Changing Demographics of Residents Choosing Fellowships: Longterm Data from The American Board of Surgery
Journal of the American College of SurgeonsPublished 7 March 2008
Karen R. Borman, Laura R. Vick, Thomas W. Biester, Marc Mitchell
Citations263
SJR quartileQ1
SJR score1.23
SNIP1.35
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
More general surgery residents are pursuing fellowships, and the increase has originated disproportionately from resident and residency demographic subsets and has varied temporally across subgroups, suggesting a multifactorial etiology.
Abstract
More general surgery residents are pursuing fellowships. The increase has originated disproportionately from resident and residency demographic subsets and has varied temporally across subgroups. The heterogeneity of change suggests a multifactorial etiology. Future directions in surgical education and workforce planning should reflect these findings.
Keywords
Social SciencesHealth Professions
Annals of SurgeryAmerican Surgical Association Blue Ribbon Committee Report on Surgical Education: 2004
314 Citations2005Haile T. Debas, Barbara L. Bass +17 more
The Blue Ribbon Committee on Surgical Education was charged with examining the multitude of forces impacting health care and making recommendations regarding the changes needed in surgical education to enhance the training of surgeons to serve all the surgical needs of the nation, and to keep training and research in surgery at the cutting edge in the 21st Century.
SurgeryWhat influences medical students' choice of surgical careers
257 Citations2000Victor Z. Erzurum, Robert J. Obermeyer +6 more
The data suggests that students are more likely to be influenced to pursue surgical careers by offering early exposure to positive role models and career and academic opportunities in surgery.
The American Journal of SurgeryPerceptions of women medical students and their influence on career choice
224 Citations2002Leigh Neumayer, Susan Kaiser +6 more
Women medical students perception of women surgeons' career satisfaction did not appear to be affected by the proportion ofWomen surgeons on the faculty at their medical school, however, their choice of surgery as a career was strongly associated with a higher proportion of women on the surgical faculty.
Journal of the American College of SurgeonsProgressive Specialization Within General Surgery: Adding to the Complexity of Workforce Planning
215 Citations2005Karyn B. Stitzenberg, George F. Sheldon
A larger surgical workforce will be needed to provide the breadth of services encompassed by the primary components of general surgery, as the phenomenon of progressive specialization evolves.
Annals of SurgeryWork Loads and Practice Patterns of General Surgeons in the United States, 1995–1997
163 Citations1999Wallace P. Ritchie, Robert S. Rhodes +1 more
The work loads and practice patterns of general surgeons in the United States over a 3-year period (1995 to 1997) demonstrate that general surgery practice in the US is extremely heterogeneous.
SurgeryAre there gender differences in choosing a surgical career?
144 Citations2003Theresa M Wendel, Constantine Godellas +1 more
Fewer women than men considered practice lifestyle in choosing their medical career, however, both men and women considered lifestyle, elective in the field of choice, and faculty important in career choice.
The American Journal of SurgeryAn Internet-based survey of factors influencing medical student selection of a general surgery career
140 Citations2005Amalia Cochran, Spencer J. Melby +1 more
Medical students who choose surgical careers are not deterred by a negative perception of lifestyle and workload considerations, and mentoring and personality fit are central in medical student specialty selection.
Archives of SurgeryChoosing General Surgery
117 Citations2002Dmitri V. Gelfand, Yale D. Podnos +3 more
Comparison of students' attitudes before and after completion of their general surgery clerkship showed that following surgical course exposure more students believed surgery lacked breadth of expertise, limitations over stress, control over one's time, regularity of schedule, adequacy of leisure time, and income commensurate to workload.
Journal of the American College of SurgeonsPotential Targets to Encourage a Surgical Career
112 Citations2005Susan I. Brundage, Anthony Lucci +4 more
First year students expressed a positive correlation between surgery and career opportunities, intellectual challenge, performing technical procedures, and obtaining a residency position, although length of training, work hours, and lifestyle during and after training were negatively correlated with choosing surgery.
PubMedWhy the numbers are dropping in general surgery: the answer no one wants to hear--lifestyle!
65 Citations2002Joy A. Henningsen
America is captivated by the surgeon-perhaps more so than by any other servant in medicine; why do medical students not appear to be as interested in general surgery as a career?
SurgeryMaternity policy and practice during surgery residency: How we do it
56 Citations2002Sally E. Carty, Yolonda L. Colson +8 more
The complexities of resident maternity can be handled with mutual safety, equity, and satisfaction by the residents and faculty of a surgical training program.
Archives of SurgerySurgical Residents in the 1990s
47 Citations1995Sheryl G. A. Gabram
Three of the highest-reported concerns for the entire group are issues that could conceivably be controlled by surgical chairpersons and program directors, in contrast, only one of the six concerns that differed for men and women is directly program related.
Annals of SurgeryThe Physician Workforce Challenge
13 Citations2007Darrell G. Kirch, Edward Salsberg
Why strategies in addition to medical school expansion also must be considered, and how the broader reexamination of medical education now underway holds the potential for providing some of the flexibility needed in education and training to help address the shortage are discussed.
The American SurgeonA Young Surgeon's Perspective on Alternate Surgical Training Pathways
13 Citations2007Michael Sutherland
Changes in the structure of residency and fellowships do not seem to be the most effective way to accomplish a difference in the quality and quantity of applicants for surgical residencies, and the development of positive role models for medical students should possibly focus more on faculty and medical student interaction.
Journal of surgical educationSee One, Do One, Be Competent in One? Resident Rotations Broaden the Perceived Scope of General Surgery
8 Citations2007Laura R. Vick, Karen R. Borman +1 more
The authors' residents perceived the scope of general surgery more broadly than did a national sample of PDs for content areas in which residents completed rotations and could influence resident decision making about postresidency fellowships.