Background
New surgeons are faced with inadequate mentoring when first entering practice. Our
study examined challenges faced by young surgeons during their transition in practice
and their mentoring experience when entering practice.
Methods
An article-based survey was mailed in August 2019 to general, colorectal, vascular,
and cardiothoracic surgeons that became members of the American College of Surgeons
within the past 5 years.
Results
A total of 853 of 2,915 surveys were completed (29.3% response rate). Both female
(38%) and male (62%) surgeons participated. The 3 most common challenges during the
transition to practice were confidence building (26.0%), adjusting to a new institutional
culture (16.9%), and business and administrative aspects of practice (16.3%). First
job attrition rate 44.2%, with the mean duration of the first job being 3.28 ± 0.17
years. Nearly one-third (28.3%) of respondents were not mentored when they first entered
practice. The proportion of nonmentored young surgeons leaving their first job (64.3%)
was almost twice as that of surgeons who received mentoring (36.3%). Furthermore,
the mean duration of the first job was significantly shorter in nonmentored versus
mentored surgeons (3.16 ± 0.26 vs 3.76 ± 0.25 years; P < .05). A significant number (43.3%) of respondents reported a desire to be mentored
by retired surgeons.
Conclusion
Our survey highlights the importance of mentoring for young surgeons during their
transition into practice. With many young surgeons being enthusiastic about mentoring
by retired surgeons, specific programs are necessary to better use their expertise.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Transition from training to surgical practice.Surg Clin North Am. 2016; 96: 25-33
- Mentoring surgeons in private and academic practice.Arch Surg. 2005; 140: 598-608
- Interventions to address challenges associated with the transition from residency training to independent surgical practice.Surgery. 2014; 155: 867-882
- Educational interventions aimed at the transition from surgical training to surgical practice.Am J Surg. 2019; 217: 406-409
- ACS transition to practice program offers residents additional opportunities to hone skills.Bull American Coll Surg. 2013; 98: 23-27
- Characterization of mentorship programs in departments of surgery in the United States.JAMA Surg. 2016; 151: 900-906
- SESC Practice Committee Survey: surgical practice in the duty-hour restriction era.Am Surg. 2013; 79: 711-715
- Mentorship in surgical training: a systematic review.Hand (N Y). 2012; 7: 30-36
- Issues in the mentor−mentee relationship in academic medicine: a qualitative study.Acad Med. 2009; 84: 135-139
- Characteristics of successful and failed mentoring relationships: a qualitative study across two academic health centers.Acad Med. 2013; 88: 82-89
- Coaching and mentoring modern surgeons.Bull Am Coll Surg. 2014; 99: 30-35
- How can we build mentorship in surgeons of the future?.ANZ J Surg. 2011; 81: 418-424
- ACGME core competency training, mentorship, and research in surgical subspecialty fellowship programs.J Surg Educ. 2013; 70: 180-188
- Job selection after orthopedic surgery training: why are our trainees failing to select the right job?.Cureus. 2019; 11: e5539
- Dissatisfied hand surgeons: what causes them to change jobs?.Hand (N Y). 2006; 1: 14-18
- Mentoring for doctors. Do its benefits outweigh its disadvantages?.Medical Teacher. 2008; 30: e95-e99
Kim NE, Moseley JM, Itani KM, Kristo G, et al. Retired surgeons as mentors for surgical training graduates entering practice: an underutilized resource [e-pub ahead of print]. Ann Surg. https://doi.org/10.1097/SLA.0000000000003272. Accessed December 6, 2020.
- Retired surgeons' reflections on their careers.JAMA Surg. 2020; 155: 359-361
- The current status of retirement mentoring in academic surgery in the United States.J Surg Res. 2019; 2: 70-76
- Racial and ethnic disparities in faculty promotion in academic medicine.JAMA. 2000; 284: 1085-1092
- Racial and ethnic disparities in promotion and retention of academic surgeons.Am J Surg. 2018; 216: 678-682
Article info
Publication history
Published online: December 28, 2020
Accepted:
November 28,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.