Do medical school surgical rotations influence subspecialty choice?

Background. A comprehensive exposure to general surgery is essential for me dical students pursuing careers in surgery. Occasionally, students applying for surgical residency positions must choose a subspecialty field prior to starting their residency training. Often, this decision is heavily based o n their experience on various surgical clerkships. Materials and methods. To determine if surgical clerkships influence subspe cialty choice, we surveyed medical students who interviewed for general sur gery training over a a year period at The Johns Hopkins Hospital. Results. Of 211 surveys sent, 146 were returned (66%). The mean age of the students was 26 +/- 0 years with 21% being female. Students anticipating su bspecialization in cardiothoracic, plastic, pediatric, and transplant surge ry saw significantly more operations in their respective fields. Similar tr ends were seen in vascular surgery and surgical oncology. Despite the appar ent differences in exposure to subspecialty operations, all students saw eq ual numbers of hernia repairs and laparoscopic cholecystectomies. Conclusions. While medical students pursuing careers in surgery have equal exposure to general surgery, their anticipated subspecialty field highly co rrelated with their operative exposure to that held. Thus, medical school s urgical rotations appear to highly influence subspecialty choice. (C) 2001 Academic Press.