title: A better lifestyle during surgical clerkship may not increase application rates to general surgery.
abstract: BACKGROUND
  Lifestyle has been identified by numerous studies as the number one deterrent to pursuing a career in general surgery. This study tests the hypothesis that a better lifestyle during general surgery clerkship correlates with a higher application rate to general surgery.
  
  
  METHODS
  Canadian Residency Matching Service data from the past 10 years were used to identify institution-specific application rates to general surgery. Through a survey of all fourth-year medical students applying to general surgery in Canada and Canadian undergraduate surgery program directors, the lifestyle of each general surgery clerkship was described and given a score.
  
  
  RESULTS
  Multiple descriptions of the clerkship structure were obtained for every school in Canada to reduce recall bias, with an average of 4 sources per program. One school stood out as the most prolific producer of general surgery applicants, with an average of 7.9% of the total class applying to general surgery each year. This represented 80% more general surgery applicants relative to the national average (p < 0.05). Surprisingly, however, this institution also had the worst clerkship lifestyle score, having a higher call requirement, not sending their clerks home at noon post call, and placing a higher burden of responsibility on their clerks.
  
  
  CONCLUSIONS
  This study suggests that a lifestyle-friendly surgical clerkship may not be necessary to increase recruitment into general surgery.
authors.affiliation: Department of Surgery, Queen's University, Kingston General Hospital, 76 Stuart Street, Kingston, Ontario, K7L 2V7, Canada. samuel_minor@hotmail.com
authors.forename: Samuel
authors.initials: S
authors.lastname: Minor
authors.forename: Jason
authors.initials: J
authors.lastname: Park
authors.forename: Paul
authors.initials: P
authors.lastname: Belliveau
authors.forename: Ross
authors.initials: R
authors.lastname: Walker
mesh_terms: D002170:Canada; D002321:Career Choice; D013502:General Surgery; D006801:Humans; D007396:Internship and Residency; D008019:Life Style; D008511:Medicine; D013038:Specialization; D013337:Students, Medical / Q000523:psychology*