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Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study
BACKGROUND: Surgical subspecialty training aims to meet the needs of practicing surgeons and their communities. This study investigates career preparedness of Complex General Surgical Oncology (CGSO) fellowship graduates, identifies factors associated with practice readiness, and explores potential...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695882/ https://www.ncbi.nlm.nih.gov/pubmed/37936022 http://dx.doi.org/10.1245/s10434-023-14524-x |
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author | Behrens, Shay Lillemoe, Heather A. Dineen, Sean P. Russell, Maria C. Visser, Brendan Berman, Russell S. Farma, Jeffrey M. Grubbs, Elizabeth Davis, Jeremy L. |
author_facet | Behrens, Shay Lillemoe, Heather A. Dineen, Sean P. Russell, Maria C. Visser, Brendan Berman, Russell S. Farma, Jeffrey M. Grubbs, Elizabeth Davis, Jeremy L. |
author_sort | Behrens, Shay |
collection | PubMed |
description | BACKGROUND: Surgical subspecialty training aims to meet the needs of practicing surgeons and their communities. This study investigates career preparedness of Complex General Surgical Oncology (CGSO) fellowship graduates, identifies factors associated with practice readiness, and explores potential opportunities to improve the current training model. METHODS: The Society of Surgical Oncology partnered with the National Cancer Institute to conduct a 36-question survey of CGSO fellowship graduates from 2012 to 2022. RESULTS: The overall survey response rate was 38% (221/582) with a slight male predominance (63%). Forty-six percent of respondents completed their fellowship after 2019. Factors influencing fellowship program selection include breadth of cancer case exposure (82%), mentor influence (66%), and research opportunities (38%). Overall, graduates reported preparedness for practice; however, some reported unpreparedness in research (18%) and in specific clinical areas: thoracic (43%), hyperthermic intraperitoneal chemotherapy (HIPEC) (15%), and hepato-pancreato-biliary (15%) surgery. Regarding technical preparedness, 70% reported being “very prepared”. Respondents indicated lack of preparedness in robotic (63%) and laparoscopic (33%) surgery approaches. Suggestions for training improvement included increased autonomy and case volumes, program development, and research infrastructure. Current practice patterns by graduates demonstrated discrepancies between ideal contracts and actual practice breakdowns, particularly related to the practice of general surgery. CONCLUSIONS: This study of CGSO fellowship graduates demonstrates potential gaps between trainee expectations and the realities of surgical oncology practice. Although CGSO fellowship appears to prepare surgeons for careers in surgical oncology, there may be opportunities to refine the training model to better align with the needs of practicing surgical oncologists. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1245/s10434-023-14524-x. |
format | Online Article Text |
id | pubmed-10695882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-106958822023-12-06 Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study Behrens, Shay Lillemoe, Heather A. Dineen, Sean P. Russell, Maria C. Visser, Brendan Berman, Russell S. Farma, Jeffrey M. Grubbs, Elizabeth Davis, Jeremy L. Ann Surg Oncol Global Health Services Research BACKGROUND: Surgical subspecialty training aims to meet the needs of practicing surgeons and their communities. This study investigates career preparedness of Complex General Surgical Oncology (CGSO) fellowship graduates, identifies factors associated with practice readiness, and explores potential opportunities to improve the current training model. METHODS: The Society of Surgical Oncology partnered with the National Cancer Institute to conduct a 36-question survey of CGSO fellowship graduates from 2012 to 2022. RESULTS: The overall survey response rate was 38% (221/582) with a slight male predominance (63%). Forty-six percent of respondents completed their fellowship after 2019. Factors influencing fellowship program selection include breadth of cancer case exposure (82%), mentor influence (66%), and research opportunities (38%). Overall, graduates reported preparedness for practice; however, some reported unpreparedness in research (18%) and in specific clinical areas: thoracic (43%), hyperthermic intraperitoneal chemotherapy (HIPEC) (15%), and hepato-pancreato-biliary (15%) surgery. Regarding technical preparedness, 70% reported being “very prepared”. Respondents indicated lack of preparedness in robotic (63%) and laparoscopic (33%) surgery approaches. Suggestions for training improvement included increased autonomy and case volumes, program development, and research infrastructure. Current practice patterns by graduates demonstrated discrepancies between ideal contracts and actual practice breakdowns, particularly related to the practice of general surgery. CONCLUSIONS: This study of CGSO fellowship graduates demonstrates potential gaps between trainee expectations and the realities of surgical oncology practice. Although CGSO fellowship appears to prepare surgeons for careers in surgical oncology, there may be opportunities to refine the training model to better align with the needs of practicing surgical oncologists. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1245/s10434-023-14524-x. Springer International Publishing 2023-11-07 2024 /pmc/articles/PMC10695882/ /pubmed/37936022 http://dx.doi.org/10.1245/s10434-023-14524-x Text en © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Global Health Services Research Behrens, Shay Lillemoe, Heather A. Dineen, Sean P. Russell, Maria C. Visser, Brendan Berman, Russell S. Farma, Jeffrey M. Grubbs, Elizabeth Davis, Jeremy L. Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study |
title | Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study |
title_full | Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study |
title_fullStr | Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study |
title_full_unstemmed | Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study |
title_short | Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study |
title_sort | perceptions of readiness for practice after complex general surgical oncology fellowship: a survey study |
topic | Global Health Services Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695882/ https://www.ncbi.nlm.nih.gov/pubmed/37936022 http://dx.doi.org/10.1245/s10434-023-14524-x |
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