McElroy Katherine E, Chen Herbert, Hardiman Karin, Corey Britney, Gillis Andrea
The University of Alabama at Birmingham, Birmingham, AL, 35233, USA.
The University of Alabama at Birmingham, Birmingham, AL, 35233, USA.
Am J Surg. 2024 Feb;228:222-225. doi: 10.1016/j.amjsurg.2023.10.002. Epub 2023 Oct 4.
To encourage progression of surgeon scientists amongst increasingly limited funding, academic interest, training institutions are supporting mid-training academic development time (ADT). We propose that supporting ADT with a full funding mechanism will improve ADT participation at minimal institutional cost.
From 2017 to 2022, our surgery department proposed a full funding mechanism for a post-graduate year three (PGY-3) resident to encourage ADT participation. Residents were required to submit at least two external grants. Annual funding sources and total stipend supplementation was calculated by prevalence of ADT residents.
From 2017 to 2022, 30 residents opted to participate in 1-4 years of ADT with increasing prevalence. 5 funding sources were utilized with ∼$530,000 in total annual funding. Departmental contribution was minimal compared to external (9% vs. 91% ($48,102 vs. $485,573, p < 0.001)).
With commitment of full salary supplementation, residents choosing ADT increased at marginal institutional cost, suggesting a solution to combating the declining number of academic surgeons.
为了在资金日益有限、学术关注度降低的情况下鼓励外科医生科学家的发展,培训机构正在支持培训中期的学术发展时间(ADT)。我们建议,通过全额资助机制支持ADT将以最低的机构成本提高ADT的参与度。
2017年至2022年,我们外科科室为一名三年级住院医师(PGY-3)提出了全额资助机制,以鼓励其参与ADT。住院医师需要提交至少两项外部资助申请。根据参与ADT的住院医师比例计算年度资金来源和总津贴补充。
2017年至2022年,30名住院医师选择参与1至4年的ADT,参与率不断上升。共利用了5个资金来源,年度总资金约为53万美元。与外部资金相比,科室的贡献极小(9%对91%(48,102美元对485,573美元,p < 0.001))。
通过承诺提供全额薪资补充,以边际机构成本选择参与ADT的住院医师数量增加,这为应对学术外科医生数量下降问题提供了一个解决方案。