Disgust sensitivity and the 'non-rational' aspects of a career choice in surgery

Fitting trainee physicians to career paths remains an ongoing challenge in a highly fluid health workforce environment. Studies attempting to explain low interest in surgical careers have typically examined the relative impact of career and lifestyle values. The current work argues that emotional proclivities are potentially more important and that disgust sensitivity may help explain both low surgical interest as well as the tendency for female students to avoid surgical careers.

216 medical students attending a required course in human behaviour completed measures of career intention, traditional predictors of career intention and dispositional disgust sensitivity.

As predicted, logistic regression showed that greater disgust sensitivity predicted lower surgical career intention even when controlling for traditional career values (OR=0.45, 95%CI=0.21-0.95). Additionally, the gender effect indexing low female interest in surgical careers was no longer significant once disgust sensitivity was added to the model.

The impact of disgust sensitivity on surgical interest was substantial and on par with established predictors of career intention. Disgust sensitivity may represent a potentially modifiable factor impacting surgical career choice, particularly among female students who are typically more disgust sensitive.