Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
J Surg Educ. 2013 Nov-Dec;70(6):690-5. doi: 10.1016/j.jsurg.2013.09.004.
There remains a debate as to whether nondesignated preliminary (NDP) positions in surgery ultimately translate into successful surgical careers for those who pursue them. We sought to identify the success with which our NDP residents were able to transition to their desired career and what, if any, factors contributed to their success.
The records of all NDP residents accepted into the Massachusetts General Hospital General Surgery Residency Program from 1995 to 2010 were examined and long-term follow-up was completed.
Thirty-four NDP residents were identified, including 26.5% US graduates and 73.5% international medical graduates. At the end of the initial preliminary year, 30 (88%) got placed in a postgraduate residency program, whereas 4 (12%) pursued other career paths. Of those who got placed, 25 (83%) attained surgical residency positions, including 17 (57%) who continued as preliminary residents at our institution and 8 (27%) who got placed in categorical surgical positions at other programs. After multiple preliminary years, 15 of 17 achieved a categorical position, of which, 93% were in surgical fields. Overall, 64.7% of all entering NDP residents eventually went on to have careers in general surgery (50%) or surgical subspecialties (14.7%), and 24 of 34 (71%) fulfilled their desired career goals. No factor predicted success. From 1995 to 2012 there have been 15 midlevel (11 postgraduate year 4) vacancies in our program, 4 of which were filled by preliminary residents, 2 from our program and 2 from elsewhere. All have gone on to board certifications and careers in surgery.
More than 70% of NDP residents in our program successfully transitioned to their desired career paths, many achieving categorical surgical positions and academic surgical careers, thus demonstrating the benefit of this track to both residency programs and trainees.
关于非指定初步（NDP）职位是否最终能为那些追求该职位的人带来成功的外科职业生涯，仍存在争议。我们试图确定我们的 NDP 住院医师成功过渡到他们期望的职业的比例，以及是什么因素促成了他们的成功。
检查了 1995 年至 2010 年期间被马萨诸塞州综合医院普通外科住院医师培训计划录取的所有 NDP 住院医师的记录，并完成了长期随访。
确定了 34 名 NDP 住院医师，其中包括 26.5%的美国毕业生和 73.5%的国际医学毕业生。在初步年度结束时，有 30 名（88%）进入了研究生住院医师培训计划，而 4 名（12%）则选择了其他职业道路。在获得安置的人中，有 25 名（83%）获得了外科住院医师职位，其中 17 名（57%）继续在我们机构担任初步住院医师，8 名（27%）在其他项目中获得了分类外科职位。经过多个初步年度后，17 名中的 15 名获得了分类职位，其中 93%的人在外科领域工作。总体而言，所有进入 NDP 的住院医师中，有 64.7%最终从事普通外科（50%）或外科亚专业（14.7%）的职业，其中 24 名（71%）实现了他们的理想职业目标。没有因素可以预测成功。自 1995 年至 2012 年，我们的计划中有 15 个中级（11 个住院医师第 4 年）空缺，其中 4 个由初步住院医师填补，2 个来自我们的计划，2 个来自其他地方。所有人都通过了 board 认证并从事外科职业。
我们计划中的 NDP 住院医师中，有超过 70%成功过渡到他们期望的职业道路，许多人获得了分类外科职位和学术外科职业，因此证明了该途径对住院医师培训计划和受训者都有益。
