title: Factors influencing surgical career decisions.
abstract: OBJECTIVE
  The purpose of this project is to evaluate factors that residents consider when choosing a career in surgery or a surgical subspecialty. Once these factors are identified, surgical residency programs may use the information in their recruiting efforts to attract the most qualified applicants for postgraduate surgical training.
  
  
  METHODS
  A descriptive survey consisting of 20 questions was conducted. Surgical residents were surveyed about student loan debt, career decisions and influencing factors, and demographic data.
  
  
  METHODS
  A 2-page, Institutional Review Board-approved, survey was mailed to program directors of 40 general surgery residency programs. Included in the packet were copies of the survey, a letter to the program director, and a self-addressed prestamped envelope for return of the completed survey. The program directors were asked to have their residents complete the survey during a normally scheduled meeting and to collect and return the surveys.
  
  
  METHODS
  General surgery residents in residency programs randomly chosen throughout the country were surveyed. These residents included all postgraduate levels of training.
  
  
  RESULTS
  Among 6 choices for entering a surgical residency, a strong desire to become a surgeon was the response chosen most often by residents. Over 50% of those surveyed indicated that they planned to pursue subspecialty training. Family ties was the most quoted influencing factor for choosing a geographical location for practice. Amount of student loan debt correlated with the perception of medical school being a financially wise decision, yet had little influence on the decision to subspecialize.
  
  
  CONCLUSIONS
  A strong desire and passion for surgery was the predominant reason for choosing a career in surgery in this survey. Only 15% of general surgery residents surveyed intend to join the workforce as general surgeons. With the rising average age of the general population, this implies a significant shortage of general surgeons in the near future.
authors.affiliation: Department of Surgery, Synergy Medical Education Alliance, Michigan State University, College of Human Medicine, Saginaw, Michigan, USA. incorvaiaA@aol.com
authors.forename: Angelo N
authors.initials: AN
authors.lastname: Incorvaia
authors.forename: Chad D
authors.initials: CD
authors.lastname: Ringley
authors.forename: Dennis A
authors.initials: DA
authors.lastname: Boysen
mesh_terms: D002321:Career Choice; D005257:Fellowships and Scholarships / Q000706:statistics & numerical data; D013502:General Surgery / Q000191:economics; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D008019:Life Style; D012456:Salaries and Fringe Benefits / Q000706:statistics & numerical data; D014146:Training Support / Q000706:statistics & numerical data