Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil
Abstract Background Lack of providers in surgery, anesthesia, and obstetrics (SAO) is a primary driver of limited surgical capacity worldwide. We aimed to identify predictors of entry into Surgery, Anesthesia, and Obstetrics and Gynecology (SAO) fields and preference of working in the public sector...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12909-019-1562-6 |
| _version_ | 1818081155741646848 |
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| author | Aline Gil Alves Guilloux Jania A. Ramos Isabelle Citron Lina Roa Julia Amundson Benjamin B. Massenburg Saurabh Saluja Bruno Alonso Miotto Nivaldo Alonso Mario César Scheffer |
| author_facet | Aline Gil Alves Guilloux Jania A. Ramos Isabelle Citron Lina Roa Julia Amundson Benjamin B. Massenburg Saurabh Saluja Bruno Alonso Miotto Nivaldo Alonso Mario César Scheffer |
| author_sort | Aline Gil Alves Guilloux |
| collection | DOAJ |
| description | Abstract Background Lack of providers in surgery, anesthesia, and obstetrics (SAO) is a primary driver of limited surgical capacity worldwide. We aimed to identify predictors of entry into Surgery, Anesthesia, and Obstetrics and Gynecology (SAO) fields and preference of working in the public sector in Brazil which may help in profiling medical students for recruitment into these needed areas. Methods A questionnaire was applied to all Brazilian medical graduates registered with a Board of Medicine from 2014 to 2015. Twenty-three characteristics were analyzed. Logistic regression was used to determine predictors’ influence on outcome. Results There were 4601 (28.2%) responders to the survey, of which 40.5% (CI 34.7–46.5%) plan to enter SAO careers. Of the 23 characteristics analyzed, eight differed significantly between those who planned to work in SAO and those who did not. Of those eight characteristics, just three were significant predictors in the regression model: preference for working in the hospital setting, having spent more than 70% of their clinical years in practical activities, and valuing the substantial earning potential. These three factors explained only 6.3% of the variance in SAO preference. Within the graduates who preferred SAO careers, there were only two predictors for working in the public sector (“preparatory time before medical school” and valuing “prestige/status”). Conclusions Factors affecting specialty and sector choice are multifaceted and difficult to predict. Future programs to fill provider gaps should identify methods other than medical student profiling to assure specialty and sector needs are met. |
| first_indexed | 2024-12-10T19:01:43Z |
| format | Article |
| id | doaj.art-4c6a010a3d374f4bbf42cab2ff3f9bf2 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-10T19:01:43Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-4c6a010a3d374f4bbf42cab2ff3f9bf22022-12-22T01:36:59ZengBMCBMC Medical Education1472-69202019-05-011911810.1186/s12909-019-1562-6Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in BrazilAline Gil Alves Guilloux0Jania A. Ramos1Isabelle Citron2Lina Roa3Julia Amundson4Benjamin B. Massenburg5Saurabh Saluja6Bruno Alonso Miotto7Nivaldo Alonso8Mario César Scheffer9Faculdade de Medicina, da Universidade de São Paulo (FMUSP)Program in Global Surgery and Social Change, Harvard Medical SchoolProgram in Global Surgery and Social Change, Harvard Medical SchoolProgram in Global Surgery and Social Change, Harvard Medical SchoolProgram in Global Surgery and Social Change, Harvard Medical SchoolProgram in Global Surgery and Social Change, Harvard Medical SchoolProgram in Global Surgery and Social Change, Harvard Medical SchoolFaculdade de Medicina, da Universidade de São Paulo (FMUSP)Faculdade de Medicina, da Universidade de São Paulo (FMUSP)Faculdade de Medicina, da Universidade de São Paulo (FMUSP)Abstract Background Lack of providers in surgery, anesthesia, and obstetrics (SAO) is a primary driver of limited surgical capacity worldwide. We aimed to identify predictors of entry into Surgery, Anesthesia, and Obstetrics and Gynecology (SAO) fields and preference of working in the public sector in Brazil which may help in profiling medical students for recruitment into these needed areas. Methods A questionnaire was applied to all Brazilian medical graduates registered with a Board of Medicine from 2014 to 2015. Twenty-three characteristics were analyzed. Logistic regression was used to determine predictors’ influence on outcome. Results There were 4601 (28.2%) responders to the survey, of which 40.5% (CI 34.7–46.5%) plan to enter SAO careers. Of the 23 characteristics analyzed, eight differed significantly between those who planned to work in SAO and those who did not. Of those eight characteristics, just three were significant predictors in the regression model: preference for working in the hospital setting, having spent more than 70% of their clinical years in practical activities, and valuing the substantial earning potential. These three factors explained only 6.3% of the variance in SAO preference. Within the graduates who preferred SAO careers, there were only two predictors for working in the public sector (“preparatory time before medical school” and valuing “prestige/status”). Conclusions Factors affecting specialty and sector choice are multifaceted and difficult to predict. Future programs to fill provider gaps should identify methods other than medical student profiling to assure specialty and sector needs are met.http://link.springer.com/article/10.1186/s12909-019-1562-6Surgical workforceMedical educationSpecialty selectionGlobal surgeryAnesthesiaObstetrics |
| spellingShingle | Aline Gil Alves Guilloux Jania A. Ramos Isabelle Citron Lina Roa Julia Amundson Benjamin B. Massenburg Saurabh Saluja Bruno Alonso Miotto Nivaldo Alonso Mario César Scheffer Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil BMC Medical Education Surgical workforce Medical education Specialty selection Global surgery Anesthesia Obstetrics |
| title | Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil |
| title_full | Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil |
| title_fullStr | Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil |
| title_full_unstemmed | Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil |
| title_short | Profiling recent medical graduates planning to pursue surgery, anesthesia and obstetrics in Brazil |
| title_sort | profiling recent medical graduates planning to pursue surgery anesthesia and obstetrics in brazil |
| topic | Surgical workforce Medical education Specialty selection Global surgery Anesthesia Obstetrics |
| url | http://link.springer.com/article/10.1186/s12909-019-1562-6 |
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