Mukit Muntazim, Sumner Leigh, O'Brien Robert C, Bhanat Eldrin L, Walker Marc E
From Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, Miss.
Department of Data Science, University of Mississippi Medical Center, Jackson, Miss.
Plast Reconstr Surg Glob Open. 2023 Sep 25;11(9):e5292. doi: 10.1097/GOX.0000000000005292. eCollection 2023 Sep.
Anecdotal statements are often made about what percentage of residents go into fellowship versus private practice versus academia after graduation. However, few objective studies have been completed on this topic. This project is designed to shed light on the career choices of plastic surgery residents immediately after graduation from 2018 to 2022. A secondary objective was to determine whether the COVID-19 pandemic had any measurable impact on postgraduation plans.
After obtaining institutional review board approval, publicly available data were obtained from institution websites or via program queries. Comparison between pre-COVID-19 and post-COVID-19 (2018-2019 versus 2020-2022), integrated versus independent, and private versus public cohorts were analyzed using Fisher exact test. A two-sided value less than 0.01 was considered statistically significant.
Data were collected for 690 graduates across 64 plastic surgery training programs. Responses were obtained from 60 of 88 (68%) integrated and 30 of 47 (64%) independent programs. Most graduates pursued fellowship training (61%), followed by private practice (28%), academic practice (5%), or military post (1%). Independent residents were more likely to pursue private practice (40% versus 26%, = 0.001), whereas integrated residents were more likely to pursue fellowship (49% versus 70%, < 0.0001). Public institution graduates were more likely to go into private practice (37% versus 23%, = 0.0002), whereas private institution residents were more likely to pursue fellowship (55% versus 72%, < 0.0001). Public institutions were more likely to graduate women (45% versus 35%, = 0.009). The COVID-19 pandemic ( = 0.31) had no impact on postgraduation plans.
This study demonstrates that training pathway and institution type have a significant impact on postgraduation plans, whereas a global pandemic does not. This information can be used by educators, residents, and medical students as they plan for the future.
关于毕业后有多少住院医师选择专科培训、进入私人执业或从事学术工作，常常有一些传闻性的说法。然而，关于这个主题的客观研究却很少。本项目旨在揭示2018年至2022年整形外科住院医师毕业后的职业选择情况。第二个目标是确定新冠疫情是否对毕业后计划产生了任何可衡量的影响。
在获得机构审查委员会批准后，从机构网站或通过项目查询获取公开可用的数据。使用Fisher精确检验分析新冠疫情前和新冠疫情后（2018 - 2019年与2020 - 2022年）、综合培训与独立培训以及私立机构与公立机构学员群体之间的差异。双侧P值小于0.01被认为具有统计学意义。
收集了64个整形外科培训项目中690名毕业生的数据。从88个综合培训项目中的60个（68%）和47个独立培训项目中的30个（64%）获得了回复。大多数毕业生选择专科培训（61%），其次是私人执业（28%）、学术工作（5%）或军队岗位（1%）。独立培训的住院医师更有可能选择私人执业（40%对26%，P = 0.001），而综合培训的住院医师更有可能选择专科培训（49%对70%，P < 0.0001）。公立机构的毕业生更有可能进入私人执业（37%对23%，P = 0.0002），而私立机构的住院医师更有可能选择专科培训（55%对72%，P < 0.0001）。公立机构毕业女性比例更高（45%对35%，P = 0.009）。新冠疫情（P = 0.31）对毕业后计划没有影响。
本研究表明，培训途径和机构类型对毕业后计划有重大影响，而全球大流行则没有。教育工作者、住院医师和医学生在规划未来时可以利用这些信息。
