Systematic Review of Research, Mentorship, and Career Resources for Medical Students Pursuing Neurosurgical Training

From classroom to operating room: What attracts medical students to neurosurgery

BACKGROUND

The specialties chosen by medical students after graduation are critical to their professional trajectories. This study investigates the perceptions of medical students at Jazan University in southwestern Saudi Arabia toward neurosurgery, focusing on the factors that influence their inclination to pursue this specialty.

METHODS

An observational cross-sectional study was conducted among 342 medical students from the Faculty of Medicine at Jazan University during the 2022-2023 academic year. The participants included students ranging from second- to sixth-year levels.

RESULTS

Among the 342 students, 207 (60.5 %) were males, and 135 (39.5 %) were females, with 169 (49.4 %) expressing interest in neurosurgery. Over time, there was a trend of decreasing interest in neurosurgery. The primary reasons for choosing this specialty were market demand for neurosurgeons and potential for substantial income, while stress was the main deterrent. Multivariate analysis revealed that third-, fourth-, and fifth-year students were significantly less likely to pursue neurosurgery, with reductions of 89 % [OR=0.11, 95 % CI: (0.04-0.29), p < 0.001], 83 % [OR=0.17, 95 % CI: (0.07-0.43), p < 0.001], and 74 % [OR=0.26, 95 % CI: (0.11-0.61), p = 0.002], respectively. The strongest motivating factors for choosing neurosurgery were research opportunities [OR=2.37, p < 0.001] and the prestige associated with the specialty [OR=2.35, p < 0.001].

CONCLUSIONS

The study provides valuable insights into medical students' perceptions and career aspirations related to neurosurgery in southern Saudi Arabia. It highlights key factors such as research opportunities, prestige, and competitiveness that motivate students to consider neurosurgery as a specialty. The study also addresses common misconceptions and stereotypes about neurosurgery, promoting a more accurate understanding of the field among students. These findings have significant implications for medical education, career guidance, and healthcare policy, helping to shape initiatives that enhance patient care and support the development of neurosurgery.

Career adaptability and career coping styles among Chinese medicine specialty students during the COVID-19: The mediating role of career decision-making self-efficacy

Over the past decade, the attrition rate of Chinese medical graduates has remained high, and the COVID-19 pandemic has exacerbated this situation. Medicine specialty students are the main force of the future healthcare industry. The career choices and career confidence of those entering the healthcare industry will have a huge influence on the quality of future healthcare provision. Considering the possible emergence of public health emergencies such as COVID-19 in the future, helping students develop good career adaptability will contribute to their future career development. However, the relationship between career adaptability, career coping styles and career decision-making self-efficacy remains unclear during the COVID-19. This study aims to examine the interconnections amongst career coping styles, career adaptability and career decision-making self-efficacy among Chinese medicine specialty students and the mediating role of career decision-making self-efficacy. Questionnaire survey was conducted on 747 medicine specialty students from China. The results showed that positive coping style has a significant positive correlation with career decision-making self-efficacy, career adaptability, and their sub-dimensions. There was a partial mediating effect of career decision self-efficacy between the predictor variable positive coping style and the outcome variable career adaptability. By promoting the level of positive coping style or career decision-making self-efficacy among medicine specialty students, the career adaptability can be directly or indirectly enhanced. This survey will help to guide future medical education decisions during a similar pandemic to prevent further loss of healthcare professionals in the medical service.