Send to:

Choose Destination
See comment in PubMed Commons below
J Surg Educ. 2010 Nov-Dec;67(6):427-31. doi: 10.1016/j.jsurg.2010.06.008. Epub 2010 Nov 5.

Surgical resident education: what is the department's price for commitment?

Author information

  • 1Division of Surgical Education, Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, North Carolina 27858, USA.



The current recession has impacted all aspects of our economy. Some residency programs have experienced faculty salary cuts, furlough days, and cessation of funding for travel to academic meetings. This milieu forced many residency programs to reevaluate their commitment to resident education, particularly for those expenses not provided for by Direct Medical Education (DME) and Indirect Medical Education (IME) funds. The purpose of this study was to determine what price a Department of Surgery pays to fulfill its commitment to resident education.


A financial analysis of 1 academic year was performed for all expenses not covered by DME or IME funds and is paid for by the faculty practice plan. These expenses were categorized and further analyzed to determine the funds required for resident-related scholarly activity.


A university-based general surgery residency program.


Twenty-eight surgical residents and a program coordinator.


The departmental faculty provided $153,141 during 1 academic year to support the educational mission of the residency. This amount is in addition to the $1.6 million in faculty time, $850,000 provided by the federal government in terms of DME funds, and $14 million of IME funds, which are distributed on an institutional basis. Resident presentations at scientific meetings accounted for $49,672, and program coordinator costs of $44,190 accounted for nearly two-thirds of this funding. The departmental faculty committed $6400 per categorical resident.


In addition to DME and IME funds, a department of surgery must commit significant additional monies to meet the educational goals of surgical residency.

Copyright © 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk