How to attract our future? - perception of plastic surgery among medical students

Background - There is a mounting body of evidence that underscores the worldwide and US national need for increased plastic surgery recruitment of trainees. Thus, plastic surgery must attract more applicants while maintaining the high-level qualifications of residency candidates. - Methods - A total...

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Main Authors: Odenthal, Jan (Author) , Knoedler, Leonard (Author) , Özdemir, Berkin (Author) , Prantl, Lukas (Author) , Machens, Hans-Guenther (Author) , Broer, P. Niclas (Author) , von Isenburg, Sarah (Author) , Rieger, Ulrich M. (Author) , Kauke, Martin (Author) , Panayi, Adriana C. (Author) , Knoedler, Samuel (Author)
Format: Article (Journal)
Language:English
Published: May 2023
In: Journal of plastic, reconstructive & aesthetic surgery
Year: 2023, Volume: 80, Pages: 4-12
ISSN:1878-0539
DOI:10.1016/j.bjps.2022.08.059
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.bjps.2022.08.059
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1748681522005010
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Author Notes:Jan Odenthal, Leonard Knoedler, Berkin Oezdemir, Lukas Prantl, Hans-Guenther Machens, P. Niclas Broer, Sarah von Isenburg, Ulrich M. Rieger, Martin Kauke, Adriana C. Panayi, Samuel Knoedler

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520 |a Background - There is a mounting body of evidence that underscores the worldwide and US national need for increased plastic surgery recruitment of trainees. Thus, plastic surgery must attract more applicants while maintaining the high-level qualifications of residency candidates. - Methods - A total of 250 (w = 197) medical students rated the prototypical plastic surgeon (PS), general practitioner (GP), and craniomaxillofacial surgeon (CMF) with respect to traits derived from a literature review on the general perception of surgery, favorability, and their intention to pursue a respective career. - Results - Factor analysis yielded two overarching dimensions of prototype perception in addition to femininity and resilience, one reflecting a coldhearted, narcissistic, competitive character (status primacy; SP), and one reflecting role-model-like traits (hard-working, healthy, admired, and empathetic). Prototypical PSs scored significantly higher on SP than GPs (t(249) = 18.72, p < 0.001, d = 1.26) and CMFs (t(249) = 5.73, p < 0.001, d = 0.36), while receiving significantly less positive evaluations (GP: t(249) = -9.93, p < 0.001, d = -0.63; CMF: t(249) = -3.52, p < 0.001, d = -0.22). The higher participants rated PSs on SP, the more likely a career in plastic surgery was excluded (OR = 0.71, p = 0.03). An opposite relationship with femininity approached significance (OR = 1.32, p = 0.06). - Conclusions - Given the growing need for PSs, worldwide and US national task fields have to overcome the outdated traits and highlight the field's pro-bono engagement. Furthermore, plastic surgery should further expand its leading role in promoting female trainees. 
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