E-ISSN 2146-8133
 

Original Research (Original Article) 


The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland

Reto M. Kaderli, Julia C. Seelandt, Franziska Tschan Semmer, Adrian P. Businger.

Abstract
Objectives: Over the last years, an increasing proportion of general surgeons have opted for a surgical sub-specialization, possibly due to economic pressures. With regard to the increase in women physicians, the aim of the present study was to examine qualitatively and quantitatively gender differences and reasons for obtaining sub-specialization in surgery.
Methods: Survey among board-certified surgeons and surgical residents in Switzerland. Content analyses were done by using Mayring’s content analysis.
Results: A total of 455 arguments to pursue surgical subspecialty training were grouped in six different categories, namely: “Interest” (82/512, 16.0%), “demand for quality” (104/512, 20.3%), “future prospects” (142/512, 27.7%), “obligation to specialize” (48/512, 9.4%), “financial reasons” (10/512, 2.0%), and “prestige” (13/512, 2.5%). Men mentioned “demand for quality” (P = 0.01) significantly more often than women, but there were no other statistically significant differences between genres.
Conclusions: Intrinsic arguments were more important, including a “demand for quality”, especially for men. However, the arguments in favor of surgical subspecialty training are largely gender-neutral.

Key words: Content analyses, feminization, intrinsic arguments, sub-specialization, surgery


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Reto M. Kaderli
Articles by Julia C. Seelandt
Articles by Franziska Tschan Semmer
Articles by Adrian P. Businger
on Google
on Google Scholar
Article Statistics
 Viewed: 1486
Downloaded: 542
Cited: 0

REFERENCES
1. Debas HT. Surgery: A noble profession in a changing world. Ann Surg 2002;236:263-9. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
2. Swiss Medical Association (FMH). FMH- Ärztestatistik – Überblick verschaffen. Available from: http://www.fmh.ch/themen/aerztedemographie/aerztestatistik.html#. [Last accessed on Jan 01, 2014].
3. McCord JH, McDonald R, Leverson G, Mahvi DM, Rikkers LF, Chen HC, et al. Motivation to pursue surgical subspecialty training: Is there a gender difference? J Am Coll Surg 2007;205:698-703. [DOI via Crossref]    [Pubmed]   
4. Swiss Medical Association (FMH). Weiterbildungstitel und Schwerpunkte. Available from: http:// www.fmh.ch/bildung-siwf/weiterbildung_allgemein/weiterbildungsprogramme.html#. [Last accessed on Jan 01, 2014].
5. Borman KR, Vick LR, Biester TW, Mitchell ME. Changing demographics of residents choosing fellowships: Longterm data from the American Board of Surgery. J Am Coll Surg 2008;206:782-8; discussion 788. [DOI via Crossref]    [Pubmed]   
6. Borman KR, Biester TW, Rhodes RS. Motivations to pursue fellowships are gender neutral. Arch Surg 2010;145:671-8. [DOI via Crossref]    [Pubmed]   
7. Vick LR, Borman KR. Instability of fellowship intentions during general surgery residencies. J Surg Educ 2008;65:445-52. [DOI via Crossref]    [Pubmed]   
8. Kaderli R, Gruber W, Laffer U, Businger A. Demographic situation in operative medicine in Switzerland – Time to react? Arch Clin Exp Surg 2013;2:229-34.
9. Swiss Surgical Society (SGC). Mitglieder. Available from: http://www.sgc-ssc.ch/index.php?id=8. [Last accessed on Jan 01, 2014].
10. Mayring P. Qualitative inhaltsanalyse. Grundlagenund Techniken. Beltz Deutscher Studienverlag, Weinheim, 2000;53-63.
11. Yutzie JD, Shellito JL, Helmer SD, Chang FC. Gender differences in general surgical careers: Results of a post-residency survey. Am J Surg 2005;190:955-9. [DOI via Crossref]    [Pubmed]   
12. Sutherland MJ. A young surgeon's perspective on alternate surgical training pathways. Am Surg 2007;73:114-9. [Pubmed]   
13. Brundage SI, Lucci A, Miller CC, Azizzadeh A, Spain DA, Kozar RA. Potential targets to encourage a surgical career. J Am Coll Surg 2005;200: 946-53. [DOI via Crossref]    [Pubmed]   
14. Cochran A, Melby S, Neumayer LA. An Internet- based survey of factors influencing medical student selection of a general surgery career. Am J Surg 2005;189:742-6. [DOI via Crossref]    [Pubmed]   
15. Gelfand DV, Podnos YD, Wilson SE, Cooke J, Williams RA. Choosing general surgery: Insights into career choices of current medical students. Arch Surg 2002;137:941-5. [DOI via Crossref]    [Pubmed]   
16. van der Horst K, Siegrist M, Orlow P, Giger M. Residents' reasons for specialty choice: Influence of gender, time, patient and career. Med Educ 2010;44:595-602. [DOI via Crossref]    [Pubmed]   
17. Swiss Medical Association (FMH). Weiterbildungsstätten – Qualitätsorientierte Kriterien, 2012. Available from: http://www.fmh.ch/bildung-siwf/ weiterbildung_allgemein/weiterbildungsstaetten. html#. [Last accessed on Jan 01, 2014].

