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Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates
CONTEXT: The delineation between selection of surgery and non-surgery residency programmes could provide a pragmatic view of the influences on medical graduates' careers. This would also help coordinators and educators of residency programmes in surgery to further understand the dynamics of spe...
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| Published in: | Journal of postgraduate medicine (Bombay) 2003-07, Vol.49 (3), p.197-200; discussion 201 |
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| Language: | English |
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| container_end_page | 200; discussion 201 |
| container_issue | 3 |
| container_start_page | 197 |
| container_title | Journal of postgraduate medicine (Bombay) |
| container_volume | 49 |
| creator | Avan BI, Raza SA, Hamza H, Khokhar S, Awan F |
| description | CONTEXT: The delineation between selection of surgery and non-surgery
residency programmes could provide a pragmatic view of the influences
on medical graduates' careers. This would also help coordinators and
educators of residency programmes in surgery to further understand the
dynamics of specialty selection. AIMS: To identify the different
factors that influence the graduates to select surgical specialties in
Pakistan. SETTINGS AND DESIGNS: A cross-sectional survey was conducted
in 4 teaching hospitals of Karachi between July 1999 and January 2001.
SUBJECTS and METHODS: A total of 455 residents in 1-5 years of
residency programmes were contacted. Three hundred and forty-one
residents consented to the interview. Residents who were registered
both with the College of Physicians and Surgeons of Pakistan (CPSP) and
the Post Graduate Medical Education (PGME) office of the selected
hospitals were included in this study. STATISTICAL METHOD USED:
Logistic regression analysis. RESULTS: Final multivariate analysis
identified 4 factors that remained significantly associated with the
selection of surgical specialty: deriving gratification from direct
patient care (adjusted odds ratio [aOR] = 5.79; 95% confidence interval
[CI]: 1.24, 26.99), procedure-based medical practice (aOR = 2.85; 95%
CI: 1.23, 6.61), nature of clinical problems (aOR = 3.39; 95% CI: 1.47,
7.84), and lack of consideration of stress during professional work
(aOR = 2.27, 95%CI: 1.25, 4.13). CONCLUSIONS: Direct patient care is
perceived to be an integral part of surgery residency and immediate
patient outcome is a positive influence in selecting surgical
specialty. The inclination towards surgery appeared to be determined by
the type of procedures and technical skills involved in its practice.
The nature of clinical problems is an important determinant of the
choice of specialty. Stress was not perceived to be an important
influencing factor for those who decided to select surgical
specialties. |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_71334527</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A111734169</galeid><sourcerecordid>A111734169</sourcerecordid><originalsourceid>FETCH-LOGICAL-b266t-27494209afe2557ddd601c1893245fa76f11b72cc5178dac4a780b88a39f78ce3</originalsourceid><addsrcrecordid>eNpt0UtLxDAQAOAeFFdX_4IUBG-VPNqmPYr4AkVh9eCpTNPJmjVN1iQ97L-3uruKsMzAwPDNMDB7ySEhjGW8KupJchTCghBaljk_SCY0L2ohRH2YvN2AjM6H9N4qM6CV2s7T-I7pDA3KqJ1NnUpng59rCSadLVFqMHGVQu9G-QwfOkSwOn3E7kfceugGiBiOk30FJuDJpk6T15vrl6u77OHp9v7q8iFrWVnGjIm8zhmpQSErCtF1XUmopFXNWV4oEKWitBVMyoKKqgOZg6hIW1XAayUqiXyanK_3Lr37HDDEptdBojFg0Q2hEZTzvGBihGdrOAeDjbbKRQ_yGzeXlFLBc1rWo8p2qDla9GCcRaXH9j9_scOP0WGv5c6B0829Q9tj1yy97sGvmu1P_ja22hlt8VdIr6HZNhfLMQknheBfnamWJw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71334527</pqid></control><display><type>article</type><title>Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates</title><source>IngentaConnect Journals</source><creator>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</creator><creatorcontrib>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</creatorcontrib><description>CONTEXT: The delineation between selection of surgery and non-surgery
residency programmes could provide a pragmatic view of the influences
on medical graduates' careers. This would also help coordinators and
educators of residency programmes in surgery to further understand the
dynamics of specialty selection. AIMS: To identify the different
factors that influence the graduates to select surgical specialties in
Pakistan. SETTINGS AND DESIGNS: A cross-sectional survey was conducted
in 4 teaching hospitals of Karachi between July 1999 and January 2001.
