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A multi-institutional study from the US ROPE Consortium examining factors associated with directly entering practice upon residency graduation.
Hammaker, Austin C; Dodwad, Shah-Jahan M; Salyer, Christen E; Adams, Sasha D; Foote, Darci C; Ivascu, Felicia A; Kader, Sarah; Abelson, Jonathan S; Al Yafi, Motaz; Sutton, Jeffrey M; Smith, Savannah; Postlewait, Lauren M; Stopenski, Stephen J; Nahmias, Jeffry T; Harvey, Jalen; Farr, Deborah; Callahan, Zachary M; Marks, Joshua A; Elsaadi, Ali; Campbell, Samuel J; Stahl, Christopher C; Hanseman, Dennis J; Patel, Purvi; Woeste, Matthew R; Martin, Robert C G; Patel, Jitesh A; Newcomb, Melissa R; Greenwell, Kathriena; Meister, Katherine M; Etheridge, James C; Cho, Nancy L; Thrush, Carol R; Kimbrough, Mary K; Nasim, Bilal Waqar; Willis, Ross E; George, Brian C; Quillin, Ralph C; Cortez, Alexander R.
Afiliação
  • Hammaker AC; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, OH. Electronic address: https://twitter.com/HammakerAustin.
  • Dodwad SM; Department of Surgery, McGovern Medical School at UTHealth, Houston, TX. Electronic address: https://twitter.com/shahofsurgery.
  • Salyer CE; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, OH. Electronic address: https://twitter.com/salyerchristen.
  • Adams SD; Department of Surgery, McGovern Medical School at UTHealth, Houston, TX. Electronic address: https://twitter.com/SashaTrauma.
  • Foote DC; Department of Surgery, Beaumont Health, Royal Oak, MI.
  • Ivascu FA; Department of Surgery, Beaumont Health, Royal Oak, MI.
  • Kader S; Department of Surgery, Lahey Hospital and Medical Center, Burlington, MA.
  • Abelson JS; Department of Surgery, Lahey Hospital and Medical Center, Burlington, MA. Electronic address: https://twitter.com/jabelsonmd.
  • Al Yafi M; Department of Surgery, University of Toledo, Toledo, OH.
  • Sutton JM; Department of Surgery, Division of Surgical Oncology, Medical University of South Carolina, Charleston, SC. Electronic address: https://twitter.com/J_M_Sutton.
  • Smith S; Department of Surgery, Emory University, Atlanta, GA.
  • Postlewait LM; Department of Surgery, Emory University, Atlanta, GA.
  • Stopenski SJ; Department of Surgery, University of California, Irvine, Orange, CA.
  • Nahmias JT; Department of Surgery, University of California, Irvine, Orange, CA. Electronic address: https://twitter.com/jnahmias1.
  • Harvey J; Department of Surgery, University of Texas Southwestern Medical Center, Dallas TX. Electronic address: https://twitter.com/JHarvMD20.
  • Farr D; Department of Surgery, University of Texas Southwestern Medical Center, Dallas TX. Electronic address: https://twitter.com/DVFelaine.
  • Callahan ZM; Department of Surgery, Thomas Jefferson University, Philadelphia, PA. Electronic address: https://twitter.com/zmcallahan.
  • Marks JA; Department of Surgery, Thomas Jefferson University, Philadelphia, PA.
  • Elsaadi A; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX.
  • Campbell SJ; Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX.
  • Stahl CC; Department of Surgery, University of Wisconsin, Madison, WI.
  • Hanseman DJ; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, OH.
  • Patel P; Department of Surgery, Loyola University, Maywood, IL. Electronic address: https://twitter.com/pppatelmd.
  • Woeste MR; Department of Surgery, University of Louisville, Louisville, KY.
  • Martin RCG; Department of Surgery, University of Louisville, Louisville, KY.
  • Patel JA; Department of Surgery, University of Kentucky, Lexington, KY. Electronic address: https://twitter.com/Patel_Wildcat.
  • Newcomb MR; Department of Surgery, University of Kentucky, Lexington, KY.
  • Greenwell K; Department of Surgery, Good Samaritan Hospital, Cincinnati, OH.
  • Meister KM; Department of Surgery, Good Samaritan Hospital, Cincinnati, OH.
  • Etheridge JC; Department of Surgery, Brigham and Women's Hospital, Boston, MA.
  • Cho NL; Department of Surgery, Brigham and Women's Hospital, Boston, MA. Electronic address: https://twitter.com/NancyLCho.
  • Thrush CR; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
  • Kimbrough MK; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR. Electronic address: https://twitter.com/kimbrough_katie.
  • Nasim BW; Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX.
  • Willis RE; Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX.
  • George BC; Department of Surgery, Center for Surgical Training and Research (CSTAR), University of Michigan, Ann Arbor, MI. Electronic address: https://twitter.com/bcgeorge.
  • Quillin RC; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, OH.
  • Cortez AR; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, OH. Electronic address: cortez.alexr@gmail.com.
Surgery ; 172(3): 906-912, 2022 09.
Article em En | MEDLINE | ID: mdl-35788283
ABSTRACT

BACKGROUND:

There is concern regarding the competency of today's general surgery graduates as a large proportion defer independent practice in favor of additional fellowship training. Little is known about the graduates who directly enter general surgery practice and if their operative experiences during residency differ from graduates who pursue fellowship.

METHODS:

Nineteen Accreditation Council for Graduate Medical Education-accredited general surgery programs from the US Resident OPerative Experience Consortium were included. Demographics, career choice, and case logs from graduates between 2010 to 2020 were analyzed.

RESULTS:

There were 1,264 general surgery residents who graduated over the 11-year period. A total of 248 (19.6%) went directly into practice and 1,016 (80.4%) pursued fellowship. Graduates directly entering practice were more likely to be a high-volume resident (43.1% vs 30.5%, P < .01) and graduate from a high-volume program (49.2% vs 33.0%, P < .01). Direct-to-practice graduates performed 53 more cases compared with fellowship-bound graduates (1,203 vs 1,150, P < .01). On multivariable analysis, entering directly into practice was positively associated with total surgeon chief case volume (odds ratio = 1.47, 95% confidence interval 1.18-1.84, P < .01) and graduating from a US medical school (odds ratio = 2.54, 95% confidence interval 1.45-4.44, P < .01) while negatively associated with completing a dedicated research experience (odds ratio = 0.31, 95% confidence interval 0.22-0.45, P < .01).

CONCLUSION:

This is the first multi-institutional study exploring resident operative experience and career choice. These data suggest residents who desire immediate practice can tailor their experience with less research time and increased operative volume. These data may be helpful for programs when designing their experience for residents with different career goals.
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Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Internato e Residência Tipo de estudo: Clinical_trials / Risk_factors_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Surgery Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Internato e Residência Tipo de estudo: Clinical_trials / Risk_factors_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Surgery Ano de publicação: 2022 Tipo de documento: Article