Recent Trends in Cardiothoracic Surgery Training: Data from the National Resident Matching Program

Bui, Jenny; Bennett, William C.; Long, Jason; Strassle, Paula D.; Haithcock, Benjamin E.

doi:10.1016/j.jsurg.2020.08.008

Cited by 15 publications

(10 citation statements)

References 13 publications

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“…The development of I-6 programs has led to an increase in the number of well-trained cardiothoracic surgeons joining the field (32). This almost accounts for the decline in the number of traditional pathway positions since the inception of I-6 programs, from 130 traditional pathway © Journal of Thoracic Disease.…”

Section: Thoracic Surgery Training In the Usmentioning

confidence: 99%

“…J Thorac Dis 2021 | https://dx.doi.org/10.21037/jtd-21-1504 positions in 2008 to 91 in 2021 (30,32). However, given the projected workforce shortage in cardiothoracic surgery, a significant focus has been placed on recruiting bright medical school and general surgery applicants through mentorship and programs to increase exposure (33,34).…”

Section: Thoracic Surgery Training In the Usmentioning

confidence: 99%

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A brief overview of thoracic surgery in the United States

Byrd¹,

Williams²,

Backhus³

2022

J Thorac Dis

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The 331 million people of the United States are served by a complex and expensive healthcare system that accounts for nearly 18% of the country's gross domestic product. Over 90% of patients are insured by private or government-funded plans, but despite high coverage and unusually high healthcare spending, vast disparities exist within the United States population based on demographics in terms of diagnosis, treatment, and outcomes of disease. Thoracic surgeons in the United States are trained to treat patients with diseases of the chest in the operative and perioperative settings, and can accomplish this training through multiple highly competitive pathways. Thoracic surgeons perform an average of 135 operations each per year which address diseases of the lungs, trachea, esophagus, chest wall, mediastinum, and diaphragm.Video assisted thoracoscopic surgeries are the most commonly performed procedures, which are primarily completed to treat lung cancer. Lung cancer is the deadliest and second most prevalent malignancy in the United States, with over 200,000 new cases expected this year. In addition to encouragement of smoking cessation and more attention to air pollutants, increased access to lung cancer screening has significantly expedited diagnosis and reduced mortality from lung cancer in the last several years. Thoracic surgeons in the United States are tasked with treating common yet highly morbid diseases of the chest in a patient population that is diverse in terms of race, socioeconomic status, and healthcare insurance coverage. As the population ages and a shortage of thoracic surgeons looms, the importance of early diagnosis, skillful surgical management, and attention to the disparities that exist in our system cannot be overstated.

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Section: Thoracic Surgery Training In the Usmentioning

confidence: 99%

Section: Thoracic Surgery Training In the Usmentioning

confidence: 99%

A brief overview of thoracic surgery in the United States

Byrd¹,

Williams²,

Backhus³

2022

J Thorac Dis

View full text Add to dashboard Cite

show abstract

“…To that end, the I-6 program has been a success, as the pathway remains highly competitive, with all positions filled annually by a talented and accomplished application pool. 4,5 It has been suggested this paradigm represents the future of CTS training, as the field grows increasingly complex and more subspecialized, requiring longer training to become proficient. Over the past decade, although the total number of CTS training programs has remained stable, the number of traditional training programs has significantly decreased whereas the number of integrated programs has reciprocally increased.…”

mentioning

confidence: 99%

“…Over the past decade, although the total number of CTS training programs has remained stable, the number of traditional training programs has significantly decreased whereas the number of integrated programs has reciprocally increased. 5 Moreover, many have postulated the caliber of general surgery residents applying to CTS fellowship has declined, and we are no longer recruiting the best and brightest.…”

mentioning

confidence: 99%

Commentary: All roads lead to Rome: General surgery still a noble path to cardiothoracic surgery

Zurcher

Grubb

2023

The Journal of Thoracic and Cardiovascular Surgery

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“…During this same period, the number of available traditional cardiothoracic surgery residency positions decreased by 27% (from 130 to 95). As a result, the number of unfilled positions in the specialty steadily declined each year, 3 , 4 driven more by a decrease in the number of available spots than a decrease in the number of applicants. 4 Furthermore, much of the dramatic increase in the number of applicants to integrated thoracic residency programs in the United States has been driven by international graduates.…”

mentioning

confidence: 99%