SUBJECTS and METHODS: A total of 455 residents in 1-5 years of
residency programmes were contacted. Three hundred and forty-one
residents consented to the interview. Residents who were registered
both with the College of Physicians and Surgeons of Pakistan (CPSP) and
the Post Graduate Medical Education (PGME) office of the selected
hospitals were included in this study. STATISTICAL METHOD USED:
Logistic regression analysis. RESULTS: Final multivariate analysis
identified 4 factors that remained significantly associated with the
selection of surgical specialty: deriving gratification from direct
patient care (adjusted odds ratio [aOR] = 5.79; 95% confidence interval
[CI]: 1.24, 26.99), procedure-based medical practice (aOR = 2.85; 95%
CI: 1.23, 6.61), nature of clinical problems (aOR = 3.39; 95% CI: 1.47,
7.84), and lack of consideration of stress during professional work
(aOR = 2.27, 95%CI: 1.25, 4.13). CONCLUSIONS: Direct patient care is
perceived to be an integral part of surgery residency and immediate
patient outcome is a positive influence in selecting surgical
specialty. The inclination towards surgery appeared to be determined by
the type of procedures and technical skills involved in its practice.
The nature of clinical problems is an important determinant of the
choice of specialty. Stress was not perceived to be an important
influencing factor for those who decided to select surgical
specialties.</description><identifier>ISSN: 0022-3859</identifier><identifier>PMID: 14597779</identifier><language>eng</language><publisher>India: Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India</publisher><subject>Career Choice ; Career development ; Cross-Sectional Studies ; Curricula ; Female ; Humans ; Internship and Residency ; Male ; Medical students ; Pakistan ; Planning ; Specialties, Surgical ; Study and teaching ; Surgery ; Surveys and Questionnaires</subject><ispartof>Journal of postgraduate medicine (Bombay), 2003-07, Vol.49 (3), p.197-200; discussion 201</ispartof><rights>Copyright 2003 Journal of Postgraduate Medicine. Online full text also at http://www.jpgmonline.com</rights><rights>COPYRIGHT 2003 Medknow Publications and Media Pvt. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14597779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</creatorcontrib><title>Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates</title><title>Journal of postgraduate medicine (Bombay)</title><addtitle>J Postgrad Med</addtitle><description>CONTEXT: The delineation between selection of surgery and non-surgery
residency programmes could provide a pragmatic view of the influences
on medical graduates' careers. This would also help coordinators and
educators of residency programmes in surgery to further understand the
dynamics of specialty selection. AIMS: To identify the different
factors that influence the graduates to select surgical specialties in
Pakistan. SETTINGS AND DESIGNS: A cross-sectional survey was conducted
in 4 teaching hospitals of Karachi between July 1999 and January 2001.
SUBJECTS and METHODS: A total of 455 residents in 1-5 years of
residency programmes were contacted. Three hundred and forty-one
residents consented to the interview. Residents who were registered
both with the College of Physicians and Surgeons of Pakistan (CPSP) and
the Post Graduate Medical Education (PGME) office of the selected
hospitals were included in this study. STATISTICAL METHOD USED:
Logistic regression analysis. RESULTS: Final multivariate analysis
identified 4 factors that remained significantly associated with the
selection of surgical specialty: deriving gratification from direct
patient care (adjusted odds ratio [aOR] = 5.79; 95% confidence interval
[CI]: 1.24, 26.99), procedure-based medical practice (aOR = 2.85; 95%
CI: 1.23, 6.61), nature of clinical problems (aOR = 3.39; 95% CI: 1.47,
7.84), and lack of consideration of stress during professional work
(aOR = 2.27, 95%CI: 1.25, 4.13). CONCLUSIONS: Direct patient care is
perceived to be an integral part of surgery residency and immediate
patient outcome is a positive influence in selecting surgical
specialty. The inclination towards surgery appeared to be determined by
the type of procedures and technical skills involved in its practice.
