Perceptions of Training Pathways from Recent Cardiothoracic Surgery Graduates
DOI:
https://doi.org/10.1532/hsf.3651Keywords:
training, surgical educationAbstract
Background: There are three cardiothoracic surgery (CTS) training pathways—general surgery residency followed by a CTS residency of 2-3 years (traditional), 4 years of general surgery and 3 years of CTS residency (4+3), and an integrated 6-year pathway (I-6). The goal of this study was to survey early career cardiothoracic surgeons regarding their training experiences.
Methods: An email-based survey was sent to cardiothoracic surgeons, who graduated between 2012-2017. Data on training pathway specific variables and overall satisfaction were collected. The primary endpoints were career preparation and satisfaction, scored on a scale from 1-100, 100 being the most positive.
Results: Four hundred seventy-seven emails were sent, with a response rate of 95/477 (20%). Seventy-six of the respondents (80%) were male; the mean age was 39. Seventy-seven (81.0%) completed a traditional training pathway, 7 (7.4%) completed a 4+3 pathway, and 11 (11.6%) completed an I-6 pathway. Participants felt prepared for practice with a mean response of 79.8 (range 31-100); mean career satisfaction was 87.6. When asked which pathway respondents would choose in the current era, 52 (54.7%) would choose a traditional pathway, 17 (17.9%) a 4+3 pathway, and 19 (20.0%) an I-6 program; 7 (7.4%) did not respond. Twenty of 72 (27.8%) traditional pathway trained and 18/18(100%) integrated pathway trained surgeons would choose an integrated pathway.
Conclusions: This is the first survey addressing perceptions of training from early-career cardiothoracic surgeons across all training pathways. Data from this study provides insights to better understand how to improve CTS training for the next generation of surgeons.
References
Alexander J. 1936. The Training of a Surgeon who Expects to Specialize in Thoracic Surgery. J Thorac Surg. (5): p. 579-582.
American Board of Thoracic Surgery. 5-Year Pass Rate. [cited 2020 July 10]; Available from: https://www.abts.org/ABTS/CertificationWebPages/Examination_Sequence.aspx.
Chu D, et al. 2016. Are There Gaps in Current Thoracic Surgery Residency Training Programs? Ann Thorac Surg. 101(6): p. 2350-5.
Crawford FA, Jr. 2005. Thoracic surgery education--past, present, and future. Ann Thorac Surg, 79(6): p. S2232-7.
Ikonomidis JS, Crawford FA, Jr., Fann JI. 2014. Integrated surgical residency initiative: implications for cardiothoracic surgery. Semin Thorac Cardiovasc Surg. 26(1): p. 14-23.
Lebastchi AH, et al. 2014. First nationwide survey of US integrated 6-year cardiothoracic surgical residency program directors. J Thorac Cardiovasc Surg. 148(2): p. 408-15 e1.
Lebastchi AH and Yuh DD. 2014. Nationwide survey of US integrated 6-year cardiothoracic surgical residents. J Thorac Cardiovasc Surg. 148(2): p. 401-7.
Lee R. 2003. Help wanted. Ann Thorac Surg. 76(6): p. 1779-81.
Nguyen TC, et al. 2015. Resident Perceptions of 2-Year Versus 3-Year Cardiothoracic Training Programs. Ann Thorac Surg. 99(6): p. 2070-5; discussion 2075-6.
Sarkaria IS, et al. 2011. The 2010 Thoracic Surgery Residents Association workforce survey report: a view from the trenches. Ann Thorac Surg. 92(6): p. 2062-70; discussion 2070-1.
Stephens EH, et al. 2015. A Decade of Change: Training and Career Paths of Cardiothoracic Surgery Residents 2003 to 2014. Ann Thorac Surg. 100(4): p. 1305-13; discussion 1313-4.
Stephens EH, et al. 2016. Gender and Cardiothoracic Surgery Training: Specialty Interests, Satisfaction, and Career Pathways. Ann Thorac Surg. 102(1): p. 200-6.
Tchantchaleishvili V, et al. 2015. Current integrated cardiothoracic surgery residents: a Thoracic Surgery Residents Association survey. Ann Thorac Surg. 99(3): p. 1040-7.
Thoracic Surgery Directors Association. 2012. CT Surgery Training Pathways.
Zhu Y, Goldstone AB, Woo YJ. 2019. Integrated Thoracic Surgery Residency: Current Status and Future Evolution. Semin Thorac Cardiovasc Surg. 31(3): p. 345-349.
