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J Surg Res. 2009 Jun 15;154(2):274-8. doi: 10.1016/j.jss.2008.05.027. Epub 2008 Jun 18.

Factors in fellowship selection: effect of services and fellows.

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  • 1Department of Surgery, University of Mississippi School of Medicine, Jackson, Mississippi 39216-4505, USA. KBorman@surgery.umsmed.edu

Abstract

PURPOSE:

General Surgery residents are increasingly pursuing fellowships. We examine whether perceived subspecialty content, dedicated services, and fellows impact fellowship choices.

METHODS:

Specialty content was assessed through a survey linking 228 operations to 9 content areas. The presence of dedicated services and fellows and the post-residency activities of graduates 1997-2006 were collected from 2 program directors.

RESULTS:

A total of 75% of residents (26 University of Mississippi, UM; 22 Vanderbilt University, VU) completed surveys. Five dedicated services and 2 fellowships at UM and VU were identical; VU had an additional 4 services and 3 fellowships. UM and VU residents similarly associated 184 operations (81%) with General Surgery. Agreement was not linked to services or fellows. A total of 44% of UM graduates and 68% of VU graduates pursued fellowships. The top choice at UM was Plastic/Hand (14%, versus 6% VU) and Oncology/Endocrine at VU (19%, versus 2% UM). Differences in specialties selected could not be linked consistently to dedicated services or fellows.

CONCLUSION:

Dedicated services and fellows appear to have little impact on fellowship specialty selection by chief residents. There may be a generic effect of dedicated services favoring fellowship versus no fellowship. Differential faculty mentoring skills may influence specific fellowship choices.

PMID:
19101692
[PubMed - indexed for MEDLINE]
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