Practice administration training needs of recent general surgery graduates

Klingensmith, Mary E.; Cogbill, Thomas H.; Samonte, Kelli; Jones, Andrew; Malangoni, Mark A.

doi:10.1016/j.surg.2015.02.028

Cited by 12 publications

(3 citation statements)

References 20 publications

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“…Strikingly, while the majority of surgeons in our study felt confident with their technical skills and ability to operate in an attending’s role, only a minority was confident in their ability to successfully manage and run an outpatient clinic independently. Similar to our findings, Klingensmith et al 30 have demonstrated a strong desire and need from general surgery residents in the United States for training on surgical practice administration such as coding and reimbursement, patient billing, and taxes. Hashimoto et al 31 have also pointed toward lack of increased resident autonomy as being one of the factors hindering a smooth transition to independent practice.…”

Section: Discussionsupporting

confidence: 91%

“…The issues affecting recent graduates during this stressful transition period have been sparsely covered in the literature, and none of the published studies resulted in an empirically founded conceptual framework. [4][5][6][7][8][9][10] The American College of Surgeons has recognized this and focused efforts toward creating transition to practice programs to better equip residents for a smoother transition. 11 Recent studies also highlight the growing problem of burnout in medical practitioners.…”

Section: Introductionmentioning

confidence: 99%

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Transition to Independent Surgical Practice and Burnout Among Early Career General Surgeons

Firdouse

Chrystoja

Montbrun³

et al. 2021

Surg Innov

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Background: The transition from surgical residency to independent practice is a challenging period that has not been well studied. Methods: An email invitation to complete a 55-item survey and the Maslach Burnout Inventory–Human Services Survey (MBI-HSS) was sent to early career general surgeons across Canada. The chi-square test or Fisher’s exact test was used to compare demographic and survey characteristics with burnout. Multivariable logistic regression was performed. Results: Of the 586 surgeons contacted, 88 responded (15%); 51/88 surgeons (58.0%) were classified as burnt out according to the MBI-HSS. Most surgeons (68.2%) were not confident in their abilities to handle the business aspect of practice. The majority (60.2%) believed that a transition to independent practice program would be beneficial to recent surgical graduates. Conclusions: Our data showed high prevalence of burnout among recently graduated general surgeons across Canada. Further, respondents were not confident in their managerial and administrative skills required to run a successful independent practice.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Transition to Independent Surgical Practice and Burnout Among Early Career General Surgeons

Firdouse

Chrystoja

Montbrun³

et al. 2021

Surg Innov

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“…Many of the findings of our survey are consistent with previous studies that demonstrate educational deficiencies in business training during residency across all specialties, despite being an ACGME requirement. 2 Studies in a myriad of specialties, including Family Medicine, [10][11][12][13] Internal Medicine, 14 Pediatrics, 15 Psychiatry, [16][17][18] Radiology, 19 General Surgery, [20][21][22] Otolaryngology, 23 Orthopedic Surgery, [24][25] Thoracic Surgery, 26 and Obstetrics/Gynecology, [27][28] have examined residents' and graduates' opinions on their preparation for practicing independently. In all of these specialties, residents identified a lack of formal education in business principles as one of the main factors that contributed to feeling inadequately prepared for TTP.…”

Section: Discussionmentioning

confidence: 99%

Transition to Practice in Anesthesiology: Survey Results of Practicing Anesthesiologists on Their Experience

2019

JEPM

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Study Objective: To assess the experiences and attitudes of practicing anesthesiologists on practice/business management training received during residency and transitioning to practice through an online survey.Design: An online survey, consisting of 39 questions developed by the American Society of Anesthesiologists (ASA) Committee on Young Physicians, was emailed to 2 6551 practicing US anesthesiologists who were ASA members.Measurements: Questions about individuals' demographic information, transition to practice (TTP) experiences, medical business training, and TTP curricula in residency were included. Results were reported as descriptive statistics.Main Results: A total of 1199 responses were obtained (response rate 4.5%), and68% reported working in private practice over an average of 17 years. Those practicing ≤ 10 years were more likely to have a TTP curriculum in residency compared to those in practice ≥ 11 years. Common problems reported by many participants regarding TTP included: lack of effective mentorship, inadequate residency curricula/education, and an unfamiliarity with available resources. Conclusions:Although medical business practice education is now required by training programs, there is room for improvement in education. One potential solution is establishing TTP curricula in residency programs, which emphasize the business aspects of medicine and practice management, thus easing trainees from a training to practice environment.

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Trainee-initiated dictations of endocrine surgeries: Implications for education and reimbursement

Chopyk,

Wang,

Weirich

et al. 2024

The American Journal of Surgery

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Practice administration training needs of recent general surgery graduates

Cited by 12 publications

References 20 publications

Transition to Independent Surgical Practice and Burnout Among Early Career General Surgeons

Transition to Independent Surgical Practice and Burnout Among Early Career General Surgeons

Transition to Practice in Anesthesiology: Survey Results of Practicing Anesthesiologists on Their Experience

Trainee-initiated dictations of endocrine surgeries: Implications for education and reimbursement

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