How to Cite this Article
Pubmed Style

Kaderli RM, Seelandt JC, Semmer FT, Businger AP. The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. Arch Clin Exp Surg. 2015; 4(3): 121-125. doi:10.5455/aces.20140224120848


Web Style

Kaderli RM, Seelandt JC, Semmer FT, Businger AP. The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. http://www.ejmaces.com/?mno=151568 [Access: October 16, 2018]. doi:10.5455/aces.20140224120848


AMA (American Medical Association) Style

Kaderli RM, Seelandt JC, Semmer FT, Businger AP. The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. Arch Clin Exp Surg. 2015; 4(3): 121-125. doi:10.5455/aces.20140224120848



Vancouver/ICMJE Style

Kaderli RM, Seelandt JC, Semmer FT, Businger AP. The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. Arch Clin Exp Surg. (2015), [cited October 16, 2018]; 4(3): 121-125. doi:10.5455/aces.20140224120848



Harvard Style

Kaderli, R. M., Seelandt, J. C., Semmer, F. T. & Businger, A. P. (2015) The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. Arch Clin Exp Surg, 4 (3), 121-125. doi:10.5455/aces.20140224120848



Turabian Style

Kaderli, Reto M., Julia C. Seelandt, Franziska Tschan Semmer, and Adrian P. Businger. 2015. The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. Archives of Clinical and Experimental Surgery (ACES), 4 (3), 121-125. doi:10.5455/aces.20140224120848



Chicago Style

Kaderli, Reto M., Julia C. Seelandt, Franziska Tschan Semmer, and Adrian P. Businger. "The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 121-125. doi:10.5455/aces.20140224120848



MLA (The Modern Language Association) Style

Kaderli, Reto M., Julia C. Seelandt, Franziska Tschan Semmer, and Adrian P. Businger. "The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland." Archives of Clinical and Experimental Surgery (ACES) 4.3 (2015), 121-125. Print. doi:10.5455/aces.20140224120848



APA (American Psychological Association) Style

Kaderli, R. M., Seelandt, J. C., Semmer, F. T. & Businger, A. P. (2015) The motivation to pursue surgical subspecialty training is largely gender-neutral: A national survey in Switzerland. Archives of Clinical and Experimental Surgery (ACES), 4 (3), 121-125. doi:10.5455/aces.20140224120848





Most Viewed Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Role of Ultrasonography (“Honeycomb Sign”) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Barium Enema in the Diagnosis of Hirschsprung’s Disease: A Comparison with Rectal Biopsy
    Mohammad Abbas, Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani, Shabir Ahmad Dar, Manzoor Ahamad Chalkoo, Showkat Majeed Kakroo
    Arch Clin Exp Surg. 2013; 2(4): 224-228
    » Abstract & References » doi: 10.5455/aces.20120703031135

