PMID- 35598580
OWN - NLM
STAT- MEDLINE
DCOM- 20220621
LR  - 20220809
IS  - 1872-6968 (Electronic)
IS  - 0303-8467 (Linking)
VI  - 218
DP  - 2022 Jul
TI  - Characteristics of graduating medical students interested in neurosurgery with 
      intention to practice in underserved areas: Implications for residency programs.
PG  - 107293
LID - S0303-8467(22)00174-3 [pii]
LID - 10.1016/j.clineuro.2022.107293 [doi]
AB  - OBJECTIVE: It is of paramount importance that the United States (U.S.) physician 
      and surgical workforce reflects its changing population demographics. The authors 
      characterized factors contributing to graduating medical students' decision to 
      pursue a residency in Neurosurgery to assess opportunities for recruitment and 
      retainment of graduates interested in working with underserved populations. 
      METHODS: Data from the Association of American Medical Colleges (AAMC) Student 
      Record System (SRS), and the AAMC Graduation Questionnaire (GQ) were collected on 
      a national cohort of U.S. medical students from 2012 through 2017. Data including 
      self-reported sex, race/ethnicity, age at matriculation, degree program, 
      intention to practice in underserved area, total debt, scholarships, volunteer 
      activities and medical electives was analyzed using chi-squared tests and 
      multivariate logistic regression models. RESULTS: The study included 48,096 
      graduating medical students surveyed by GQ and SRS, 607 (1.26%) of whom reported 
      an intention to pursue Neurosurgery (Neurosurgery cohort). Compared to students 
      pursuing other specialties, the Neurosurgery cohort had fewer students identify 
      as female (18.95% vs. 48.18%, p < 0.001), and report an intention to work with 
      underserved populations (11.37% vs. 26.37%, p < 0.001). In addition, 
      Black/African-American students were significantly more like to indicate 
      intention to pursue Neurosurgery compared to White students (aOR=1.51, 95% 
      CI:1.01-2.24). Moreover, within the Neurosurgery cohort, Black/African-American 
      (aOR=7.66, 95% CI:2.87-20.45), Hispanic (aOR=4.50, 95% CI:1.40-14.51) and female 
      students (aOR=2.44, 95% CI:1.16-5.12) were more likely to report an intention to 
      practice in underserved urban and rural areas, compared to their peers. 
      CONCLUSIONS: Our study identified several key demographic and academic factors 
      influencing intention to pursue a neurosurgical career, and work with underserved 
      populations. Our data provides an opportunity for further discussions on the 
      residency selection process and seeks to empower residency programs to diversify 
      the neurosurgical workforce, tackle health disparities and improve patient care 
      for the entire US population.
CI  - Copyright (c) 2022 Elsevier B.V. All rights reserved.
FAU - Barrie, Umaru
AU  - Barrie U
AD  - Department of Neurological Surgery, University of Texas Southwestern Medical 
      Center, Dallas, TX, USA.
FAU - Williams, Michelle
AU  - Williams M
AD  - Department of Neurosurgery, Albany Medical College, Albany, NY, USA.
FAU - Nguyen, Mytien
AU  - Nguyen M
AD  - Yale School of Medicine, New Haven, CT, USA.
FAU - Kenfack, Yves J
AU  - Kenfack YJ
AD  - Department of Neurological Surgery, University of Texas Southwestern Medical 
      Center, Dallas, TX, USA.
FAU - Mason, Hyacinth
AU  - Mason H
AD  - Tufts University School of Medicine, Boston, MA, USA.
FAU - Ata, Ashar
AU  - Ata A
AD  - Department of Neurosurgery, Albany Medical College, Albany, NY, USA.
FAU - Aoun, Salah G
AU  - Aoun SG
AD  - Department of Neurological Surgery, University of Texas Southwestern Medical 
      Center, Dallas, TX, USA.
FAU - Pilitsis, Julie G
AU  - Pilitsis JG
AD  - Department of Neurosurgery, Albany Medical College, Albany, NY, USA. Electronic 
      address: jpilitsis@health.fau.edu.
LA  - eng
PT  - Journal Article
DEP - 20220517
PL  - Netherlands
TA  - Clin Neurol Neurosurg
JT  - Clinical neurology and neurosurgery
JID - 7502039
SB  - IM
MH  - Career Choice
MH  - Female
MH  - Humans
MH  - Intention
MH  - *Internship and Residency
MH  - Medically Underserved Area
MH  - *Neurosurgery
MH  - *Students, Medical
MH  - Surveys and Questionnaires
MH  - United States
OTO - NOTNLM
OT  - Medical student
OT  - Neurosurgery
OT  - Recruitment and Retention
OT  - Residency
OT  - Underserved Populations
EDAT- 2022/05/23 06:00
MHDA- 2022/06/22 06:00
CRDT- 2022/05/22 18:24
PHST- 2022/03/21 00:00 [received]
PHST- 2022/04/29 00:00 [revised]
PHST- 2022/05/13 00:00 [accepted]
PHST- 2022/05/23 06:00 [pubmed]
PHST- 2022/06/22 06:00 [medline]
PHST- 2022/05/22 18:24 [entrez]
AID - S0303-8467(22)00174-3 [pii]
AID - 10.1016/j.clineuro.2022.107293 [doi]
PST - ppublish
SO  - Clin Neurol Neurosurg. 2022 Jul;218:107293. doi: 10.1016/j.clineuro.2022.107293. 
      Epub 2022 May 17.