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. 1979 Feb;189(2):152–157. doi: 10.1097/00000658-197902000-00005

The Undergraduate Surgical Clerkship: A Cutting Edge Which Seperates the Clinical from the Nonclinical Medical Specialists

Bernard S Linn, Ted Pratt, Robert Zeppa
PMCID: PMC1397034  PMID: 426548

Abstract

The role of the surgical clerkship in the curriculum has often been debated. This study highlights its function in the students' decision making process. Junior students (N = 164) were measured on interest in surgery before and after the clerkship and divided into groups that changed significantly in a positive or negative direction, or that remained essentially unchanged. Background factors, learning styles of the students, and their evaluations of the clerkship showed that students who changed negatively (12%), compared with those who changed positively (44%), did not learn as well from clinical experiences and evaluated certain aspects of the clerkship, related to time and clinical demands, less positively. The unchanged group resembled the positive change students. Performance in the clerkship did not differ significantly among the three groups. The group that changed positively had none interested in surgery as a career before the clerkship, 15% who chose surgery afterward, and who later entered a surgical residency. The negative change group entered with high, perhaps unrealistic, levels of interest, left with none selecting surgery, and a third entering nonclinical type residencies. The surgical clerkship appears to have a unique role to help students make decisions about future careers based on their underlying personalities and learning styles.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson M. C. A consideration of undergraduate surgical education by university administrators who are surgeons: the impact of external forces on surgical education. Bull Am Coll Surg. 1977 Jun;62(6):17–19. [PubMed] [Google Scholar]
  2. Anlyan W. G. A consideration of undergraduate surgical education by university administrators who are surgeons: the Duke experience. Bull Am Coll Surg. 1977 Jun;62(6):14–16. [PubMed] [Google Scholar]
  3. BOVERMAN H. SENIOR STUDENT CAREER CHOICES IN RETROSPECT. J Med Educ. 1965 Feb;40:161–165. [PubMed] [Google Scholar]
  4. BRUHN J. G., PARSONS O. A. ATTITUDES TOWARD MEDICAL SPECIALTIES: TWO FOLLOW-UP STUDIES. J Med Educ. 1965 Mar;40:273–280. [PubMed] [Google Scholar]
  5. Donovan J. C., Salzman L. F., Allen P. Z. Studies in medical education: career choice consistency of medical students. Am J Obstet Gynecol. 1972 Feb 15;112(4):519–526. doi: 10.1016/0002-9378(72)90312-2. [DOI] [PubMed] [Google Scholar]
  6. Drucker W. R. A consideration of undergraduate surgical education by university administrators who are surgeons: a curriculum for all physicians. Bull Am Coll Surg. 1977 Jun;62(6):16–17. [PubMed] [Google Scholar]
  7. Gough H. G. Specialty preferences of physicians and medical students. J Med Educ. 1975 Jun;50(6):581–588. doi: 10.1097/00001888-197506000-00003. [DOI] [PubMed] [Google Scholar]
  8. Kritzer H., Zimet C. N. A retrospective view of medical specialty choice. J Med Educ. 1967 Jan;42(1):47–53. doi: 10.1097/00001888-196701000-00004. [DOI] [PubMed] [Google Scholar]
  9. Mueller C. B. The influence of recent changes in graduate medical education on undergraduate surgical education: influence of career choices on undergraduate surgical education. Bull Am Coll Surg. 1976 Jun;61(6):22–23. [PubMed] [Google Scholar]
  10. Olmsted A. G. Bases of attraction to medicine and learning style preferences of medical students. J Med Educ. 1973 Jun;48(6):572–576. doi: 10.1097/00001888-197306000-00006. [DOI] [PubMed] [Google Scholar]
  11. Otis G. D., Weiss J. R. Patterns of medical career preference. J Med Educ. 1973 Dec;48(12):1116–1123. doi: 10.1097/00001888-197312000-00025. [DOI] [PubMed] [Google Scholar]
  12. Plovnick M. S. Primary care career choices and medical student learning styles. J Med Educ. 1975 Sep;50(9):849–855. doi: 10.1097/00001888-197509000-00002. [DOI] [PubMed] [Google Scholar]
  13. Weinstein P., Gipple C. Some determinants of career choice in the second year of medical school. J Med Educ. 1975 Feb;50(2):194–198. doi: 10.1097/00001888-197502000-00013. [DOI] [PubMed] [Google Scholar]
  14. Williams G. R. The influence of recent changes in graduate medical education on undergraduate surgical education: effect on recruitment to surgery. Bull Am Coll Surg. 1976 Jun;61(6):25–27. [PubMed] [Google Scholar]
  15. Wingard J. R., Williamson J. W. Grades as predictors of physicians' career performance: an evaluative literature review. J Med Educ. 1973 Apr;48(4):311–322. [PubMed] [Google Scholar]
  16. Wunderlich R., Gjerde C. L. Another look at learning style inventory and medical career choice. J Med Educ. 1978 Jan;53(1):45–54. doi: 10.1097/00001888-197801000-00005. [DOI] [PubMed] [Google Scholar]

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