Jain Shelley, Buonpane Christie, Shabahang Ryan, Kashyap Rahul, Shabahang Mohsen
Department of Surgery, WellSpan Health, York, PA.
Department of Surgery, University of Louisville, Louisville, KY.
J Surg Educ. 2025 Feb;82(2):103322. doi: 10.1016/j.jsurg.2024.103322. Epub 2024 Dec 31.
The position of general surgery residency program director (GSPD) has been well defined by governing bodies as an important educational role. Its impact on the individuals themselves has not been studied extensively. We aimed to examine the individual and professional impact of the role of GSPDs as seen by former program directors of general surgery residency programs.
This Institutional Review Board (IRB) exempt study conducted semi structured virtual interviews from May- September 2023 with former GSPDs. The research team consisted of 5 members who transcribed the interviews, coded the responses, and conducted a thematic analysis in an iterative consensus process. Final themes and subthemes were generated and representative quotes were selected.
This study was conducted virtually at Wellspan York Hospital in York, Pennsylvania, a level-1 trauma center and community teaching hospital.
A total of 19 former GSPDs were recruited via purposeful sampling and snowballing. All 19 participants completed the study interview.
GSPD responses were found to have 5 recurring themes and several subthemes. The themes included 1) Development as a leader, 2) Relationship building, 3) Proficiencies needed as a program director, 4) Transactional aspects, 5) Transformational aspects.
Leading a general surgery residency program is an extremely impactful position that develops pivotal leadership skills, requires many proficiencies, relies on relationship building, and has aspects that are transactional and transformational. Holding the position of program director creates both personal fulfillment while 1 holds the position and has a positive professional impact in the subsequent stages of their career as a surgical educator.
普通外科住院医师培训项目主任（GSPD）的职位已被管理机构明确界定为一项重要的教育角色。其对个人本身的影响尚未得到广泛研究。我们旨在考察普通外科住院医师培训项目前任主任眼中GSPD角色对个人及职业的影响。
本机构审查委员会（IRB）豁免研究于2023年5月至9月对前任GSPD进行了半结构化虚拟访谈。研究团队由5名成员组成，他们对访谈进行转录、对回答进行编码，并在反复的共识过程中进行主题分析。生成了最终主题和子主题，并选取了具有代表性的引语。
本研究在宾夕法尼亚州约克市的韦尔斯潘约克医院虚拟开展，该医院是一级创伤中心和社区教学医院。
通过目的抽样和滚雪球抽样共招募了19名前任GSPD。所有19名参与者均完成了研究访谈。
发现GSPD的回答有5个反复出现的主题和几个子主题。这些主题包括1）作为领导者的成长，2）关系建立，3）作为项目主任所需的能力，4）事务性方面，5）变革性方面。
领导普通外科住院医师培训项目是一个极具影响力的职位，能培养关键的领导技能，需要多种能力，依赖关系建立，并且具有事务性和变革性方面。担任项目主任一职在任职期间既能带来个人成就感，又会在其作为外科教育工作者的职业生涯后续阶段产生积极的职业影响。
