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A systematic review of factors affecting choice of otolaryngology as a career in medical students and junior doctors

Published online by Cambridge University Press:  19 September 2019

A W Mayer ,
K A Smith  and
S Carrie
A W Mayer*
Affiliation:
ENT department, Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust, UK
K A Smith
Affiliation:
ENT department, Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust, UK
S Carrie
Affiliation:
ENT department, Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust, UK
*
Author for correspondence: Dr Alasdair W Mayer, ENT Department, Freeman Hospital, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne NE7 7DN, UK E-mail: [email protected] Fax: +44 191 223 1246
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Abstract

Background

There is growing concern over a future shortfall in provision of UK otolaryngology consultants. There is a declining rate of applications to otolaryngology specialty training in the UK.

Objective

This study aimed to systematically review the literature to establish what factors influence medical students’ and junior doctors’ decision to pursue a career in otolaryngology.

Method

Medline, Embase and PubMed databases were searched in January 2019. Additional manual reference checks of identified literature were performed.

Results

Eleven articles were included in the review. Common factors that positively influenced the decision to pursue a career in otolaryngology were exposure to the specialty, positive role models and a good work-life balance. Lack of exposure was a consistent deterrent from pursuing a career in otolaryngology.

Conclusion

This review reiterates the need for greater exposure to otolaryngology in the undergraduate curriculum. In addition, mentorship for students with an interest in otolaryngology should be a priority.

Keywords

OtolaryngologyCareer ChoiceInternship And ResidencyStudentsEducation, Medical
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 10 , October 2019 , pp. 836 - 842
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr A W Mayer takes responsibility for the integrity of the content of the paper

Presented at the National ENT Teaching Conference, 29th April 2019, Nottingham, UK.

