Division of Endocrine Surgery, Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Surgery. 2010 Apr;147(4):536-41. doi: 10.1016/j.surg.2009.10.041. Epub 2009 Nov 24.
In recent years, there has been a growing interest in endocrine surgery. Educational objectives have been published by the American Association of Endocrine Surgeons (AAES), but data have not been collected describing the recruitment pool, fellowship, or postfellowship experiences.
A survey was distributed to endocrine surgeons in practice <7 years and endocrine surgery fellows. Demographic, training, and practice data were collected.
The survey response rate was 69% (46/67); 85% were practicing endocrine surgeons and 15% were fellows. In all, 72% of respondents completed an endocrine surgery fellowship, 17% completed surgical oncology, and the remaining individuals completed no fellowship. The mean age was 38 (32-49) years; 39% were women, 67% were white, 26% were Asian, 11% were Hispanic, and 2% were black. A total of 89% completed residency at academic centers. Endocrine surgery fellows performed significantly more endocrine surgery cases in residency than the average graduating chief resident. Mentorship was a critical factor in fellows' decisions to pursue endocrine surgery. Fellows graduated with a median (range) of 150 (50-300) thyroid, 80 (35-200) parathyroid, 10 (2-50) neck dissection, 13 (0-60) laparoscopic adrenal, and 3 (0-35) endocrine-pancreas. Fellows felt the least prepared in neck dissection and pancreas. Of the respondents, 76% of endocrine surgeons in practice are at academic centers, and 75% have practices where most cases are endocrine based.
Exposure to endocrine surgery and mentorship are powerful factors that influence residents to pursue careers in endocrine surgery. Significant variation is found in the case distribution of fellowships with a relative paucity in neck dissection, pancreas procedures, and research. Recruitment to endocrine surgery should begin in residency, and the standardization of training should be a goal.
近年来，内分泌外科学越来越受到关注。美国内分泌外科学会（AAES）已经公布了教育目标，但尚未收集到描述招募人群、奖学金以及奖学金后经历的数据。
对从业不足 7 年的内分泌外科医生和内分泌外科研究员进行了问卷调查。收集了人口统计学、培训和实践数据。
调查回复率为 69%（46/67）；85%为在职内分泌外科医生，15%为研究员。共有 72%的受访者完成了内分泌外科奖学金，17%完成了外科肿瘤学，其余人员没有完成奖学金。平均年龄为 38（32-49）岁；39%为女性，67%为白人，26%为亚洲人，11%为西班牙裔，2%为黑人。共有 89%的人在学术中心完成住院医师培训。内分泌外科研究员在住院医师培训期间完成的内分泌手术例数明显多于普通的即将毕业的主治住院医师。导师在研究员决定从事内分泌外科工作方面是一个关键因素。研究员毕业后平均完成 150 例（50-300 例）甲状腺手术、80 例（35-200 例）甲状旁腺手术、10 例（2-50 例）颈部清扫术、13 例（0-60 例）腹腔镜肾上腺手术和 3 例（0-35 例）内分泌胰腺手术。研究员认为颈部清扫术和胰腺手术方面准备最不充分。在实践中的内分泌外科医生中，有 76%在学术中心工作，75%的人在以内分泌为基础的实践中工作。
接触内分泌外科和导师指导是影响住院医师从事内分泌外科工作的重要因素。奖学金的病例分布差异很大，颈部清扫术、胰腺手术和研究相对较少。应在住院医师培训阶段开始招募内分泌外科医生，并应将培训标准化作为目标。
