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Why (not to) become a surgeon? An assessment of two interviews from a psychological perspective

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Surgical further education disciplines are recording a loss of attraction described by the career monitoring of medical students, despite persistent high prestige attribution. Multiple reasons are mentioned as relevant decisive factors; however, decision making processes, such as the choice of career, are made unconsciously in the majority of cases and are influenced by multiple mechanisms, such as heuristics, archetypes and stereotypes. This is also true for decisions of medical students for or against a surgical discipline. Based on two examples in interview style frequent psychological mechanisms and the resulting biases are presented and described. Besides the compatibility of family and career the experience of personal appreciation and respect also plays a major role when it comes to opt for or against a career in vascular surgery. These factors are mainly based on individual experiences, especially during studying (practicals, training, internship) and can confirm or correct implicit biases, so-called prejudices. If no personal experiences were made, unconscious judgement is made based on the available information, which is often composed of archetypes, rules of thumb and reports. Therefore, the visibility and presence of vascular surgery in medical studies is highly relevant for acquiring young professionals. Hierarchical structures are no longer considered desirable and modern. This becomes particularly problematic with superiors who are seen as unreachable and unapproachable conveying perspective goals that are out of reach. In spite of the high percentage of female medical students there (still) is a lack of female role models in leading positions that could generate career prospects. Altogether, personal experiences have an enormous influence on the choice of career. The mentioned psychological mechanisms should be included in recruiting young vascular surgeons by all protagonists.

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