Factors Associated with Matching into Surgical Specialties

Abstract

The United States medical education system has a vested interest in understanding medical student specialty choice. The purpose of this study is to identify the demographic, educational, lifestyle preference, and other factors associated with matching into surgical specialties. An annual survey was given to students at the University of Iowa Carver College of Medicine from 2013-2019. 456 medical students were eligible to participate and 374 completed at least one survey. Surveys were distributed 5 times; M1, M2, M3, and M4 years and after the residency match process. Logistic regression was used to estimate the association between various factors and the likelihood of matching into a surgical specialty. Exposure to surgical fields, through a family member practicing surgery (aOR=3.21), mentorship (aOR=2.78), or research (aOR=2.96) increase the likelihood of matching into a surgical specialty. Married students are less likely to pursue surgical specialties (aOR=0.246). White students interested in surgery in their first two years of medical school were more likely (aOR=6.472) to match into surgery than non-White students also interested in surgery (aOR=0.155). Factors associated with an increased likelihood of matching into surgical specialties include having surgical mentors, performing surgical research, and having family members in surgical specialties. Of the students interested in surgery early in medical school, being of Caucasian ethnicity is associated with higher rates of matching into surgery. Students who are married without children are less likely to enter a surgical field.