Who are our future surgeons? Characteristics of medical school graduates planning surgical careers: analysis of the 1997 to 2004 Association of American Medical Colleges' Graduation Questionnaire National Database.

Abstract:

BACKGROUND:Identification of correlates of contemporary US medical graduates' surgical career plans can provide insights about the emerging surgical workforce composition and inform future recruitment efforts. STUDY DESIGN:We analyzed individualized records of 95,176 graduates who completed the 1997 to 2004 Association of American Medical Colleges Graduation Questionnaire for associations between planning a general-surgery or a surgical-specialty (orthopaedic surgery, neurologic surgery, plastic surgery, urology, or otolaryngology) career and a set of medical-school experience, professional-setting preference, and demographic variables. RESULTS:Graduates who reported better quality of their surgery clerkship experience and career-setting preference of "university faculty" compared with "nonuniversity clinical practice" were more likely to plan general-surgery or surgical-specialty careers compared with nonsurgical careers (each p < 0.001). Women and graduates from combined MD/PhD programs and those who planned to practice in underserved areas were less likely to plan general-surgery or surgical-specialty careers compared with nonsurgical careers (each p < 0.001). Graduates of nonwhite race or ethnicity and from combined MD/other-degree (non-PhD) programs were more likely to plan general-surgery careers (p < 0.001). Compared with 1997 graduates, 1998 to 2004 graduates were less likely to plan general-surgery careers than surgical-specialty careers (each p < or = 0.001), and 1999 to 2004 graduates were more likely to plan surgical-specialty careers than nonsurgical careers (each p < or = 0.006). CONCLUSIONS:Contemporary graduates planning surgical careers represent a relatively narrow spectrum of US medical graduates, and those planning general-surgery careers differ in numerous ways from those planning surgical-specialty careers. Targeted efforts are warranted to recruit US medical graduates qualified to meet the nation's future health-care needs and advance the profession of surgery.

journal_name

J Am Coll Surg

authors

Andriole DA,Klingensmith ME,Jeffe DB

doi

10.1016/j.jamcollsurg.2006.04.026

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

177-85

issue

2

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(06)00447-9

journal_volume

203

pub_type

杂志文章
  • Hysterectomy in invasive cervical cancer: a national patterns of care study of the American College of Surgeons.

    abstract:BACKGROUND:As the use of Papanicolaou cytologic screening became widespread in the United States of America, there was a shift toward diagnosis of earlier clinical stages in patients with carcinoma of the cervix. This increase in early stage disease has also resulted in increased use of surgery as the primary treatment...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Shingleton HM,Jones WB,Russell A,Fremgen A,Chmiel JS,Ocwieja K,Winchester DP,Clive R

    更新日期:1996-10-01 00:00:00

  • Crohn's colitis: experience with segmental resections; results in a series of 84 patients.

    abstract:BACKGROUND:Colonic Crohn's disease can be treated surgically by total colonic resection or by segmental colonic resection. The aim of this study was to analyze the outcomes of patients treated by segmental colectomy for colonic Crohn's disease. STUDY DESIGN:Among 413 patients undergoing operations for Crohn's disease,...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(02)01122-5

    authors: Martel P,Betton PO,Gallot D,Malafosse M

    更新日期:2002-04-01 00:00:00

  • My Continuing Evolution as a Surgeon-Scientist: A Decade after the Jacobson Promising Investigator Award.

    abstract::THE SECOND JOAN L AND JULIUS H JACOBSON PROMISING INVESTIGATOR AWARDEE, EDITH TZENG MD, FACS: In 2005, the Surgical Research Committee of the American College of Surgeons was tasked with selecting the recipient of a newly established award, "The Joan L and Julius H Jacobson Promising Investigator Award." According to ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.jamcollsurg.2016.09.012

    authors: Tzeng E

    更新日期:2017-01-01 00:00:00

  • Three thousand one hundred seventy-five primary inguinal hernia repairs: advantages of ambulatory open mesh repair using local anesthesia.

