Initial report on young cardiothoracic surgeons' first job: From searching to securing and the gaps in between

Sterbling, Helene M.; Molena, Daniela; Rao, Sowmya R.; Stein, Sharon L.; Litle, Virginia R.

doi:10.1016/j.jtcvs.2018.12.104

Cited by 23 publications

(10 citation statements)

References 19 publications

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“…(27,28) Furthermore, there remains minimal study in how to overcome racial and gender disparities in physician career progression and pay. (29,30) It is thus understandable that this topic is of such importance to physicians when entering unsupervised practice. A Practice Management Seminar was evaluated in Psychiatry residents that involved talks from a nancial analyst regarding concepts of return on investment and reimbursement policies.…”

Section: Discussionmentioning

confidence: 99%

Transition to Practice Curriculum for General Internal Medicine Physicians: Scoping Review and National Survey

Thomson

O'Halloran

et al. 2022

Preprint

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Background: There remains a paucity of evidence for curricula for the transition to practice (TTP) stage of Competence by Design internal medicine (IM) training programs. Current entrustable professional activities are based on expert consensus rather than robust subspecialty-specific needs assessment. Methods: A scoping review was completed to identify studies with TTP focus. A national survey was conducted to identify transition experiences for general internal medicine physicians. Results were assessed by grounded theory analysis to identify core topics for TTP curricula. Results: Neither scoping review nor national survey identified TTP topics related to the CanMEDS Medical Expert role. Scoping Review: 41 relevant studies were identified. Most (97.6%) were from North America. The most common study types were observational (survey) or curriculum (13/41 31.7% for each). Only two studies were exclusively in IM, and the most common subspecialty studied was surgical (13/41, 31.7%). The most common TTP topics were mentorship, billing and coding, practice management, negotiating contract and job, and financial aspects of practice. National Survey: There were 44 respondents, with the majority (25/44, 56.8%) having completed an IM subspecialty fellowship. Most (38/44) completed medical school in Canada, and most were from academic practice settings (33/44, 75.0%). The most common TTP topics were billing and coding, personal financial planning, practice management, work-life balance and mentorship. Grounded Theory Analysis: There were six themes that encompassed all TTP topics from the scoping review and national survey, being (i) building a career, (ii) continuing professional development, (iii) expectations of the profession, (iv) practice management, (v) Life, health and well-being and (vi) clinical skills. Curriculum competencies and resources for curriculum development were provided.Conclusions: This study identifies topics critical for curricula development for IM transition to practice. Further research is required to evaluate effectiveness of curricula including topics and themes developed from this scoping review and national survey.

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Section: Discussionmentioning

confidence: 99%

Transition to Practice Curriculum for General Internal Medicine Physicians: Scoping Review and National Survey

Thomson

O'Halloran

et al. 2022

Preprint

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“…We recently commented 1 on a study by Sterbling and colleagues, 2 which reported the challenges that residents face when finding and securing a first job in cardiothoracic surgery. In the article, Sterbling and colleagues 2 conclude that ''resources, whether institutional or organizational, are sparse and difficult to tailor to individual needs.''…”

Section: Reply: Transparency Of Job Search Needs Improvementmentioning

confidence: 99%

Reply: Transparency of job search needs improvement

Geraci

2019

The Journal of Thoracic and Cardiovascular Surgery

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“…Yet, in a survey concerning the experience of first-job seeking CT surgeons, the results emphasized the limited guidance in the field for those securing first employment, despite the length and rigor of residency. 5 Residents do not feel well-supported in this regard due to a lack of individually tailored resources. With the projected shortage of CT surgeons by 2030, organizations and residency programs should pioneer programs to assist in the hiring process, if not integrate them into the yearly meetings.…”

mentioning

confidence: 99%

Educational research and training innovation in cardiothoracic surgery: A year in review

Hunt

Zhou

Lui

et al. 2019

The Journal of Thoracic and Cardiovascular Surgery

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, it has been an exciting year for the field. However, this volume of research renders it difficult to keep abreast with the latest innovations in education. This year alone in CT surgery, there were 35 education-focused abstracts, 24 sessions oriented toward emerging technology, and more than 180 sessions devoted to surgical skills and simulations. Many studies explored the role of technology-based tools in augmenting CT surgery training. These were applied to the field broadly, within subspecialties, and at all levels of medical training from medical student to senior attending. Research also grappled with how to best enhance recruitment of students into CT surgery. It is these advances in education that will prove vital to the future of CT surgery education. Reflecting on the extensive scholarly work published and presented at the major CT surgical conferences, the aim of this paper is to explore the education highlights of the 2017 to 2018 academic year and provide commentary on where the field may be headed. EDUCATIONAL RESEARCH ACROSS THE FIELD OF CT SURGERY Structure of the Field Many researchers over the course of the year investigate how the field of CT surgery is changing and how trainees in particular are responding. The presence of physician extenders within CT surgery has increased in recent years. A national survey assessing opinions of physician extender involvement showed that overall impression is favorable but that their role can occasionally impede resident education, especially in regard to patient management on the ward. 1 In regard to training structure, residents appear to prefer traditional programs to the integrated 6-year (I-6) program. The most common reasons given for not applying to the I-6 program were lack of commitment to CT surgery as a medical student and uncertainty of adequacy of I-6 training-from the belief that general surgery training is more well-rounded. 2 For general thoracic surgery, the 4/3 and traditional programs were the preferred and more common route compared with the I-6 residents, who nearly all were set on a cardiac career (adult or congenital). 2,3 I-6 programs also increase concern about decreased general surgery operative volume, which emphasizes the need for cooperation and communication between integrated and categorical program directors to ensure adequate training for all residents. 4 Understanding the advantages and challenges of the various educational paradigms, programs continue to modify and improve their curriculum to better address the perceived needs of the specialty and those of the trainees. Support for Residents' Transition to Training and to Practice Research this year focused on understanding how to better support CT surgery residents. Throughout the conferences this year, many sessions were oriented toward

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Initial report on young cardiothoracic surgeons' first job: From searching to securing and the gaps in between

Cited by 23 publications

References 19 publications

Transition to Practice Curriculum for General Internal Medicine Physicians: Scoping Review and National Survey

Transition to Practice Curriculum for General Internal Medicine Physicians: Scoping Review and National Survey

Reply: Transparency of job search needs improvement

Educational research and training innovation in cardiothoracic surgery: A year in review

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