: Paukert
authors.forename: Leigh A
authors.initials: LA
authors.lastname: Neumayer
mesh_terms: D000328:Adult; D002321:Career Choice; D002982:Clinical Clerkship; D013502:General Surgery; D006801:Humans; D010465:Perception; D010820:Physicians; D013337:Students, Medical / Q000523:psychology*; D014481:United States