    abstract:BACKGROUND:Controversy exists over the relative advantages of open mesh repair compared with open stitching methods and the laparoscopic approach. STUDY DESIGN:Two thousand nine hundred six (2,906) consecutive unselected adult patients underwent 3,175 primary inguinal hernia repairs using polypropylene mesh, under loc...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(98)00057-x

    authors: Kark AE,Kurzer MN,Belsham PA

    更新日期:1998-04-01 00:00:00

  • Is fever protective in surgical patients with bloodstream infection?

    abstract:BACKGROUND:Sepsis from bloodstream infection (BSI) is an important cause of morbidity and mortality among surgical patients. Our hypothesis was that fever and leukocytosis during BSI would be associated with gram-negative pathogens and worse outcomes among hospitalized surgical patients. STUDY DESIGN:A prospectively c...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.01.033

    authors: Swenson BR,Hedrick TL,Popovsky K,Pruett TL,Sawyer RG

    更新日期:2007-05-01 00:00:00

  • Tamoxifen use in patients with ductal carcinoma in situ and T1a/b N0 invasive carcinoma.

    abstract:BACKGROUND:The purpose of this study was to determine how often patients with ductal carcinoma in situ and T1a/b N0 cancer are offered and accept tamoxifen for secondary chemoprevention. STUDY DESIGN:A retrospective review of 284 patients with T1a/b N0 invasive cancer treated between February 1995 and December 2001 an...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2005.06.195

    authors: Nakhlis F,Lazarus L,Hou N,Acharya S,Khan SA,Staradub VL,Rademaker AW,Morrow M

    更新日期:2005-11-01 00:00:00

  • Emergency laparoscopic management of perforated sigmoid diverticulitis: a promising alternative to more radical procedures.

    abstract:BACKGROUND:Classic emergency surgical management of complicated perforated sigmoid diverticulitis is based on the principle of a two-stage operation, with colon resection and temporary stoma (Hartmann's procedure). But the later second-stage operation can be technically difficult and can be associated with a significan...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.11.018

    authors: Bretagnol F,Pautrat K,Mor C,Benchellal Z,Huten N,de Calan L

    更新日期:2008-04-01 00:00:00

  • Validation of new readmission data in the American College of Surgeons National Surgical Quality Improvement Program.

    abstract:BACKGROUND:Hospital readmissions are gathering increasing attention as a measure of health care quality and as a cost-saving target. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) recently began collecting data related to 30-day postoperative readmissions. Our objectives were...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2012.11.013

    authors: Sellers MM,Merkow RP,Halverson A,Hinami K,Kelz RR,Bentrem DJ,Bilimoria KY

    更新日期:2013-03-01 00:00:00

  • Falls from height: spine, spine, spine!

    abstract:BACKGROUND:Falls from a height are a major cause of morbidity and hospital cost. Spinal injury is frequently associated with falls from height, but reliable predictive factors have not been identified. Diagnostic evaluation of the spine is complex and debated. Our objective was to characterize spinal injury after falls...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.07.002

    authors: Velmahos GC,Spaniolas K,Alam HB,de Moya M,Gervasini A,Petrovick L,Conn AK

    更新日期:2006-11-01 00:00:00

  • Improved extubation rates and earlier liberation from mechanical ventilation with implementation of a daily spontaneous-breathing trial protocol.

    abstract:BACKGROUND:Daily spontaneous-breathing trials (SBTs) are promulgated as the best method for assessing readiness for discontinuation of mechanical ventilation. SBT protocols have also been shown to improve outcomes as opposed to wild-type implementation of daily SBT recommendations. Here we determine whether implementat...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.08.022

    authors: Robertson TE,Sona C,Schallom L,Buckles M,Cracchiolo L,Schuerer D,Coopersmith CM,Song F,Buchman TG

