Department of Cardiothoracic Surgery, Stanford University, Stanford, CA. Electronic address: https://twitter.com/@SimarSBajaj.
Department of Cardiothoracic Surgery, Stanford University, Stanford, CA.
Surgery. 2022 Feb;171(2):348-353. doi: 10.1016/j.surg.2021.06.012. Epub 2021 Jul 20.
Surgeons are traditionally categorized as working either in academic or private/community practice, but some transition between the two environments. Here, we profile current academic cardiothoracic surgeons who began their attending careers in private or community practice. We hypothesized that research activity may distinguish cardiothoracic surgeons who started in non-academic versus academic practice.
Publicly available data regarding professional history and research productivity were collected for 992 academic cardiothoracic surgeons on faculty at the 77 cardiothoracic surgery training programs in the United States in 2018. Data are presented as medians analyzed with the Mann-Whitney test or proportions analyzed with Fisher exact test or the χ test.
A total of 80 (8.1%) academic cardiothoracic surgery faculty started their careers in non-academic practice, and 912 (91.9%) started directly in academia. Those who started in non-academic practice spent a median 7.0 y in private/community practice and were more likely to be cardiac surgeons (68.8% vs 51.6%, P = .0132). They were equally likely to pursue a protected research fellowship (56.3% vs 57.0%, P = .9067) and publish research during training (92.5% vs 91.1%, P = .8374), but they published fewer total papers by the end of cardiothoracic surgery fellowship (3.0 vs 7.0, P = .0001) and fewer papers per year as an academic attending (0.8 vs 2.9, P < .0001). Nevertheless, the majority of cardiothoracic surgery faculty who started in non-academic practice are currently active in research (68.8%), and 2 such surgeons received National Institutes of Health R01 funding.
Transitioning from non-academic to academic practice is an uncommon but feasible pathway for interested cardiothoracic surgeons.
外科医生传统上分为在学术环境或私人/社区实践中工作，但有些人会在这两种环境之间转换。在这里，我们介绍了目前开始从事学术心胸外科医生职业生涯的人，他们曾在私人或社区实践中工作。我们假设研究活动可能会区分开始在非学术环境与学术环境工作的心胸外科医生。
我们收集了 2018 年在美国 77 个心胸外科培训项目的 772 名学术心胸外科教员的职业历史和研究成果的公开数据。数据以中位数表示，使用 Mann-Whitney 检验进行分析，或使用 Fisher 确切检验或 χ 检验分析比例。
共有 80 名（8.1%）学术心胸外科教员开始他们的职业生涯在非学术实践中，而 912 名（91.9%）则直接在学术界开始。那些开始在非学术实践中的人平均在私人/社区实践中工作了 7.0 年，并且更有可能是心脏外科医生（68.8%比 51.6%，P =.0132）。他们在接受培训期间同样有可能从事受保护的研究奖学金（56.3%比 57.0%，P =.9067）和发表研究成果（92.5%比 91.1%，P =.8374），但他们在心胸外科住院医师培训结束时发表的总论文较少（3.0 比 7.0，P =.0001），作为学术主治医生发表的论文每年也较少（0.8 比 2.9，P <.0001）。尽管如此，大多数开始在非学术环境中工作的心胸外科教员目前仍积极从事研究工作（68.8%），其中有 2 名外科医生获得了美国国立卫生研究院 R01 资助。
从非学术环境到学术实践的过渡对于有兴趣的心胸外科医生来说是一条罕见但可行的途径。
