TY - JOUR
T1 - The Future of the Academic Cardiothoracic Surgeon
T2 - Results of the TSRA/TSDA In-Training Examination Survey
AU - Stephens, Elizabeth H.
AU - Shah, Asad A.
AU - Robich, Michael P.
AU - Walters, Dustin M.
AU - DeNino, Walter F.
AU - Aftab, Muhammad
AU - Tchantchaleishvili, Vakhtang
AU - Eilers, Amanda L.
AU - Rice, Robert D.
AU - Goldstone, Andrew B.
AU - Shelstad, Ryan C.
AU - Malas, Tarek
AU - Cevasco, Marisa
AU - Gillaspie, Erin A.
AU - LaPar, Damien J.
N1 - Publisher Copyright:
© 2016 The Society of Thoracic Surgeons
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Background Traditionally cardiothoracic residents spent dedicated research time during general surgery equipping them for a potential academic career. Recent changes in training paradigms, including integrated programs that may not include research time, could affect the development of future academic cardiothoracic surgeons. Methods Responses to the 2015 Thoracic Surgery Directors’ Association/Thoracic Surgery Residents’ Association survey accompanying the in-training examination taken by current cardiothoracic surgery residents were analyzed. Three hundred fifty-four residents were surveyed with a response rate of 100%, although one was excluded from the analysis because of inconsistencies in responses. Statistical analysis included χ2, Fisher's exact test, and multinomial logistic regression with significance set at a probability value of 0.05. Results Two hundred sixty-seven of 353 residents (76%) intended on performing research as part of their careers. Integrated residents as opposed to traditional residents (85% versus 69%; p = 0.003), males (78% versus 65%; p = 0.02), those pursuing additional training (85% versus 69%; p = 0.003), and those interested in academic careers (93% versus 33%; p < 0.001) were more likely to pursue research. Differences were also noted in specialty interest, with congenital and heart failure specialties most likely to pursue research careers (92% and 100%, respectively; p < 0.05). Residents intending on research careers were more likely to have had previous research experience, and the most common type of intended research was clinical outcomes (78%). On multinomial logistic regression, previous clinical outcomes research and academic practice were identified as predictors of a research career (odd ratios of 9.7 and 4.1, respectively; each p < 0.05). Conclusions The majority of residents plan on pursuing research during their careers. Previous research experience appears to be a key determinant as well as specialty interest.
AB - Background Traditionally cardiothoracic residents spent dedicated research time during general surgery equipping them for a potential academic career. Recent changes in training paradigms, including integrated programs that may not include research time, could affect the development of future academic cardiothoracic surgeons. Methods Responses to the 2015 Thoracic Surgery Directors’ Association/Thoracic Surgery Residents’ Association survey accompanying the in-training examination taken by current cardiothoracic surgery residents were analyzed. Three hundred fifty-four residents were surveyed with a response rate of 100%, although one was excluded from the analysis because of inconsistencies in responses. Statistical analysis included χ2, Fisher's exact test, and multinomial logistic regression with significance set at a probability value of 0.05. Results Two hundred sixty-seven of 353 residents (76%) intended on performing research as part of their careers. Integrated residents as opposed to traditional residents (85% versus 69%; p = 0.003), males (78% versus 65%; p = 0.02), those pursuing additional training (85% versus 69%; p = 0.003), and those interested in academic careers (93% versus 33%; p < 0.001) were more likely to pursue research. Differences were also noted in specialty interest, with congenital and heart failure specialties most likely to pursue research careers (92% and 100%, respectively; p < 0.05). Residents intending on research careers were more likely to have had previous research experience, and the most common type of intended research was clinical outcomes (78%). On multinomial logistic regression, previous clinical outcomes research and academic practice were identified as predictors of a research career (odd ratios of 9.7 and 4.1, respectively; each p < 0.05). Conclusions The majority of residents plan on pursuing research during their careers. Previous research experience appears to be a key determinant as well as specialty interest.
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U2 - 10.1016/j.athoracsur.2016.01.106
DO - 10.1016/j.athoracsur.2016.01.106
M3 - Article
C2 - 27131899
AN - SCOPUS:84964601048
SN - 0003-4975
VL - 102
SP - 643
EP - 650
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 2
ER -