    更新日期:2008-03-01 00:00:00

  • Effect of radiofrequency energy emitted from monopolar "Bovie" instruments on cardiac implantable electronic devices.

    abstract:BACKGROUND:The monopolar "Bovie" instrument emits radiofrequency energy that can disrupt the function of other implanted electronic devices through a phenomenon termed electromagnetic interference. The purpose of this study was to quantify the electromagnetic interference occurring on cardiac implantable devices (CIEDs...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.03.060

    authors: Robinson TN,Varosy PD,Guillaume G,Dunning JE,Townsend NT,Jones EL,Paniccia A,Stiegmann GV,Weyer C,Rozner MA

    更新日期:2014-09-01 00:00:00

  • Assessment of transcutaneous bilirubinometry in hospitalized adults.

    abstract:BACKGROUND:Transcutaneous techniques to measure serum bilirubin have been validated in neonates but not in adult patients. We evaluated transcutaneous bilirubinometry (TcB) in adults at risk for or diagnosed with hepatic dysfunction to determine if this technology has clinical use in quantifying the presence and magnit...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2008.01.014

    authors: Harbrecht BG,Rosengart MR,Bukauskas K,Zenati MS,Marsh JW Jr,Geller DA

    更新日期:2008-06-01 00:00:00

  • Surgical critical care and private practice surgeons: a different world out there!

    abstract:BACKGROUND:Few graduating residents seek surgical critical care (SCC) fellowships; fewer than half of positions fill. We hypothesized substantial differences exist in practice patterns and attitudes between SCC surgeons in academic practice (ACs) and in private practice (PVTs). STUDY DESIGN:A survey instrument was sen...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.10.004

    authors: Cohn SM,Price MA,Stewart RM,Corneille MG,Myers JG,McCarthy J,Jonas RB,Hargis SM,Dent DL

    更新日期:2008-03-01 00:00:00

  • Isolated free fluid on abdominal computed tomography in blunt trauma: watch and wait or operate?

    abstract:BACKGROUND:Isolated free fluid (FF) on abdominal CT in stable blunt trauma patients can indicate the presence of hollow viscus injury. No criteria exist to differentiate treatment by operative exploration vs observation. The goals of this study were to determine the incidence of isolated FF and to identify factors that...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.04.020

    authors: Gonser-Hafertepen LN,Davis JW,Bilello JF,Ballow SL,Sue LP,Cagle KM,Venugopal C,Hafertepen SC,Kaups KL

    更新日期:2014-10-01 00:00:00

  • Minimally invasive video-assisted thyroidectomy: five years of experience.

    abstract:BACKGROUND:In the last decade, development of videolaparoscopic surgery allowed several operations to be performed with minimally invasive techniques, making them less invasive and painful. Neck surgery was also involved in this effort, in spite of the skepticism shown by some authors. STUDY DESIGN:Minimally invasive ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2004.03.025

    authors: Miccoli P,Berti P,Materazzi G,Minuto M,Barellini L

    更新日期:2004-08-01 00:00:00

  • The impact of splenectomy on outcomes after resection of pancreatic adenocarcinoma.

    abstract:BACKGROUND:Splenectomy at the time of resection of esophageal, gastric, or colon cancer has been correlated with inferior longterm survival. No such effect has yet been demonstrated for pancreatic cancer. STUDY DESIGN:Patients undergoing resection of pancreatic adenocarcinoma with curative intent at Memorial Sloan-Ket...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00041-1

    authors: Schwarz RE,Harrison LE,Conlon KC,Klimstra DS,Brennan MF

    更新日期:1999-05-01 00:00:00

  • A cost-effectiveness analysis of intraoperative cholangiography in the prevention of bile duct injury during laparoscopic cholecystectomy.

