Literature DB >> 21708369

Trends in research time, fellowship training, and practice patterns among general surgery graduates.

Michelle C Ellis1, Birat Dhungel, Roshanthi Weerasinghe, John T Vetto, Karen Deveney.   

Abstract

SUMMARY: A comparison of research experience, fellowship training, and ultimate practice patterns of general surgery graduates at a university-based surgical residency program. Research experience correlated with pursuing fellowship training and predicted an eventual academic career. More recently, graduates have been able to obtain fellowships without a dedicated research year, perhaps reflecting shifting fellowship training opportunities.
BACKGROUND: We hypothesized that the relationships among dedicated research experience during residency, fellowship training, and career choices is changing as research and fellowship opportunities evolve.
METHODS: Comparison of research experience, fellowship training, and ultimate practice patterns of general surgery graduates for 2 decades (1990-1999, n = 82; 2000-2009, n = 98) at a university-based residency program. Main outcome measures were number of years and area of research, fellowship training, and practice setting.
RESULTS: Compared by decade, graduates became increasingly fellowship-trained (51.2% vs 67.3%; p < 0.05) and pursuit of fellowship training increased for both research and nonresearch participating graduates. The number of residents completing more than 1 year of research doubled (9.8% vs 22.4%, p < 0.05). By decade, the percentage of female graduates increased significantly (22% vs 41%, p = 0.005), with more women participating in dedicated research (17% vs 51%, p < 0.001) and seeking fellowships. The number of graduates going into specialty practice and academic/clinical faculty positions increased over time.
CONCLUSIONS: Surgical residents have completed more dedicated research years and became increasingly fellowship-trained over time. The proportion of female graduates has increased with similar increases in research time and fellowship training in this subgroup. In the earlier decade, dedicated research experiences during surgical residency correlated with pursuing fellowship training, and predicted an eventual academic career. More recently, graduates have obtained fellowships and academic positions without dedicated research time, perhaps reflecting shifting fellowship opportunities.
Copyright © 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Entities:  

Mesh:

Year:  2011        PMID: 21708369     DOI: 10.1016/j.jsurg.2011.01.008

Source DB:  PubMed          Journal:  J Surg Educ        ISSN: 1878-7452            Impact factor:   2.891


  12 in total

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Authors:  Teviah E Sachs; Aslam Ejaz; Matthew Weiss; Gaya Spolverato; Nita Ahuja; Martin A Makary; Christopher L Wolfgang; Kenzo Hirose; Timothy M Pawlik
Journal:  Surgery       Date:  2014-03-15       Impact factor: 3.982

2.  Research amongst Irish surgical trainees: what's the trend?

Authors:  C K McDonald; S Flynn; M Kelly; I Feeley; E Sheehan
Journal:  Ir J Med Sci       Date:  2017-05-11       Impact factor: 1.568

3.  The changing face of academic general surgery in Canada: a cross-sectional cohort study

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Authors:  Bernadette J Goudreau; Taryn E Hassinger; Traci L Hedrick; Craig L Slingluff; Anneke T Schroen; Lynn T Dengel
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5.  Use of decision-based simulations to assess resident readiness for operative independence.

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6.  An Examination of Applicants and Factors Associated with Matriculation to Complex General Surgical Oncology Fellowship Training Programs.

Authors:  Michael M Wach; Samantha M Ruff; Reed I Ayabe; Sean P Martin; Laurence P Diggs; Imani A Alexander; Seth M Steinberg; Jeremy L Davis; Jonathan M Hernandez
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7.  Residents' perception of skill decay during dedicated research time.

Authors:  Anne-Lise D D'Angelo; Rebecca D Ray; Caitlin G Jenewein; Grace F Jones; Carla M Pugh
Journal:  J Surg Res       Date:  2015-06-23       Impact factor: 2.192

8.  Facilitating Success of the Early Stage Surgeon Scientist Trainee: Growing the Surgeon Scientist Pipeline.

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Journal:  Ann Surg       Date:  2022-02-01       Impact factor: 12.969

9.  Duty Hour Reform and the Outcomes of Patients Treated by New Surgeons.

Authors:  Rachel R Kelz; Bijan A Niknam; Morgan M Sellers; James E Sharpe; Paul R Rosenbaum; Alexander S Hill; Hong Zhou; Lauren L Hochman; Karl Y Bilimoria; Kamal Itani; Patrick S Romano; Jeffrey H Silber
Journal:  Ann Surg       Date:  2020-04       Impact factor: 13.787

10.  Clinical fellowships in surgical training: analysis of a national pan-specialty workforce survey.

Authors:  J E F Fitzgerald; J A Milburn; G Khera; R S M Davies; S T Hornby; C E B Giddings
Journal:  World J Surg       Date:  2013-05       Impact factor: 3.352

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