Abstract：
Statistics show that over the past 2 decades, even in high-income countries, fewer and fewer students have listed neurosurgery as their top career option. Literature on medical students\' pursuit of neurosurgical careers in middle- and low-income countries are scarce. The aim of this research, conducted in Turkey with a middle-income economy, was to contribute insights relevant to medical education and neurosurgery across the world.
A survey was conducted with a target sample of fourth-year (167 students), fifth-year (169 students), and sixth-year (140 students) medical students (476 in total) from the Medical School at Istanbul Medeniyet University in Turkey. The response rates of the fourth-, fifth-, and sixth-year students were 62% (104/167), 53% (90/169), and 50% (70/140), respectively (in total, 266, including 147 female and 119 male).
In terms of the genuine intention, only 2.5% of men and 2.7% of women were committed to specializing in neurosurgery. This study further revealed that possible reasons for these students\' low motivation to specialize in neurosurgery were their beliefs that in neurosurgery, the physical and psychological demands were high, and the night shifts were intense, meaning they would not have a social life or spare time for their hobbies; that morbidity/mortality were high; and that financial incentives were insufficient, especially in public institutions.
Turkish medical students did not rank neurosurgery at the top of their career choices. Possible reasons for this are socioeconomic factors and the inadequate introduction of neurosurgery to medical students.
A survey was conducted with a target sample of fourth-year (167 students), fifth-year (169 students), and sixth-year (140 students) medical students (476 in total) from the Medical School at Istanbul Medeniyet University in Turkey. The response rates of the fourth-, fifth-, and sixth-year students were 62% (104/167), 53% (90/169), and 50% (70/140), respectively (in total, 266, including 147 female and 119 male).
In terms of the genuine intention, only 2.5% of men and 2.7% of women were committed to specializing in neurosurgery. This study further revealed that possible reasons for these students\' low motivation to specialize in neurosurgery were their beliefs that in neurosurgery, the physical and psychological demands were high, and the night shifts were intense, meaning they would not have a social life or spare time for their hobbies; that morbidity/mortality were high; and that financial incentives were insufficient, especially in public institutions.
Turkish medical students did not rank neurosurgery at the top of their career choices. Possible reasons for this are socioeconomic factors and the inadequate introduction of neurosurgery to medical students.
摘要：
背景：统计数据显示，在过去的二十年中，即使在高收入国家，越来越少的学生将神经外科列为他们的首选职业选择。关于医学生在中低收入国家追求神经外科职业的文献很少。本研究的目的,在中等收入经济体的土耳其进行，旨在为世界各地的医学教育和神经外科提供相关见解。
方法：进行了一项调查，目标样本为四年级（167名学生），五年级（169名学生），土耳其伊斯坦布尔Medeniyet大学医学院的六年级（140名学生）医学生（共476名）。第四-的反应率，第五-,六年级学生占62%(104/167)，53%（90/169），和50%（70/140），分别(总共，266，包括147名女性和119名男性）。
结果：就真正的意图而言，只有2.5%的男性和2.7%的女性致力于神经外科。这项研究进一步表明，这些学生在神经外科专业的动机低的可能原因是他们的信念，在神经外科，生理和心理要求很高，夜班很紧张，这意味着他们没有社交生活或业余时间来爱好；发病率/死亡率很高；经济激励措施不足，尤其是在公共机构。
结论：土耳其医学生并没有将神经外科列为职业选择的首位。造成这种情况的可能原因是社会经济因素以及医学生对神经外科的介绍不足。
方法：进行了一项调查，目标样本为四年级（167名学生），五年级（169名学生），土耳其伊斯坦布尔Medeniyet大学医学院的六年级（140名学生）医学生（共476名）。第四-的反应率，第五-,六年级学生占62%(104/167)，53%（90/169），和50%（70/140），分别(总共，266，包括147名女性和119名男性）。
结果：就真正的意图而言，只有2.5%的男性和2.7%的女性致力于神经外科。这项研究进一步表明，这些学生在神经外科专业的动机低的可能原因是他们的信念，在神经外科，生理和心理要求很高，夜班很紧张，这意味着他们没有社交生活或业余时间来爱好；发病率/死亡率很高；经济激励措施不足，尤其是在公共机构。
结论：土耳其医学生并没有将神经外科列为职业选择的首位。造成这种情况的可能原因是社会经济因素以及医学生对神经外科的介绍不足。