    abstract:BACKGROUND:Recent population-based studies have demonstrated that the use of intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) is associated with a decrease in the rate of common bile duct (CBD) injury. The cost implications of a management strategy involving routine IOC use have not been ad...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/S1072-7515(02)01806-9

    authors: Flum DR,Flowers C,Veenstra DL

    更新日期:2003-03-01 00:00:00

  • Are procedures codes in claims data a reliable indicator of intraoperative splenic injury compared with clinical registry data?

    abstract:BACKGROUND:Identifying iatrogenic injuries using existing data sources is important for improved transparency in the occurrence of intraoperative events. There is evidence that procedure codes are reliably recorded in claims data. The objective of this study was to assess whether concurrent splenic procedure codes in p...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.02.029

    authors: Stey AM,Ko CY,Hall BL,Louie R,Lawson EH,Gibbons MM,Zingmond DS,Russell MM

    更新日期:2014-08-01 00:00:00

  • Indications for surgical treatment of angioaccess-induced arterial "steal".

    abstract:BACKGROUND:Arterial "steal" is a well-known complication following proximal arteriovenous (AV) fistula, but its manifestations comprise a wide spectrum of symptoms and there are no clear indications for those patients who need surgical repair. STUDY DESIGN:Among 180 consecutive AV fistulas of various configurations, w...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(98)00139-2

    authors: Lazarides MK,Staramos DN,Panagopoulos GN,Tzilalis VD,Eleftheriou GJ,Dayantas JN

    更新日期:1998-10-01 00:00:00

  • Comparison of Analgesic Efficacy of Laparoscope-Assisted and Ultrasound-Guided Transversus Abdominis Plane Block after Laparoscopic Colorectal Operation: A Randomized, Single-Blind, Non-Inferiority Trial.

    abstract:BACKGROUND:Transversus abdominis plane (TAP) block has been used as a component of multimodal analgesia after abdominal operation. We introduced a new laparoscope-assisted TAP (LTAP) block technique using intraperitoneal injection and compared its analgesic effect with that of an ultrasound-guided TAP (UTAP) block in t...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jamcollsurg.2017.05.017

    authors: Park SY,Park JS,Choi GS,Kim HJ,Moon S,Yeo J

    更新日期:2017-09-01 00:00:00

  • Randomized trial of emergency endoscopic sclerotherapy versus emergency portacaval shunt for acutely bleeding esophageal varices in cirrhosis.

    abstract:BACKGROUND:The mortality rate of bleeding esophageal varices in cirrhosis is highest during the period of acute bleeding. This is a report of a randomized trial that compared endoscopic sclerotherapy (EST) with emergency portacaval shunt (EPCS) in cirrhotic patients with acute variceal hemorrhage. STUDY DESIGN:A total...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jamcollsurg.2009.02.059

    authors: Orloff MJ,Isenberg JI,Wheeler HO,Haynes KS,Jinich-Brook H,Rapier R,Vaida F,Hye RJ

    更新日期:2009-07-01 00:00:00

  • Cerebrovascular resuscitation after polytrauma and fluid restriction.

    abstract:BACKGROUND:There are few reproducible models of blast injury, so it is difficult to evaluate new or existing therapies. We developed a clinically relevant polytrauma model to test the hypothesis that cerebrovascular resuscitation is optimized when intravenous fluid is restricted. STUDY DESIGN:Anesthetized swine (42+/-...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.11.014

    authors: Earle SA,de Moya MA,Zuccarelli JE,Norenberg MD,Proctor KG

    更新日期:2007-02-01 00:00:00

  • Upregulation of lung chemokines associated with hemorrhage is reversed with a small molecule multiple selectin inhibitor.

    abstract:BACKGROUND:Hemorrhage can modify the leukocyte-endothelial cell response leading to tissue injury. The selectin family of adhesion molecules and chemokines mediate the leukocyte-endothelial cell interaction, resulting in neutrophil sequestration and activation. This work studies whether a small molecule inhibitor of se...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00213-6

    authors: Ramos-Kelly JR,Toledo-Pereyra LH,Jordan JA,Rivera-Chavez FA,Dixon RA,Ward PA

