Document Detail


Interest in and perceived barriers to flexible-track residencies in general surgery: a national survey of residents and program directors.
MedLine Citation:
PMID:  21821214     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: The American Board of Surgery now permits general surgery residents to complete their clinical training over a 6-year period. Despite this new policy, the level of interest in flexible scheduling remains undefined. We sought to determine why residents and program directors (PDs) are interested in flexible tracks and to understand implementation barriers.
DESIGN: National survey.
SETTING: All United States general surgery residency programs that participate in the Association of Program Directors in Surgery listserv.
PARTICIPANTS: PDs and categorical general surgery residents in the United States.
MAIN OUTCOME MEASURES: Attitudes about flexible tracks in surgery training. A flexible track was defined as a schedule that allows residents to pursue nonclinical time during residency with resulting delay in residency completion.
RESULTS: Of the 748 residents and 81 PDs who responded, 505 residents and 45 PDs were supportive of flexible tracks (68% vs 56%, p = 0.03). Residents and PDs both were interested in flexible tracks to pursue research (86% vs 82%, p = 0.47) and child bearing (69% vs 58%, p = 0.13), but residents were more interested in pursuing international work (74% vs 53%, p = 0.004) and child rearing (63% vs 44%, p = 0.02). Although 71% of residents believe that flexible-track residents would not be respected as the equal of other residents, only 17% of PDs indicated they would not respect flexible-track residents (p < 0.001).
CONCLUSION: Most residents and PDs support flexible tracks, although they differ in their motivation and perceived barriers. This finding lends support to the new policy of the American Board of Surgery.
Authors:
Sarah K Abbett; Nathanael D Hevelone; Elizabeth M Breen; Stuart R Lipsitz; Sarah E Peyre; Stanley W Ashley; Douglas S Smink
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Publication Detail:
Type:  Journal Article     Date:  2011-07-02
Journal Detail:
Title:  Journal of surgical education     Volume:  68     ISSN:  1878-7452     ISO Abbreviation:  J Surg Educ     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-08-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303204     Medline TA:  J Surg Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  365-71     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
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