背景:神经外科表现出明显较低的布莱克代表性,西班牙裔,和女性外科医生相比,其他各种医疗和外科专业。现有的研究集中在医学生对外科医生的看法,影响女医学生对外科领域偏好的因素,以及考虑从事神经外科职业的学生的兴趣和关注点。然而,在理解对神经外科感兴趣的女医学生的独特关注和观点方面存在显著差距。
方法:从DC地区的医学院招募了对女医学生的半结构化访谈。面试问题基于Lent和Brown的社会认知职业理论。成绩单按主题分析为代码。
结果:总计,我们机构的8名女医学生参加了。我们确定了影响医学生决策的三个主要主题:归属感(多样性,导师,热情),自我效能感(雄心勃勃/“枪手”,激烈/竞争),和结果预期(创新/研究,直接影响,程序/外科方面,薪水,工作与生活的平衡)。
结论:女医学生在选择神经外科职业时面临不同的挑战和需要考虑的因素。女学生最关心的是归属感。必须增强神经外科专业的多样性,并提高女性神经外科医师的代表性。旨在解决和减轻其具体关切的早期干预措施对于实现这一目标至关重要。
BACKGROUND: Neurosurgery exhibits notably lower representation of Black, Hispanic, and female surgeons compared to various other medical and surgical specialties. Existing research focuses on medical students\' views on surgeons, factors influencing female medical students\' preferences in surgical fields, and the perceived interests and concerns of students contemplating a
career in neurosurgery. However, there is a significant gap in understanding the unique concerns and perspectives of female medical students interested in neurosurgery.
METHODS: Semi-structured interviews with female medical students were recruited from medical schools in the DC area. Interview questions were based on Lent and Brown\'s Social Cognitive
Career Theory. Transcripts were analyzed thematically into codes.
RESULTS: In total, 8 female medical students from our institution participated. We identified three major themes that influenced medical students decision making: sense of belonging (diversity, mentorship, passionate), self-efficacy (ambitious/\"gunner\", intense/competitive), and outcome expectations (innovation/research, immediate impact, procedural/surgical aspect, salary, work-life balance).
CONCLUSIONS: Female medical students face distinct challenges and factors to consider when choosing a
career in neurological surgery. The biggest concern for female students was a sense of belonging. It is imperative to enhance the diversity within the neurosurgical specialty and boost the representation of female neurosurgeons. Early interventions designed to tackle and alleviate their specific concerns are pivotal in achieving this goal.