Supply and Demand: Is the Surgical Oncology Match in a Bear Market?

Blazer, Dan G.

doi:10.1245/s10434-022-12544-7

Ann Surg Oncol

2022

DOI: 10.1245/s10434-022-12544-7

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Supply and Demand: Is the Surgical Oncology Match in a Bear Market?

Dan G. Blazer

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Cited by 2 publications

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“…4 An increase in subspeciality fellowships that overlap clinically with the CGSO fellowship, such as breast surgical oncology, surgical endocrinology, colon and rectal surgery, and hepato-pancreato-biliary (HPB) surgery may be contributing to this phenomenon. 5 , 6 Although subspecialized training has led to improved patient satisfaction and survival rates amongst those treated by specialists, such as breast surgeons, specialized training may limit a surgeon’s scope of practice and breadth of expertise. 7 Furthermore, a recent 2019 survey study highlighted the clinical practice patterns of CGSO graduates, finding that most graduates return to their hometown or previous training institutions, or both.…”

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confidence: 99%

Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study

Behrens,

Lillemoe,

Dineen

et al. 2023

Ann Surg Oncol

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Background Surgical subspecialty training aims to meet the needs of practicing surgeons and their communities. This study investigates career preparedness of Complex General Surgical Oncology (CGSO) fellowship graduates, identifies factors associated with practice readiness, and explores potential opportunities to improve the current training model. Methods The Society of Surgical Oncology partnered with the National Cancer Institute to conduct a 36-question survey of CGSO fellowship graduates from 2012 to 2022. Results The overall survey response rate was 38% (221/582) with a slight male predominance (63%). Forty-six percent of respondents completed their fellowship after 2019. Factors influencing fellowship program selection include breadth of cancer case exposure (82%), mentor influence (66%), and research opportunities (38%). Overall, graduates reported preparedness for practice; however, some reported unpreparedness in research (18%) and in specific clinical areas: thoracic (43%), hyperthermic intraperitoneal chemotherapy (HIPEC) (15%), and hepato-pancreato-biliary (15%) surgery. Regarding technical preparedness, 70% reported being “very prepared”. Respondents indicated lack of preparedness in robotic (63%) and laparoscopic (33%) surgery approaches. Suggestions for training improvement included increased autonomy and case volumes, program development, and research infrastructure. Current practice patterns by graduates demonstrated discrepancies between ideal contracts and actual practice breakdowns, particularly related to the practice of general surgery. Conclusions This study of CGSO fellowship graduates demonstrates potential gaps between trainee expectations and the realities of surgical oncology practice. Although CGSO fellowship appears to prepare surgeons for careers in surgical oncology, there may be opportunities to refine the training model to better align with the needs of practicing surgical oncologists.

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mentioning

confidence: 99%

Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study

Behrens,

Lillemoe,

Dineen

et al. 2023

Ann Surg Oncol

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The lasting impact of virtual interviews on surgical fellowship applicants

Becker,

Xu,

Pratt

et al. 2024

Global Surg Educ

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Purpose Surgical fellowship interviews shifted to a virtual platform in 2020 due to the COVID-19 pandemic. While virtual interviews provide convenience, they also pose difficulties for programs and raise potential barriers for applicants. This study compares in-person to virtual interviews and characterizes the impact on programs and applicants. Methods In-person (2007–2019) and virtual (2020–2022) fellowship application data were extracted from publicly available NRMP Specialties Matching Service data. Fellowship programs included surgical critical care, surgical oncology, colorectal, pediatric, thoracic, and vascular surgery. Competitiveness was assessed using a validated normalized competitiveness index (NCI). Results Since virtual interviews, rankings per applicant, a surrogate for program interview workload, increased for all fellowships except pediatric surgery. The most competitive subspecialties now include colorectal, pediatric, and thoracic surgery. For non-US MDs in these subspecialties, applicants per position decreased (pediatric), match rate decreased (thoracic), and NCI increased (thoracic) under virtual interviewing. However, for the least competitive subspecialties, non-US MDs had increased rankings per applicant (critical care and vascular), increased match rate (critical care and surgical oncology), and decreased NCI (surgical oncology) with virtual interviewing. Conclusions Since the virtual platform was implemented, applicants have interviewed at and ranked more programs, subsequently increasing program workload. While this is positive for many applicants, a differential pattern of securing a fellowship emerged for non-US MD applicants. This finding is important for fellowship program directors to consider and ensure non-US MD applicants are not marginalized with the virtual platform. Level of Evidence III

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Supply and Demand: Is the Surgical Oncology Match in a Bear Market?

Cited by 2 publications

References 14 publications

Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study

Perceptions of Readiness for Practice After Complex General Surgical Oncology Fellowship: A Survey Study

The lasting impact of virtual interviews on surgical fellowship applicants

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