{"title":"性别比种族或残疾更能影响英国医科学生对心胸外科职业的选择。","authors":"","doi":"10.1016/j.surge.2024.06.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Cardiothoracic surgery has reported poor equality, diversity, and inclusion amongst its faculty [1–3]. We explored how gender, ethnicity, and disability influence medical students’ interest in cardiothoracic surgery as a career choice, as well as overall exposure to cardiothoracic surgery in the undergraduate curriculum.</p></div><div><h3>Methods</h3><p>We distributed a 26-item Google Forms online survey to student members of a medical education group from all 37 UK medical schools via social media. Respondents were asked to rank different ‘factors of interest’ on a 1–5 Likert scale (1 = not important at all, 5 = very important) and were encouraged to add free-text comments. Quantitative data were analysed using SPSS.</p></div><div><h3>Results</h3><p>There were 258 respondents, 62% identifying as female and 38% male. Respondents' ethnicities were 45% White, 44% Asian or Asian British, and 11% from other ethnic groups. 11% of respondents confirmed ‘long-standing illness or disability’.</p><p>Men were almost twice as likely to consider a career in cardiothoracic surgery than women (33% vs 19%; p < 0.001). Women were more likely than men to feel that their gender, lack of a similarly gendered mentor, and long working hours were important factors when considering cardiothoracic surgery as a career.</p><p>Ethnicity of the respondent did not appear to affect how they perceived the challenges of a career in cardiothoracic surgery. Interestingly, ‘long-standing illness or disability’ did not significantly affect the decision making to consider this specialty as a career.</p><p>Overall, 73% of respondents reported not having adequate exposure to cardiothoracic surgery at medical school and agreed they would benefit from more time.</p></div><div><h3>Conclusions</h3><p>Female medical students felt their gender, lack of same-sex role models, and perceived long working hours were barriers in considering cardiothoracic surgery as a career. All students felt the need for more exposure to Cardiothoracic Surgery in the undergraduate curriculum.</p></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1479666X2400060X/pdfft?md5=b6cce12e3ac79e335c27393ba4763dfd&pid=1-s2.0-S1479666X2400060X-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Gender more than ethnicity or disability influences the choice of a career in cardiothoracic surgery by United Kingdom medical students\",\"authors\":\"\",\"doi\":\"10.1016/j.surge.2024.06.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Cardiothoracic surgery has reported poor equality, diversity, and inclusion amongst its faculty [1–3]. We explored how gender, ethnicity, and disability influence medical students’ interest in cardiothoracic surgery as a career choice, as well as overall exposure to cardiothoracic surgery in the undergraduate curriculum.</p></div><div><h3>Methods</h3><p>We distributed a 26-item Google Forms online survey to student members of a medical education group from all 37 UK medical schools via social media. Respondents were asked to rank different ‘factors of interest’ on a 1–5 Likert scale (1 = not important at all, 5 = very important) and were encouraged to add free-text comments. Quantitative data were analysed using SPSS.</p></div><div><h3>Results</h3><p>There were 258 respondents, 62% identifying as female and 38% male. Respondents' ethnicities were 45% White, 44% Asian or Asian British, and 11% from other ethnic groups. 11% of respondents confirmed ‘long-standing illness or disability’.</p><p>Men were almost twice as likely to consider a career in cardiothoracic surgery than women (33% vs 19%; p < 0.001). Women were more likely than men to feel that their gender, lack of a similarly gendered mentor, and long working hours were important factors when considering cardiothoracic surgery as a career.</p><p>Ethnicity of the respondent did not appear to affect how they perceived the challenges of a career in cardiothoracic surgery. Interestingly, ‘long-standing illness or disability’ did not significantly affect the decision making to consider this specialty as a career.</p><p>Overall, 73% of respondents reported not having adequate exposure to cardiothoracic surgery at medical school and agreed they would benefit from more time.</p></div><div><h3>Conclusions</h3><p>Female medical students felt their gender, lack of same-sex role models, and perceived long working hours were barriers in considering cardiothoracic surgery as a career. All students felt the need for more exposure to Cardiothoracic Surgery in the undergraduate curriculum.</p></div>\",\"PeriodicalId\":49463,\"journal\":{\"name\":\"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-07-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1479666X2400060X/pdfft?md5=b6cce12e3ac79e335c27393ba4763dfd&pid=1-s2.0-S1479666X2400060X-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1479666X2400060X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1479666X2400060X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Gender more than ethnicity or disability influences the choice of a career in cardiothoracic surgery by United Kingdom medical students
Objectives
Cardiothoracic surgery has reported poor equality, diversity, and inclusion amongst its faculty [1–3]. We explored how gender, ethnicity, and disability influence medical students’ interest in cardiothoracic surgery as a career choice, as well as overall exposure to cardiothoracic surgery in the undergraduate curriculum.
Methods
We distributed a 26-item Google Forms online survey to student members of a medical education group from all 37 UK medical schools via social media. Respondents were asked to rank different ‘factors of interest’ on a 1–5 Likert scale (1 = not important at all, 5 = very important) and were encouraged to add free-text comments. Quantitative data were analysed using SPSS.
Results
There were 258 respondents, 62% identifying as female and 38% male. Respondents' ethnicities were 45% White, 44% Asian or Asian British, and 11% from other ethnic groups. 11% of respondents confirmed ‘long-standing illness or disability’.
Men were almost twice as likely to consider a career in cardiothoracic surgery than women (33% vs 19%; p < 0.001). Women were more likely than men to feel that their gender, lack of a similarly gendered mentor, and long working hours were important factors when considering cardiothoracic surgery as a career.
Ethnicity of the respondent did not appear to affect how they perceived the challenges of a career in cardiothoracic surgery. Interestingly, ‘long-standing illness or disability’ did not significantly affect the decision making to consider this specialty as a career.
Overall, 73% of respondents reported not having adequate exposure to cardiothoracic surgery at medical school and agreed they would benefit from more time.
Conclusions
Female medical students felt their gender, lack of same-sex role models, and perceived long working hours were barriers in considering cardiothoracic surgery as a career. All students felt the need for more exposure to Cardiothoracic Surgery in the undergraduate curriculum.
期刊介绍：
Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field.
Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.
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