Integrated Thoracic Residency Program Applicants: The Best and the Brightest?

Chikwe, Joanna; Brewer, Zachary E.; Goldstone, Andrew B.; Adams, David H.

doi:10.1016/j.athoracsur.2011.05.107

Cited by 33 publications

(11 citation statements)

References 6 publications

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“…3,4 We reasoned that these remarkable differences were a product of unique characteristics specific to the I-6 applicant pool. To understand the true interest and characteristics of applicants to I-6 CT surgery programs, we surveyed a cohort of applicants who were selected for an interview by !1 ACGME-accredited CT I-6 program.…”

Section: Discussionmentioning

confidence: 97%

Six-year integrated cardiothoracic surgery residency applicants: Characteristics, expectations, and concerns

Tchantchaleishvili

Barrus

Knight

et al. 2013

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 97%

Six-year integrated cardiothoracic surgery residency applicants: Characteristics, expectations, and concerns

Tchantchaleishvili

Barrus

Knight

et al. 2013

The Journal of Thoracic and Cardiovascular Surgery

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“…Furthermore, evidence has indicated that the qualifications of the I-6 applicants have generally been superior to those of the applicants to traditional CT surgical training programs. Gasparri and colleagues 4 at the Medical College of Wisconsin and Chikwe and colleagues 3 reported a greater number of peer-reviewed publications and greater US Medical Licensing Examination scores among applicants invited to interview for their I-6 program compared with their traditional program applicants. Although these parameters are not firmly established indicators for success as a surgical resident, they reflect positively on the assimilation and retention of information and interest in research.…”

Section: Discussionmentioning

confidence: 99%

First nationwide survey of US integrated 6-year cardiothoracic surgical residency program directors

Lebastchi

Tackett

Argenziano

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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Objective The recently implemented integrated 6-year (I-6) format represents a significant change in cardiothoracic surgical residency training. We report the results of the first nationwide survey assessing I-6 program directors' impressions of this new format. Methods A 28-question web-based survey was distributed to program directors of all 24 Accreditation Council for Graduate Medical Education-accredited I-6 training programs in November 2013. The response rate was a robust 67%. Results Compared with graduates of traditional residencies, most I-6 program directors with enrolled residents believed that their graduates will be better trained (67%), be better prepared for new technological advances (67%), and have superior comprehension of cardiothoracic disease processes (83%). Just as with traditional program graduates, most respondents believed their I-6 graduates would be able to independently perform routine adult cardiac and general thoracic operations (75%) and were equivocal on whether additional specialty training (eg, minimally invasive, heart failure, aortic) was necessary. Most respondents did not believe that less general surgical training disadvantaged I-6 residents in terms of their career (83%); 67% of respondents would have chosen the I-6 format for themselves if given the choice. The greater challenges in training less mature and experienced trainees and vulnerability to attrition were noted as disadvantages of the I-6 format. Most respondents believed that I-6 programs represent a natural evolution toward improved residency training rather than a response to declining interest among medical school graduates. Conclusions High satisfaction rates with the I-6 format were prevalent among I-6 program directors. However, concerns with respect to training relatively less experienced, mature trainees were evident.

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“…Recent studies have shown that there has been a rise in applicants [31] and that the quality of applicant has been excellent [32], thereby providing hope that the field will continue to attract the best and brightest. However, the operative experience of the integrated thoracic surgery resident needs to be monitored for possible siphoning of cases away from general surgery residents.…”

Section: Commentmentioning

confidence: 99%

Accreditation Council for Graduate Medical Education Case Log: General Surgery Resident Thoracic Surgery Experience

Kansier¹,

Varghese²,

Verrier³

et al. 2014

The Annals of Thoracic Surgery

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Background General surgery resident training has changed dramatically over the past 2 decades, with likely impact on specialty exposure. We sought to assess trends in general surgery resident exposure to thoracic surgery using the Accreditation Council for Graduate Medical Education (ACGME) case logs over time. Methods The ACGME case logs for graduating general surgery residents were reviewed from academic year (AY) 1989–1990 to 2011–2012 for defined thoracic surgery cases. Data were divided into 5 eras of training for comparison: I, AY89 to 93; II, AY93 to 98; III, AY98 to 03; IV, AY03 to 08; V, AY08 to 12. We analyzed quantity and types of cases per time period. Student t tests compared averages among the time periods with significance at a p values less than 0.05. Results A total of 21,803,843 general surgery cases were reviewed over the 23-year period. Residents averaged 33.6 thoracic cases each in period I and 39.7 in period V. Thoracic cases accounted for nearly 4% of total cases performed annually (period I 3.7% [134,550 of 3,598,574]; period V 4.1% [167,957 of 4,077,939]). For the 3 most frequently performed procedures there was a statistically significant increase in thoracoscopic approach from period II to period V. Conclusions General surgery trainees today have the same volume of thoracic surgery exposure as their counterparts over the last 2 decades. This maintenance in caseload has occurred in spite of work-hour restrictions. However, general surgery graduates have a different thoracic surgery skill set at the end of their training, due to the predominance of minimally invasive techniques. Thoracic surgery educators should take into account these differences when training future cardiothoracic surgeons.

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Integrated Thoracic Residency Program Applicants: The Best and the Brightest?

Cited by 33 publications

References 6 publications

Six-year integrated cardiothoracic surgery residency applicants: Characteristics, expectations, and concerns

Six-year integrated cardiothoracic surgery residency applicants: Characteristics, expectations, and concerns

First nationwide survey of US integrated 6-year cardiothoracic surgical residency program directors

Accreditation Council for Graduate Medical Education Case Log: General Surgery Resident Thoracic Surgery Experience

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