title: An analysis of medical students' attitude to surgical careers and pursuing intercalated research degrees.
abstract: BACKGROUND
  Major changes are occurring in surgical training in the UK and Ireland. Training time is reduced due to the introduction of run-through training and the EWTD. Streamlined training also may affect the number of trainees engaging in full-time higher degrees by research, in spite of the fact that those who do engage are more academically productive. This study assesses the attitudes of medical students towards a career in surgery and their attitudes to research, especially in the context of an intercalated degree programme.
  
  
  METHODS
  615 students comprising both undergraduates and postgraduates from RCSI were surveyed. The influence of a number of factors was ranked using five-point Likert scales. Students were asked to rate the importance of research to their future careers.
  
  
  RESULTS
  595 (97 %) of those surveyed completed the questionnaire satisfactorily. Those interested in surgery were more likely to be male, undergraduate students and younger. Factors encouraging students to pursue a surgical career were prestige, identification of a surgical mentor, financial reward and research opportunities on offer (p < 0.001 in all cases). Almost 27 % of students had already engaged with some form of research project. A significant proportion of those interested and not interested in surgery (26 and 29 % respectively) would consider taking time out to do an intercalated research degree as part of their primary medical studies.
  
  
  CONCLUSIONS
  Surgical training faces significant challenges. One way to encourage the next generation of academic surgeons may be to offer some candidates intercalated research degrees while pursuing their medical qualification.
authors: Department of Surgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland. jarbolger@rcsi.ie.
authors: J C
authors: JC
authors: Bolger
authors: Department of Surgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
authors: F
authors: F
authors: MacNamara
authors: Department of Surgery, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
authors: A D
authors: AD
authors: Hill
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001290:Attitude; D035843:Biomedical Research / Q000193:education*; D002321:Career Choice; D004503:Education, Medical, Graduate; D005260:Female; D013502:General Surgery; D006801:Humans; D007182:Income; D007494:Ireland; D008297:Male; D008611:Mentors; D012737:Sex Factors; D013337:Students, Medical / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Intercalated degrees; Medical students; Surgical training
references: Br J Hosp Med (Lond). 2013 May;74(5):282-4
references: 23657024
references: Am J Surg. 2005 Jun;189(6):742-6
references: 15910730
references: Ir J Med Sci. 2013 Sep;182(3):337-43
references: 23242574
references: J Surg Educ. 2014 Jul-Aug;71(4):486-91
references: 24794064
references: Surgeon. 2010 Aug;8(4):187-91
references: 20569936
references: J Am Coll Surg. 2006 Aug;203(2):177-85
references: 16864030
references: BMJ. 2002 Feb 23;324(7335):437-8
references: 11859032
references: Surgeon. 2009 Oct;7(5):270-5
references: 19848059
references: Am J Surg. 2014 Oct;208(4):550-5
references: 25129429
references: Teach Learn Med. 2013;25(1):77-83
references: 23330899
references: Clin Med (Lond). 2012 Dec;12 (6):530-4
references: 23342406
references: Ir J Med Sci. 2013 Sep;182(3):383-7
references: 23288473
references: Surgeon. 2012 Feb;10 (1):9-15
references: 22233551
references: Surgeon. 2009 Dec;7(6):382; author reply 382
references: 20681385
references: JAMA. 2008 Sep 10;300(10):1165-73
references: 18780845
references: JAMA. 2009 Sep 23;302(12):1301-8
references: 19773565
references: Postgrad Med J. 2014 Oct;90(1068):557-64
references: 25136138
references: Ann R Coll Surg Engl. 2004 Mar;86(2):125-7
references: 15005933