Berkane Yanis, Oubari Haizam, Cornacchini Jonathan, Camuzard Olivier, Bertheuil Nicolas, Lupon Elise
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Hôpital Sud, CHU Rennes, University of Rennes 1, Rennes, France.
Center for Engineering in Medicine and Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Plast Reconstr Surg Glob Open. 2025 Apr 2;13(4):e6652. doi: 10.1097/GOX.0000000000006652. eCollection 2025 Apr.
Plastic surgery residency training in France presents unique challenges and opportunities, with a highly competitive environment and a growing demand for academic plastic surgeons. Understanding the factors influencing residents' career decisions is essential for optimizing training programs and fostering academic interest.
A cross-sectional study was conducted using a self-administered questionnaire comprising 14 questions distributed via RedCAP between January and June 2023. The study included all residents and young attendings in all 21 French University Hospital Centers nationwide, from year 1 to postgraduate year 2.
Among 204 contacted participants, 106 responses were obtained. All responses were complete. First-year residents represented 9.4% of respondents, whereas residents in the "deepening" and "consolidation phases" represented 41.5% and 25.6%, respectively. Senior residents such as "junior doctors" and young attendings represented 25.5% of survey respondents. Although most residents expressed interest in private practice, mentorship from academic surgeons emerged as a significant influencer toward academic pursuits. Despite the prevalence of academic mentors (38% of identified mentors), a discrepancy was found between perceived academic orientation and actual research opportunities, indicating a need for improved awareness and exposure to academic possibilities during residency. Financial considerations, including salary differentials and job security, also seemed to play a substantial role in career decision-making.
Cultivating a deeper understanding of academic careers' multifaceted nature and enhancing the appeal of academic pursuits are essential for nurturing the next generation of academic plastic surgeons. It is hoped that this study will help enhance the appeal of academic vocations in plastic surgery residents.
法国的整形外科住院医师培训面临着独特的挑战与机遇，竞争环境激烈，对学术型整形外科医生的需求不断增长。了解影响住院医师职业决策的因素对于优化培训项目和培养学术兴趣至关重要。
采用自填式问卷进行横断面研究，问卷包含14个问题，于2023年1月至6月通过Research Electronic Data Capture（REDCAP）进行发放。该研究纳入了法国全国21家大学医院中心的所有住院医师和低年资主治医师，涵盖从第1年到研究生第2年的人员。
在204名被联系的参与者中，获得了106份回复。所有回复均完整。第一年住院医师占受访者的9.4%，而处于“深化阶段”和“巩固阶段”的住院医师分别占41.5%和25.6%。“低年资医生”等高级住院医师和低年资主治医师占调查受访者的25.5%。尽管大多数住院医师表示对私人执业感兴趣，但学术外科医生的指导成为学术追求的一个重要影响因素。尽管学术导师普遍存在（已识别导师中的38%），但在感知的学术导向与实际研究机会之间发现了差异，这表明在住院医师培训期间需要提高对学术可能性的认识和接触。经济因素，包括薪资差异和工作保障，似乎在职业决策中也起着重要作用。
深入了解学术职业的多面性并增强学术追求的吸引力对于培养下一代学术型整形外科医生至关重要。希望本研究将有助于提高整形外科住院医师对学术职业的吸引力。