  • Long-Term Productive Cough Caused by Tracheal Bronchus
    Chih-Hao Chen, Shih-Yi Lee, Ho Chang, Tzu-Ti Hung
    Arch Clin Exp Surg. 2012; 1(2): 120-121
    » Abstract & References » doi: 10.5455/aces.20120311102403

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Most Downloaded
  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • A Study of Methods Used to Reduce Surgical Site Infections
    Stuart R. Walker, Tara Anderson
    Arch Clin Exp Surg. 2012; 1(1): 27-33
    » Abstract & References » doi: 10.5455/aces.20120213053645

  • Principles of risk management in surgery departments
    Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas
    Arch Clin Exp Surg. 2015; 4(3): 126-134
    » Abstract & References » doi: 10.5455/aces.20140925015830

  • Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia
    Jinrang Li, Lili Peng, Jianjun Sun, Hongguang Guo, Kun Guo, Zuogang Li, Yao Tang, Xu Sun, Shuangqing Zhang
    Arch Clin Exp Surg. 2012; 1(1): 1-7
    » Abstract & References » doi: 10.5455/aces.20120220105531

  • Post-Traumatic Pancreatic Pseudocyst: Report of Two Cases with Review of Literature
    Sunder Goyal, Sudhir Sachar, Ram Kumar Verma, Snigdha Goyal
    Arch Clin Exp Surg. 2013; 2(4): 251-258
    » Abstract & References » doi: 10.5455/aces.20120524103614

  • Role of Ultrasonography (“Honeycomb Sign”) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Most Cited Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447
    Cited : 8 times [Click to see citing articles]

  • Experimental Craniofacial Composite Tissue Allotransplantation (CCTA) Models in Rats
    Yalcin Kulahci, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(3): 181-187
    » Abstract & References » doi: 10.5455/aces.20120514010906
    Cited : 7 times [Click to see citing articles]

  • Thoracodorsal Artery Perforator Flap: Basic Surgical Determinants
    Celalettin Sever, Yalcin Bayram, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(4): 270-271
    » Abstract & References » doi: 10.5455/aces.20120506072849
    Cited : 6 times [Click to see citing articles]

  • Pre-expanded Supraclavicular Flap for Post-burn Neck Contractures
    Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(1): 61-62
    » Abstract & References » doi: 10.5455/aces.20120205090034
    Cited : 4 times [Click to see citing articles]

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721
    Cited : 4 times [Click to see citing articles]

  • The effect of Kristeller maneuver on maternal and neonatal outcome
    Gokhan Acmaz, Evrim Albayrak, Gokalp Oner, Murvet Baser, Gulsum Aykut, Gulender Tas Tekin, Gokmen Zararsiz, Iptisam Ipek Muderris
    Arch Clin Exp Surg. 2015; 4(1): 29-35
    » Abstract & References » doi: 10.5455/aces.20140328024258
    Cited : 4 times [Click to see citing articles]

  • What is the Most Appropriate Animal Model for Experimental Diabetic Neuropathy Studies ?
    Huseyin Karagoz, Mustafa Tansel Kendirli
    Arch Clin Exp Surg. 2012; 1(3): 199-200
    » Abstract & References » doi: 10.5455/aces.20120514012617
    Cited : 3 times [Click to see citing articles]

  • Anesthetic Burns – A Burn Injury Due to A Combination of Local Anaesthetic and Heat Pack
    Stuart Robert Walker
    Arch Clin Exp Surg. 2012; 1(2): 127-128
    » Abstract & References » doi: 10.5455/aces.20120206110836
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part II. Experimental Studies
    Huseyin Karagoz, Yalcin Bayram, Celalettin Sever, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2013; 2(1): 49-58
    » Abstract & References » doi: 10.5455/aces.20120218125115
    Cited : 3 times [Click to see citing articles]