Advertisement
Education| Volume 169, ISSUE 6, P1354-1360, June 2021

Mentoring experience of new surgeons during their transition to independent practice: A nationwide survey

Published:December 28, 2020DOI:https://doi.org/10.1016/j.surg.2020.11.044

      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 access
      One-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 Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cogbill T.H.
        • Shapiro S.B.
        Transition from training to surgical practice.
        Surg Clin North Am. 2016; 96: 25-33
        • Hoover E.L.
        Mentoring surgeons in private and academic practice.
        Arch Surg. 2005; 140: 598-608
        • Sachdeva A.K.
        • Flynn T.C.
        • Brigham T.P.
        • et al.
        Interventions to address challenges associated with the transition from residency training to independent surgical practice.
        Surgery. 2014; 155: 867-882
        • Sachdeva A.K.
        Educational interventions aimed at the transition from surgical training to surgical practice.
        Am J Surg. 2019; 217: 406-409
        • Richardson D.J.
        ACS transition to practice program offers residents additional opportunities to hone skills.
        Bull American Coll Surg. 2013; 98: 23-27
        • Kibbe M.R.
        • Pellegrini C.A.
        • Townsend C.M.
        • et al.
        Characterization of mentorship programs in departments of surgery in the United States.
        JAMA Surg. 2016; 151: 900-906
        • Nakayama D.K.
        • Taylor S.M.
        SESC Practice Committee Survey: surgical practice in the duty-hour restriction era.
        Am Surg. 2013; 79: 711-715
        • Entezami P.
        • Franzblau L.E.
        • Chung K.C.
        Mentorship in surgical training: a systematic review.
        Hand (N Y). 2012; 7: 30-36
        • Straus S.E.
        • Chatur F.
        • Taylor M.
        Issues in the mentor−mentee relationship in academic medicine: a qualitative study.
        Acad Med. 2009; 84: 135-139
        • Straus S.E.
        • Johnson M.O.
        • Marquez C.
        • Feldman M.D.
        Characteristics of successful and failed mentoring relationships: a qualitative study across two academic health centers.
        Acad Med. 2013; 88: 82-89
        • Economopoulos K.
        • Sun R.
        • Garvey E.
        • Bazzarelli A.
        • et al.
        Coaching and mentoring modern surgeons.
        Bull Am Coll Surg. 2014; 99: 30-35
        • Patel V.M.
        • Warren O.
        • Ahmed K.
        • et al.
        How can we build mentorship in surgeons of the future?.
        ANZ J Surg. 2011; 81: 418-424
        • Francesca M.
        • Wang M.H.
        • Gilson M.M.
        • et al.
        ACGME core competency training, mentorship, and research in surgical subspecialty fellowship programs.
        J Surg Educ. 2013; 70: 180-188
        • Laratta J.L.
        • Gum J.L.
        • Shillingford J.N.
        • et al.
        Job selection after orthopedic surgery training: why are our trainees failing to select the right job?.
        Cureus. 2019; 11: e5539
        • Smith A.A.
        • Craft R.O.
        • Rebecca A.M.
        • Duncan S.F.
        Dissatisfied hand surgeons: what causes them to change jobs?.
        Hand (N Y). 2006; 1: 14-18
        • Taherian K.
        • Shekarchian M.
        Mentoring for doctors. Do its benefits outweigh its disadvantages?.
        Medical Teacher. 2008; 30: e95-e99
      1. 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.

        • Stolarski A.
        • Moseley J.M.
        • Whang E.
        • Kristo G.
        • et al.
        Retired surgeons' reflections on their careers.
        JAMA Surg. 2020; 155: 359-361
        • Aly S.
        • Stolarski A.
        • Whang E.
        • Kristo G.
        • et al.
        The current status of retirement mentoring in academic surgery in the United States.
        J Surg Res. 2019; 2: 70-76
        • Fang D.
        • Moy E.
        • Colburn L.
        • Hurley J.
        Racial and ethnic disparities in faculty promotion in academic medicine.
        JAMA. 2000; 284: 1085-1092
        • Abelson J.S.
        • Wong N.Z.
        • Symer M.
        • Eckenrode G.
        • et al.
        Racial and ethnic disparities in promotion and retention of academic surgeons.
        Am J Surg. 2018; 216: 678-682