Getting a Valid Survey Response From 662 Plastic Surgeons in the 21st Century

Reinisch, John F.; Yu, Dong-Soo; Li, Wai-yee

doi:10.1097/sap.0000000000000546

Cited by 41 publications

(23 citation statements)

References 6 publications

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“…The frequencies and associations reported are based on the responses of 210 surgeons (24%) out of a total of 952 surveyed surgeons. This response rate is comparable to reported mean response rates for physicians completing Web‐based surveys . Nonetheless, a large proportion of the sample was not included in the analysis, warranting discussion of responder and nonresponder bias.…”

Section: Discussionsupporting

confidence: 54%

“…This response rate is comparable to reported mean response rates for physicians completing Web-based surveys. 21,22 Nonetheless, a large proportion of the sample was not included in the analysis, warranting discussion of responder and nonresponder bias. No incentives or monetary or material prizes were offered to responders; a brief message in the body of the survey e-mail stated that participation in the survey would ultimately help "improve the design and utility of the ACS TPUSC" only.…”

Section: Study Limitationsmentioning

confidence: 99%

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Evaluation of the American college of surgeons thyroid and parathyroid ultrasound course: Results of a web‐based survey

2016

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Objectives/Hypothesis: The American College of Surgeons Thyroid and Parathyroid Ultrasound Skills-Oriented Course (TPUSC) was designed to teach surgeons how to interpret and perform office-based head and neck ultrasound (HNUS). The objective of this study was to survey attendees of the TPUSC to evaluate the usefulness of the course, to track surgeon performed HNUS practice patterns, and to help identify potential roadblocks to incorporation of HNUS into a surgeon's practice.Study Design: Cross-sectional survey.Methods: A Web-based survey was sent to 952 surgeons who completed the TPUSC between 2010 and 2014. Questions included surgeon specialty, practice type, Likert scale rating of the TPUSC, competency with different HNUS procedures, and current HNUS practice patterns.Results: The response rate was 24%. On a scale from 1 (not useful) to 5 (extremely valuable), the mean course usefulness rating was 4.2. Educational goals were met for 194 (92%) surgeons, and 162 (77%) surgeons reported performing HNUS in their practice. Of 48 surgeons not performing HNUS, 24 (50%) attributed insufficient time in their clinic schedule, and 21 (44%) attributed high equipment costs.Conclusions: The TPUSC is a valuable educational experience for surgeons seeking to gain proficiency in HNUS. The majority of TPUSC graduates gain competency with at least one type of HNUS procedure following the course.

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Section: Discussionsupporting

confidence: 54%

Section: Study Limitationsmentioning

confidence: 99%

Evaluation of the American college of surgeons thyroid and parathyroid ultrasound course: Results of a web‐based survey

2016

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“…Email surveys without financial incentives are associated with lower response rates among surgeons. 29 However, an assessment of potential nonresponse bias, as described by Halbesleben and Whitman, 9 showed that this was likely not large enough to alter the study conclusions, as late responders did not significantly differ from early responders on demographic characteristics or questionnaire items. Because late responders can serve as proxies for nonresponders, this implies that the results would not be substantially altered and are therefore generalizable to a broader audience.…”

Section: Limitationsmentioning

confidence: 98%

Surgeons' Perspectives on Premium Implants in Total Joint Arthroplasty

Wasterlain¹,

Bello²,

Vigdorchik³

et al. 2017

Orthopedics

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Declining total joint arthroplasty reimbursement and rising implant prices have led many hospitals to restrict access to newer, more expensive total joint arthroplasty implants. The authors sought to understand arthroplasty surgeons' perspectives on implants regarding innovation, product launch, costs, and cost-containment strategies including surgeon gain-sharing and patient cost-sharing. Members of the International Congress for Joint Reconstruction were surveyed regarding attitudes about implant technology and costs. Descriptive and univariate analyses were performed. A total of 126 surgeons responded from all 5 regions of the United States. Although 76.9% believed new products advance technology in orthopedics, most (66.7%) supported informing patients that new implants lack long-term clinical data and restricting new implants to a small number of investigators prior to widespread market launch. The survey revealed that 66.7% would forgo gain-sharing incentives in exchange for more freedom to choose implants. Further, 76.9% believed that patients should be allowed to pay incremental costs for "premium" implants. Surgeons who believed that premium products advance orthopedic technology were more willing to forgo gain-sharing (P=.040). Surgeons with higher surgical volume (P=.007), those who believed implant companies should be allowed to charge more for new technology (P<.001), and those who supported discussing costs with patients (P=.004) were more supportive of patient cost-sharing. Most arthroplasty surgeons believe technological innovation advances the field but support discussing the "unproven" nature of new implants with patients. Many surgeons support alternative payment models permitting surgeons and patients to retain implant selection autonomy. Most respondents prioritized patient beneficence and surgeon autonomy above personal financial gain. [Orthopedics. 2017; 40(5):e825-e830.].

