Hashmi Asra, Khan Faraz A, Herman Floyd, Narasimhan Nathan, Khan Shaher, Kubiak Carrie, Gursel Eti, Edelman David A
Department of Plastic Surgery, Wayne State University/Detroit Medical Center, Detroit, USA.
Department of General Surgery, Wayne State University/Detroit Medical Center, Detroit, USA.
BMC Res Notes. 2017 Jun 27;10(1):234. doi: 10.1186/s13104-017-2561-5.
Plastic surgery training is undergoing major changes however there is paucity of data detailing the current state of training as perceived by plastic surgical trainees. Our aim was to determine the quality of training as perceived by the current trainee pool and their future plans.
A 25-item anonymous survey with three discrete sections (demographics, quality of training, and post-graduate career plans) was developed and distributed to plastic surgery residents during the academic year 2013. With the confidence interval of 95% and margin of error of 10%, our target response rate was 87 responders.
We received a total of 114 respondents with all levels of Post Graduate Year in training represented. Upon comparison of residents with debt of <100,000 to residents with a debt of >250,000, those with higher debt were significantly less interested in fellowship training (p value 0.05) and were more likely to pursue private practice (p value <0.01). Disciplines within plastic surgery least offered as a separate rotation were microsurgery (45%) followed by aesthetic surgery (33%). 53.7% of the residents felt that they were least trained in aesthetic surgery followed by burn surgery 45.4%. Of note 56.4% intended to seek additional training after residency. Moreover residents with an average of 6.4 months of experience in an individual subspecialty were more likely to feel comfortable with that specialty.
This survey highlights the areas and subspecialties that deserve attention as perceived by the current trainee pool.
整形外科学培训正在经历重大变革，然而，关于整形外科住院医师所感知的当前培训状况的详细数据却很匮乏。我们的目的是确定当前住院医师群体所感知的培训质量及其未来计划。
在2013学年，我们设计并向整形外科住院医师发放了一份包含25个项目的匿名调查问卷，该问卷分为三个独立部分（人口统计学、培训质量和研究生毕业后的职业规划）。在95%的置信区间和10%的误差幅度下，我们的目标回复率为87名回复者。
我们共收到114份回复，涵盖了各个培训阶段的住院医师。将债务低于100,000美元的住院医师与债务高于250,000美元的住院医师进行比较后发现，债务较高的住院医师对专科培训的兴趣明显较低（p值为0.05），且更有可能从事私人执业（p值<0.01）。整形外科中作为单独轮转提供最少的学科是显微外科（45%），其次是美容外科（33%）。53.7%的住院医师认为他们在美容外科方面接受的培训最少，其次是烧伤外科，为45.4%。值得注意的是，56.4%的住院医师打算在住院医师培训结束后寻求额外培训。此外，在某个亚专业平均有6.4个月经验的住院医师对该专业的感觉更舒适。
本次调查突出了当前住院医师群体所认为的值得关注的领域和亚专业。
