TY - JOUR
T1 - Factors Affecting Interest in Cardiothoracic Surgery
T2 - Survey of North American General Surgery Residents
AU - Vaporciyan, Ara A.
AU - Reed, Carolyn E.
AU - Erikson, Clese
AU - Dill, Michael J.
AU - Carpenter, Andrea J.
AU - Guleserian, Kristine J.
AU - Merrill, Walter
N1 - Funding Information:
We gratefully acknowledge the assistance of Dr John Tarpley, professor of surgery at Vanderbilt University Medical Center and president of the APDS, for encouraging general surgery program directors to have their residents participate in the survey. This work was funded through a generous grant from The Society of Thoracic Surgeons and The American Association for Thoracic Surgery.
PY - 2009/5
Y1 - 2009/5
N2 - Background: Applications to cardiothoracic surgery (CTS) training programs have declined precipitously. The viewpoints of potential applicants, general surgery residents, have not yet been assessed. Their perceptions are crucial to understanding the cause and formulating appropriate changes in our educational system. Methods: An initial survey instrument was content-validated, and the final instrument was distributed electronically between March 24 and May 2, 2008 through 251 general surgery program directors to all Accreditation Council for Graduate Medical Education-accredited general surgery residents (7,508). Results: The response rate was 29% (2153 residents; 89% programs). Respondent's demographics matched existing data; 6% were committed to CTS, and 26% reported prior or current interest in CTS. Interest waned after postgraduate year 3. Interest correlated with CTS rotation duration. Of the respondents committed to CTS, 76% had mentors (71% were cardiothoracic surgeons). CTS had the most shortcomings among 9 subspecialties. Job security and availability accounted for 46% of reported shortcomings (3 to 14 times higher than other subspecialties). Work schedule accounted for 25%. Length of training was not a very important factor, although it was identified as an option to increase interest in CTS. Residents who were undecided or uninterested in CTS were twice as likely to cite the ability to balance work and personal life as important than residents who chose CTS. Conclusions: The dominant concern documented in the survey is job security and availability. The importance of mentorship and exposure to CTS faculty in promoting interest was also evident. Decision makers should consider these findings when planning changes in education and the specialty.
AB - Background: Applications to cardiothoracic surgery (CTS) training programs have declined precipitously. The viewpoints of potential applicants, general surgery residents, have not yet been assessed. Their perceptions are crucial to understanding the cause and formulating appropriate changes in our educational system. Methods: An initial survey instrument was content-validated, and the final instrument was distributed electronically between March 24 and May 2, 2008 through 251 general surgery program directors to all Accreditation Council for Graduate Medical Education-accredited general surgery residents (7,508). Results: The response rate was 29% (2153 residents; 89% programs). Respondent's demographics matched existing data; 6% were committed to CTS, and 26% reported prior or current interest in CTS. Interest waned after postgraduate year 3. Interest correlated with CTS rotation duration. Of the respondents committed to CTS, 76% had mentors (71% were cardiothoracic surgeons). CTS had the most shortcomings among 9 subspecialties. Job security and availability accounted for 46% of reported shortcomings (3 to 14 times higher than other subspecialties). Work schedule accounted for 25%. Length of training was not a very important factor, although it was identified as an option to increase interest in CTS. Residents who were undecided or uninterested in CTS were twice as likely to cite the ability to balance work and personal life as important than residents who chose CTS. Conclusions: The dominant concern documented in the survey is job security and availability. The importance of mentorship and exposure to CTS faculty in promoting interest was also evident. Decision makers should consider these findings when planning changes in education and the specialty.
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U2 - 10.1016/j.athoracsur.2009.02.096
DO - 10.1016/j.athoracsur.2009.02.096
M3 - Article
C2 - 19379863
AN - SCOPUS:64649102385
SN - 0003-4975
VL - 87
SP - 1351
EP - 1359
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 5
ER -