Surgery Program Director Turnover Correlates With Residency Graduate Failure on American Board of Surgery Examinations in Civilian Residency Programs

Payne, Davis H.; Dent, Daniel L.; Fayyadh, Mohammed J. Al; Kempenich, Jason W.; Willis, Ross E.; Stewart, Ronald M.; Potts, John R.

doi:10.1016/j.jsurg.2019.08.003

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…The most common institution to complete a craniofacial fellowship among current PDs is at the Children's Hospital of Philadelphia (Table 3). The most common institutions to complete any fellowship training at were New York University (NYU) (5) and UPMC (5). Of the 82 PDs, 77 had their academic faculty rank information available, 5 PDs did not have an academic rank listed and were counted as not having an academic title.…”

Section: Resultsmentioning

confidence: 99%

“…Previous research has demonstrated that high turnover rates and lack of tenure of PDs can impact resident education and may contribute to lower pass rates on in service examinations. 5 Furthermore, the educational pathways and professional experience of plastic surgery PDs is not well described. One goal of the present report is to elucidate the various ways plastic surgery PDs achieve their positions, which may in turn help younger plastic surgeons plan their career paths.…”

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confidence: 99%

“…Program directors play a critical role in maintaining the integrity of the residency program through the various staffing and administrative challenges that arise in an academic institution. Previous research has demonstrated that high turnover rates and lack of tenure of PDs can impact resident education and may contribute to lower pass rates on in service examinations 5 . Furthermore, the educational pathways and professional experience of plastic surgery PDs is not well described.…”

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confidence: 99%

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A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States

et al. 2022

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Background: The role sex plays in surgical leadership positions is heavily discussed in the literature; however, there is an absence of research looking at plastic surgery program director (PD) demographics and the differences between male and female PDs. Methods: A cross sectional study of publicly available online resources of all integrated plastic surgery residency programs was performed. Demographic and academic data of integrated plastic surgery PDs was analyzed focusing on the differences in PDs based on sex. Results: Eighty-two integrated plastic surgery residencies were analyzed. Fifteen PDs (18.3%) were female. Fifty-six (68%) PDs completed general surgery residencies, whereas 24 (29%) completed an integrated plastics residency. All female PDs were fellowship trained, whereas only 46 (68%) male PDs pursued additional training after residency ( P = 0.02). Research output among male PDs was greater with 49.9 publications and a higher average H-index, at 13.3, compared with women with an average of 27.5 publications ( P = 0.008) and an Hindex of 8.7 ( P = 0.02). When comparing male to female PDs, there was no difference between age at PD appointment ( P = 0.15), or in the amount of time between completion of plastic surgery training to PD appointment ( P = 0.29). Male PDs were older (52.2) compared with female PDs (46.5) ( P = 0.02). Male PDs served longer terms (4.98 years) than female PDs (2.87 years) ( P = 0.003). Conclusions:The majority of integrated plastic surgery PDs are men with a Doctor of Medicine degree who completed a general surgery residency and a plastic surgery fellowship. Most PDs also completed fellowship in a plastic subspecialty. Male PDs had higher research output, which may be attributed to their older age on average. Although women make up only 18.3% of plastic surgery PDs, this percentage is similar to the 17.2% of active female plastic surgeons in the United States. As more women train in plastic surgery, it is possible that the percentage of women serving academic leadership roles will increase. By gaining a better understanding of the demographics and diversity in plastic surgery residency program leadership, efforts can be made to increase the representation of minority groups in academic leadership roles.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States

et al. 2022

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“…3,4 PD retention in the United States has long been a concern. While mean length of tenure for US PDs has been 6.9 years over the last decade, 5 40% of surgery PDs did not meet the 6-year minimum recommended tenure length, 6 and 53% of PDs in the Association of Program Directors in Internal Medicine 2018 annual survey considered resigning from their position. 7 Although literature is limited, some evidence also indicates that PD attrition is associated with negative educational impact.…”

Section: Introductionmentioning

confidence: 99%

“…7 Although literature is limited, some evidence also indicates that PD attrition is associated with negative educational impact. 6 There is a paucity of data on PD satisfaction and retention in non-Western training programs. Since 2010, several countries, including Singapore, Qatar, and the United Arab Emirates (UAE), have successfully transitioned their postgraduate training to the competency-based framework of the Accreditation Council for Graduate Medical Education-International (ACGME-I), resulting in the emergence of new clinician educator and educational leadership roles.…”

Section: Introductionmentioning

confidence: 99%

Program Director Retention and Attrition Rates in International Graduate Medical Education

Stadler

Ibrahim

Dutta

et al. 2020

Journal of Graduate Medical Education

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Background Program directors (PDs) are integral to the education of the next generation of physicians. Yet, administrative burdens, substantial patient care responsibilities, and lack of protected time for teaching may contribute to work-life imbalance and physician burnout, leading to high rates of attrition. Data on international residency program leadership turnover are lacking. Objective This study aimed to quantify PD turnover in Accreditation Council for Graduate Medical Education-International (ACGME-I) accredited programs in Singapore, United Arab Emirates (UAE), and Qatar, and to compare to US PD attrition rates. Methods Data on PD turnover in international programs was extracted from the ACGME-I Accreditation Data System for academic years 2010–2011 through 2018–2019 for Singapore and 2013–2014 through 2018–2019 for UAE and Qatar. Rates of PD turnover were calculated by country and by ACGME-I medical-, surgical-, and hospital-based specialty groupings and compared using χ2 test. Annual US PD turnover data was extracted from the ACGME's Data Resource Book. Results Seventy programs met inclusion criteria. International PD attrition was high, with 56 programs (80%) changing PDs since program inception, and 16 programs (29%) having 2 or more PD turnovers. There was no significant difference between PD turnover rates in hospital (83%), medical (79%), or surgical (78%) specialties. International PD attrition rates varied from 7% to 20% annually and were comparable to PD turnover in US programs (range 12%–15%). Conclusions High PD turnover rates in newly accredited international residency programs were noted, although annual attrition rates were comparable to US residency programs.

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A descriptive analysis of general surgery residency program directors in the United States

Hughes¹,

Im²,

Zhu³

et al. 2022

The American Journal of Surgery

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Surgery Program Director Turnover Correlates With Residency Graduate Failure on American Board of Surgery Examinations in Civilian Residency Programs

Cited by 8 publications

References 8 publications

A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States

A Descriptive Analysis of Integrated Plastic Surgery Residency Program Directors in the United States

Program Director Retention and Attrition Rates in International Graduate Medical Education

A descriptive analysis of general surgery residency program directors in the United States

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