The nature of clinical problems is an important determinant of the
choice of specialty. Stress was not perceived to be an important
influencing factor for those who decided to select surgical
specialties.</description><subject>Career Choice</subject><subject>Career development</subject><subject>Cross-Sectional Studies</subject><subject>Curricula</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Medical students</subject><subject>Pakistan</subject><subject>Planning</subject><subject>Specialties, Surgical</subject><subject>Study and teaching</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><issn>0022-3859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpt0UtLxDAQAOAeFFdX_4IUBG-VPNqmPYr4AkVh9eCpTNPJmjVN1iQ97L-3uruKsMzAwPDNMDB7ySEhjGW8KupJchTCghBaljk_SCY0L2ohRH2YvN2AjM6H9N4qM6CV2s7T-I7pDA3KqJ1NnUpng59rCSadLVFqMHGVQu9G-QwfOkSwOn3E7kfceugGiBiOk30FJuDJpk6T15vrl6u77OHp9v7q8iFrWVnGjIm8zhmpQSErCtF1XUmopFXNWV4oEKWitBVMyoKKqgOZg6hIW1XAayUqiXyanK_3Lr37HDDEptdBojFg0Q2hEZTzvGBihGdrOAeDjbbKRQ_yGzeXlFLBc1rWo8p2qDla9GCcRaXH9j9_scOP0WGv5c6B0829Q9tj1yy97sGvmu1P_ja22hlt8VdIr6HZNhfLMQknheBfnamWJw</recordid><startdate>200307</startdate><enddate>200307</enddate><creator>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</creator><general>Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India</general><general>Medknow Publications and Media Pvt. Ltd</general><scope>RBI</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200307</creationdate><title>Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates</title><author>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b266t-27494209afe2557ddd601c1893245fa76f11b72cc5178dac4a780b88a39f78ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Career Choice</topic><topic>Career development</topic><topic>Cross-Sectional Studies</topic><topic>Curricula</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Medical students</topic><topic>Pakistan</topic><topic>Planning</topic><topic>Specialties, Surgical</topic><topic>Study and teaching</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of postgraduate medicine (Bombay)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avan BI, Raza SA, Hamza H, Khokhar S, Awan F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates</atitle><jtitle>Journal of postgraduate medicine (Bombay)</jtitle><addtitle>J Postgrad Med</addtitle><date>2003-07</date><risdate>2003</risdate><volume>49</volume><issue>3</issue><spage>197</spage><epage>200; discussion 201</epage><pages>197-200; discussion 201</pages><issn>0022-3859</issn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>CONTEXT: The delineation between selection of surgery and non-surgery
residency programmes could provide a pragmatic view of the influences
on medical graduates' careers. This would also help coordinators and
educators of residency programmes in surgery to further understand the
dynamics of specialty selection. AIMS: To identify the different
factors that influence the graduates to select surgical specialties in
Pakistan. SETTINGS AND DESIGNS: A cross-sectional survey was conducted
in 4 teaching hospitals of Karachi between July 1999 and January 2001.
SUBJECTS and METHODS: A total of 455 residents in 1-5 years of
residency programmes were contacted. Three hundred and forty-one
residents consented to the interview. Residents who were registered
both with the College of Physicians and Surgeons of Pakistan (CPSP) and
the Post Graduate Medical Education (PGME) office of the selected
hospitals were included in this study. STATISTICAL METHOD USED:
Logistic regression analysis. RESULTS: Final multivariate analysis
identified 4 factors that remained significantly associated with the
selection of surgical specialty: deriving gratification from direct
patient care (adjusted odds ratio [aOR] = 5.79; 95% confidence interval
[CI]: 1.24, 26.99), procedure-based medical practice (aOR = 2.85; 95%
CI: 1.23, 6.61), nature of clinical problems (aOR = 3.39; 95% CI: 1.47,
7.84), and lack of consideration of stress during professional work
(aOR = 2.27, 95%CI: 1.25, 4.13). CONCLUSIONS: Direct patient care is
perceived to be an integral part of surgery residency and immediate
patient outcome is a positive influence in selecting surgical
specialty. The inclination towards surgery appeared to be determined by
the type of procedures and technical skills involved in its practice.
The nature of clinical problems is an important determinant of the
choice of specialty. Stress was not perceived to be an important
influencing factor for those who decided to select surgical
specialties.</abstract><cop>India</cop><pub>Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India</pub><pmid>14597779</pmid></addata></record> |
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| identifier | ISSN: 0022-3859 |
| ispartof | Journal of postgraduate medicine (Bombay), 2003-07, Vol.49 (3), p.197-200; discussion 201 |
| issn | 0022-3859 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71334527 |
| source | IngentaConnect Journals |
| subjects | Career Choice Career development Cross-Sectional Studies Curricula Female Humans Internship and Residency Male Medical students Pakistan Planning Specialties, Surgical Study and teaching Surgery Surveys and Questionnaires |
| title | Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates |
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