    更新日期:1999-12-01 00:00:00

  • A prospective evaluation of a simulator-based laparoscopic training program for gynecology residents.

    abstract:BACKGROUND:To determine prospectively if simulator-based laparoscopic training could improve laparoscopic skills of gynecology residents. STUDY DESIGN:Twenty-six gynecology residents were enrolled in a laparoscopy training curriculum involving didactics, self-paced learning modules, and graded simulator-based laparosc...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.08.005

    authors: Kirby TO,Numnum TM,Kilgore LC,Straughn JM

    更新日期:2008-02-01 00:00:00

  • Surgeon as Double Agent: Perception of Conflicting Expectations of Patient Care and Stewardship of Resources.

    abstract:BACKGROUND:Physicians must satisfy 2 competing expectations: advocate for patients and serve as stewards of resources. No guidelines exist for surgeons on resolving this conflict. We surveyed surgeons' perceptions about these dual obligations. STUDY DESIGN:We conducted our study at 2 large university hospitals in 3 di...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2020.04.037

    authors: Kopar PK,Lui FY

    更新日期:2020-08-01 00:00:00

  • The Changing Face of Academic Surgery: Overrepresentation of Women among Surgeon-Scientists with R01 Funding.

    abstract:BACKGROUND:There has been a recent focus on sex-based disparities within the field of academic surgery. However, the proportion of female surgeons conducting NIH-funded research is unknown. STUDY DESIGN:The NIH RePORTER (Research Portfolio Online Reporting Tools Expenditures and Results) was queried for R01 grants fro...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2020.06.013

    authors: Krebs ED,Narahari AK,Cook-Armstrong IO,Chandrabhatla AS,Mehaffey JH,Upchurch GR Jr,Showalter SL

    更新日期:2020-10-01 00:00:00

  • Results of curative gastrectomy for carcinoma.

    abstract:BACKGROUND:In the western literature, controversy exists regarding the operative management of carcinoma of the stomach. Still debated are the extent of gastric resection, the role of splenectomy, and the significance of lymphadenectomy. STUDY DESIGN:We performed a retrospective study of 646 consecutive patients who u...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Stipa S,Di Giorgio A,Ferri M,Botti C

    更新日期:1994-11-01 00:00:00

  • Overexpression of c-myc messenger RNA in primary and metastatic lesions of carcinoma of the stomach.

    abstract:BACKGROUND:Although c-myc expression in carcinoma of the stomach has been reported to be involved in progression of the disease, little is known about the mechanism or significance of its expression. STUDY DESIGN:We measured c-myc messenger RNA (mRNA) levels by Northern blot hybridization in 51 primary gastric carcino...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Onoda N,Maeda K,Chung YS,Yano Y,Matsui-Yuasa I,Otani S,Sowa M

    更新日期:1996-01-01 00:00:00

  • Postoperative antibiotics correlate with worse outcomes after appendectomy for nonperforated appendicitis.

    abstract:BACKGROUND:Acute appendicitis remains the most common cause of acute abdominal pain necessitating operative intervention. Although postoperative antibiotics are universally used for perforated appendicitis, no consensus exists on whether postoperative antibiotics are beneficial for preventing surgical site infections (...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2011.08.018

    authors: Coakley BA,Sussman ES,Wolfson TS,Bhagavath AS,Choi JJ,Ranasinghe NE,Lynn ET,Divino CM

    更新日期:2011-12-01 00:00:00

  • Is a minor clinical anastomotic leak clinically significant after resection of colorectal cancer?

    abstract:BACKGROUND:There are few reports comparing the variety and frequency of postoperative complications between patients with a major clinical leak requiring emergency abdominal reoperation and those with a minor leak diagnosed from clinical signs and managed expectantly without reoperation. This study examined the associa...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.05.031

    authors: Tytherleigh MG,Bokey L,Chapuis PH,Dent OF

    更新日期:2007-11-01 00:00:00