Section of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.
Section of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.
J Thorac Cardiovasc Surg. 2014 Aug;148(2):401-7. doi: 10.1016/j.jtcvs.2014.03.040. Epub 2014 Mar 27.
Integrated 6-year cardiothoracic surgical residency programs have recently been implemented in the United States. We report the results of the first published nationwide survey assessing the motivations, satisfaction, and ambitions of integrated 6-year residents.
A 63-question web-based survey was distributed to 83 residents enrolled in 21 Accreditation Council for Graduate Medical Education-accredited integrated 6-year programs in November 2013. There was an outstanding 69% response rate.
The median age of integrated 6-year residents was 29 years with women comprising 24%. A clear majority had faculty mentorship (95%) and significant clinical exposure in medical school. Focused (100%) and abbreviated (74%) training curricula were identified as the top advantages of integrated 6-year programs; the format itself was a significant factor (46%) in career choice. Most integrated 6-year residents (95%) were satisfied with their program; 80.7% were satisfied with their operative experience thus far. Career plans skewed toward adult cardiac surgery (67%), followed by pediatric cardiac (24%) and general thoracic (9%) surgery; 49% were not particularly concerned about future employment, with 65% foreseeing an increase in opportunities. Specialized training (eg, aortic, heart failure, minimally invasive, congenital) was anticipated by 77%. Most integrated 6-year residents envision an academic career (94.7%).
This survey takes an important snapshot of the nascent integrated 6-year format. Mentorship and intense clinical exposure are critical in attracting applicants. Purported advantages of the format are holding true among integrated 6-year residents, with the majority satisfied with their programs. These early data indicate that this format holds significant promise in attracting and retaining highly qualified trainees to academic cardiothoracic surgery.
综合性 6 年制心胸外科住院医师培训计划最近在美国开始实施。我们报告了首次进行的全国性调查结果，该调查评估了综合性 6 年制住院医师的动机、满意度和抱负。
2013 年 11 月，我们向在 21 个经研究生医学教育认证委员会认证的综合性 6 年制项目中注册的 83 名住院医师发放了一份包含 63 个问题的网络调查。回应率高达 69%。
综合性 6 年制住院医师的中位数年龄为 29 岁，女性占 24%。绝大多数人有教员指导（95%），在医学院有大量的临床接触。集中（100%）和缩短（74%）的培训课程被认为是综合性 6 年制项目的最大优势；该模式本身是选择职业的一个重要因素（46%）。大多数综合性 6 年制住院医师（95%）对其项目感到满意；80.7%对迄今为止的手术经验感到满意。职业规划倾向于成人心脏外科（67%），其次是儿科心脏（24%）和普通胸外科（9%）；49%的人对未来就业不是特别担心，65%的人预计机会会增加。77%的人期望接受专门培训（如主动脉、心力衰竭、微创、先天性）。大多数综合性 6 年制住院医师希望从事学术生涯（94.7%）。
这项调查描绘了新生的综合性 6 年制模式的重要情况。导师指导和密集的临床接触对吸引申请人至关重要。这种模式的所谓优势在综合性 6 年制住院医师中得到了体现，大多数人对其项目感到满意。这些早期数据表明，这种模式在吸引和留住高素质的心胸外科培训师方面具有很大的潜力。
