Department of Surgery, The University of Alabama at Birmingham, 1808 7th Ave South, Birmingham, AL, 35233, USA.
Department of Surgery - General Surgery Residency, The University of Alabama at Birmingham, Boshell Diabetes Building 202, 1807 2nd Ave South, Birmingham, AL, 35233, USA.
J Cardiothorac Surg. 2022 Jul 8;17(1):175. doi: 10.1186/s13019-022-01913-8.
The organizational structure of cardiothoracic surgery practices varies among different programs throughout the United States (U.S.). We aimed to investigate the characteristics of the top ranked programs within the specialty and the surgeons practicing within each.
The top 50 hospitals for adult cardiology and heart surgery were identified using the US News and World Report 2019-20 ranking. There were 590 hospitals reported on, with 50 top rated programs. Data was collected from each hospital's website, analyses conducted using SAS 9.4 with statistical significance set at p ≤ 0.05.
When comparing cardiothoracic surgery program organizational structures, 21 of the top 50 ranked programs were departments and 24 were divisions within their respective Department of Surgery. Mean number of surgeons was 11 with no statistical difference when analyzed by division versus department. Overall, 9% of practicing cardiothoracic surgeons were female. Between programs that are a department versus division, general thoracic surgery was included in 58% of divisions and 52% of departments (p = ns). Among programs that were departments, approximately 6% of surgeons had attained a Ph.D., while in divisions approximately 4% of surgeons had attained a Ph.D.
The top 50 Cardiothoracic Surgery programs in the U.S. have approximately the same number of surgeons within the group and are organized similarly. This study group had a slightly higher percentage of female surgeons than has previously been noted in cardiothoracic surgery, with general thoracic surgery trending toward higher gender diversity. The presence of physician scientists was low, though similar amongst the study groups.
美国（U.S.）不同项目中心血管外科学术实践的组织结构各不相同。我们旨在调查该专业排名前 50 的项目的特点以及每个项目中的外科医生。
使用 2019-20 年《美国新闻与世界报道》（US News and World Report）的排名确定了成人心脏病学和心脏外科学的前 50 家医院。报告了 590 家医院，其中有 50 个顶级项目。从每家医院的网站收集数据，使用 SAS 9.4 进行分析，统计显著性设为 p≤0.05。
在比较心胸外科项目组织结构时，50 个排名最高的项目中有 21 个是部门，24 个是各自外科部门内的科室。外科医生的平均人数为 11 人，按科室与部门分析时无统计学差异。总的来说，9%的心胸外科外科医生是女性。在部门和科室之间的项目中，58%的科室包括普通胸外科，而 52%的部门包括普通胸外科（p=ns）。在部门项目中，约有 6%的外科医生拥有博士学位，而在科室项目中，约有 4%的外科医生拥有博士学位。
美国排名前 50 的心胸外科项目中，该组内的外科医生数量大致相同，组织结构也相似。本研究组的女性外科医生比例略高于心胸外科，普通胸外科的性别多样性呈上升趋势。虽然在研究组中相似，但医生科学家的存在率较低。
