Worrell Christopher M, Das Nitin A, Sako Edward Y
Department of Cardiothoracic Surgery, University of Texas Health San Antonio, San Antonio, TX, United States of America.
Surg Open Sci. 2024 Jul 22;20:210-213. doi: 10.1016/j.sopen.2024.07.011. eCollection 2024 Aug.
Changes in cardiothoracic surgery (CTS) workforce trends have affected training paradigms to include the establishment of integrated six-year CTS residency (I6) programs. This study aimed to determine commitment of selected I6 program applicants to the specialty. Internal archives at a single institution were accessed to identify applicants interviewed for an I6 position from 2014 to 2016. A systematic internet search of publicly available information was performed to identify the trainee's current specialty. Descriptive analysis was performed. Forty-seven applicants were identified. Successful search results were achieved for 97.9 % of the applicants. One applicant was excluded, resulting in a cohort of 45. 48.9 % of the applicants successfully matched into I6 programs. Of the 23 who did not match into an I6 program, 91.3 % began a General Surgery (GS) residency. When looking solely at the GS trainees, 71.4 % sought and matched into a traditional or 4/3 CTS residency. In total, 77.8 % of the cohort are currently pursuing careers in cardiothoracic surgery. The study identified a strong continued interest in the field of CT Surgery among those interviewed for integrated residency. The methodology used in this study provided an effective way to follow career choice of applicants interviewed and could be applied by additional programs to further elucidate career choice and levels of commitment.
心胸外科(CTS)劳动力趋势的变化影响了培训模式,包括设立六年制综合CTS住院医师培训(I6)项目。本研究旨在确定选定的I6项目申请人对该专业的投入程度。访问了一家机构的内部档案,以确定2014年至2016年期间接受I6职位面试的申请人。对公开信息进行了系统的网络搜索,以确定学员目前的专业。进行了描述性分析。共确定了47名申请人。97.9%的申请人获得了成功的搜索结果。一名申请人被排除在外,最终形成了一个45人的队列。48.9%的申请人成功匹配到I6项目。在未匹配到I6项目的23人中,91.3%开始了普通外科(GS)住院医师培训。仅看GS学员,71.4%的人寻求并匹配到传统的或4/3 CTS住院医师培训项目。总体而言,77.8%的队列成员目前正在从事心胸外科职业。该研究发现,接受综合住院医师培训面试的人员对CT外科领域仍有浓厚兴趣。本研究中使用的方法为跟踪接受面试的申请人的职业选择提供了一种有效方式,其他项目也可应用该方法进一步阐明职业选择和投入程度。