References

1McNally, SA. Competition ratios for different specialties and the effect of gender and immigration status. J R Soc Med 2008;101:489–92Google Scholar
2Green, R, Steven, R, Haddow, K. Declining applications to surgical specialist training. An ENT perspective on when we should start to worry. Bull R Coll Surg Engl 2017;99:142–4Google Scholar
3Health Education England. 2018 competition ratios. In: https://specialtytraining.hee.nhs.uk/portals/1/Content/Resource%20Bank/Competition%20Ratio%27s/Competition%20Ratios%202018.pdf [17 March 2019]Google Scholar
4Schmalbach, CE. 2017: The year otolaryngology had to “scramble”. Otolaryngol Head Neck Surg 2017;156:975Google Scholar
5Kramer, S. Is the program-specific paragraph responsible for declining application numbers? A commentary. Otolaryngol Head Neck Surg 2018;158:215–16Google Scholar
6Kay-Rivest, E, Varma, N, Scott, GM, Manoukian, JJ, Desrosiers, M, Vaccani, JP et al. Securing an OTL-HNS residency: how competitive is it? Comparing medical student perceptions to actual Canadian statistics. J Otolaryngol Head Neck Surg 2017;46:16Google Scholar
7Takeda, Y, Morio, K, Snell, L, Otaki, J, Takahashi, M, Kai, I. Characteristic profiles among students and junior doctors with specific career preferences. BMC Med Educ 2013;13:125Google Scholar
8Wilmot, VV, Davis, JP, Carrie, S. National ENT workforce planning in the United Kingdom; an increasing cause for concern? Clin Otolaryngol 2019;44:213–18Google Scholar
9The Royal College of Surgeons of England. Surgical workforce report 2011. In: https://www.rcseng.ac.uk/library-and-publications/rcs-publications/docs/surgical-workforce-report-2011/ [17 March 2019]Google Scholar
10Powell, J, Cooles, FA, Carrie, S, Paleri, V. Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates. J Laryngol Otol 2011;125:896–905Google Scholar
11Acharya, V, Kuo, R, Raithatha, A, Haywood, M, Sharma, R, Kothari, P. Can focused/dedicated interactive careers teaching sessions help improve the consideration of a career in otorhinolaryngology for foundation trainee doctors? Int J Surg 2017;47:S44Google Scholar
12Doshi, J, Carrie, S. A survey of undergraduate otolaryngology experience at Newcastle University Medical School. J Laryngol Otol 2006;120:770–3Google Scholar
13Nguyen, KK, Liu, YF, Church, CA. Timing and factors involved in a medical student's decision to pursue otolaryngology residency. Otolaryngol Head Neck Surg 2018;159:76Google Scholar
14McCaffrey, JC. Medical student selection of otolaryngology-head and neck surgery as a specialty: influences and attitudes. Otolaryngol Head Neck Surg 2005;133:825–30Google Scholar
15Nellis, JC, Eisele, DW, Francis, HW, Hillel, AT, Lin, SY. Impact of a mentored student clerkship on underrepresented minority diversity in otolaryngology-head and neck surgery. Laryngoscope 2016;126:2684–8Google Scholar
16Bhutta, M, Mandavia, R, Syed, I, Qureshi, A, Hettige, R, Wong, BY et al. A survey of how and why medical students and junior doctors choose a career in ENT surgery. J Laryngol Otol 2016;130:1054–8Google Scholar
17Newton, DA, Grayson, MS, Thompson, LF. The variable influence of lifestyle and income on medical students’ career specialty choices: data from two U.S. medical schools, 1998-2004. Acad Med 2005;80:809–14Google Scholar
18Garg, S, Arora, R, Kumar, S, Singh, GB. Status of otorhinolaryngology as specialty of choice among female medical graduates. Indian J Otolaryngol Head Neck Surg 2017;69:535–9Google Scholar
19Qorban, G, Al-Khatib, T, Howldar, S, Allinjawi, O, Jawa, H, Baig, M. Factors influencing career choice in otorhinolaryngology among medical students at King Abdulaziz University, Jeddah, Saudi Arabia. Saudi J Oto-Rhino-Laryngol Head Neck Surg 2018;20:20–8Google Scholar
20Davies, KL, Elhassan, HA. Clinical ear, nose and throat training as a percentage of the undergraduate medical curriculum. Clin Otolaryngol 2012;37:500–1Google Scholar
21Ferguson, GR, Bacila, IA, Swamy, M. Does current provision of undergraduate education prepare UK medical students in ENT? A systematic literature review. BMJ Open. 2016;6:e010054Google Scholar
22Ishman, SL, Stewart, CM, Senser, E, Stewart, RW, Stanley, J, Stierer, KD et al. Qualitative synthesis and systematic review of otolaryngology in undergraduate medical education. Laryngoscope 2015;125:2695–708Google Scholar
23Boscoe, EF, Cabrera-Muffly, C. Otolaryngology in the medical school curriculum: current trends in the United States. Laryngoscope 2017;127:346–8Google Scholar
24Campisi, P, Asaria, J, Brown, D. Undergraduate otolaryngology education in Canadian medical schools. Laryngoscope 2008;118:1941–50Google Scholar
25Steven, RA, Mires, GJ, Lloyd, SKW, McAleer, S. An undergraduate otolaryngology curriculum comparison in the United Kingdom using a curriculum evaluation framework. Clin Otolaryngol 2017;42:963–8Google Scholar
26Zehry, K, Halder, N, Theodosiou, L. E-Learning in medical education in the United Kingdom. Procedia - Soc Behav Sci 2011;15:3163–7Google Scholar
27Yang, N, Hosseini, S, Mascarella, MA, Young, M, Posel, N, Fung, K et al. Identifying high quality medical education websites in otolaryngology: a guide for medical students and residents. J Otolaryngol Head Neck Surg 2017;46:42Google Scholar
28Tarpada, SP, Hsueh, WD, Gibber, MJ. Resident and student education in otolaryngology: a 10-year update on e-learning. Laryngoscope 2017;127:E219–24Google Scholar
29Peel, JK, Schlachta, CM, Alkhamesi, NA. A systematic review of the factors affecting choice of surgery as a career. Can J Surg 2018;61:58–67Google Scholar
30Simões, RL, Dorigatti, AE, Silveira, HJV, Calderan, TRA, Rizoli, S, Fraga, GP. Trauma leagues-a novel option to attract medical students to a surgical career. World J Surg 2018;42:549–56Google Scholar
31Johnson, JT. Women in otolaryngology. J Otolaryngol Head Neck Surg 2014;43:14Google Scholar
32Pulcrano, M, Evans, SR, Sosin, M. Quality of life and burnout rates across surgical specialties. JAMA Surg 2016;151:970–8Google Scholar
33Garcia-Rodriguez, LR, Sanchez, DL, Ko, AB, Williams, AM, Peterson, E, Yaremchuk, KL. A study of otolaryngology resident quality of life and sleepiness. Laryngoscope Investig Otolaryngol 2017;2:113–18Google Scholar
34British Medical Association. Junior doctors’ handbook on the 2016 contract. 2016Google Scholar