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“…22 There is no doubt that a higher response rate would enhance the validity of the study, and consequently efforts have been made to identify strategies to encourage greater participation. [22][23][24][25][26] Although shorter surveys, repeated approaches and monetary incentives have yielded some benefits in the past, they have not been shown to consistently improve response rates among physicians. [22][23][24]26 The reason for the considerable variation in response rates from the 11.9% of plastic surgery residents to 42.8% of orthopedic residents is likely to be multifactorial.…”

Section: Limitationsmentioning

confidence: 99%

“…[22][23][24][25][26] Although shorter surveys, repeated approaches and monetary incentives have yielded some benefits in the past, they have not been shown to consistently improve response rates among physicians. [22][23][24]26 The reason for the considerable variation in response rates from the 11.9% of plastic surgery residents to 42.8% of orthopedic residents is likely to be multifactorial. How enthusiastically program directors and professional associations encouraged their residents to participate in the study will doubtless have played a part, but it must also be considered that those responding to this type of questionnaire may be a self-selecting group.…”

Section: Limitationsmentioning

confidence: 99%

Attitudes and factors contributing to attrition in Canadian surgical specialty residency programs

Adams¹,

Ginther²,

Neuls³

et al. 2017

cjs

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Background:We recently studied attrition in Canadian general surgical programs; however, there are no data on whether residents enrolled in other surgical residencies harbour the same intents as their general surgical peers. We sought to determine how many residents in surgical disciplines in Canada consider leaving their programs and why.Methods: An anonymous survey was administered to all residents in 9 surgical disciplines in Canada. Significance of association was determined using the Pearson χ 2 test. The Canadian Post-MD Education Registry (CAPER) website was used to calculate the response rate. Results:We received 523 responses (27.6% response rate). Of these respondents, 140 (26.8%) were either "somewhat" or "seriously" considering leaving their program. Residents wanting to pursue additional fellowship training and those aspiring to an academic career were significantly less likely to be considering changing specialties (p = 0.003 and p = 0.005, respectively). Poor work-life balance and fear of unemployment/ underemployment were the top reasons why residents would change specialty (55.5% and 40.8%, respectively), although the reasons cited were not significantly different between those considering changing and those who were not (p = 0.64). Residents who were considering changing programs were significantly less likely to enjoy their work and more likely to cite having already invested too much time to change as a reason for continuing (p < 0.001). Conclusion:More than one-quarter of residents in surgical training programs in Canada harbour desires to abandon their surgical careers, primarily because of unsatisfactory work-life balance and limited employment prospects. Efforts to educate prospective residents about the reality of the surgical lifestyle and to optimize employment prospects may improve completion rates.Contexte : Nous avons récemment étudié les taux d'attrition dans les programmes de chirurgie générale canadiens; toutefois, on ne dispose pas de données pour déterminer si les résidents inscrits dans d'autres programmes de chirurgie ont les mêmes intentions que leurs collègues de chirurgie générale. Nous avons voulu savoir combien de résidents des disciplines chirurgicales au Canada envisagent de quitter leur programme et pourquoi.Méthodes : Tous les résidents de 9 disciplines chirurgicales au Canada ont passé un sondage anonyme. La portée de la corrélation a été déterminée à l'aide du test χ 2 de Pearson. Le site Web du Répertoire canadien sur l'éducation post-MD (RCEP) a été utilisé pour calculer le taux de réponse.Résultats : Nous avons reçu 523 réponses (taux de réponse de 27,6 %). Parmi les répon-dants, 140 (26,8 %) envisageaient « peut-être » ou « sérieusement » de quitter leur programme. Les résidents qui souhaitaient suivre une formation de surspécialité et ceux qui aspiraient à une carrière universitaire étaient notablement moins susceptibles d'envisager un changement de programme (p = 0,003 et p = 0,005, respectivement). Les problèmes de conciliation travail-famille et la crainte ...

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Getting a Valid Survey Response From 662 Plastic Surgeons in the 21st Century

Cited by 41 publications

References 6 publications

Evaluation of the American college of surgeons thyroid and parathyroid ultrasound course: Results of a web‐based survey

Evaluation of the American college of surgeons thyroid and parathyroid ultrasound course: Results of a web‐based survey

Surgeons' Perspectives on Premium Implants in Total Joint Arthroplasty

Attitudes and factors contributing to attrition in Canadian surgical specialty residency programs

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