Evaluation of Accredited Trauma, Surgical Critical Care, and Acute Care Surgery Fellowship Websites

Background Research productivity is critical to academic surgery and essential for advancing surgical knowledge and evidence-based practice. We aim to determine if surgeon affiliation with top US universities/hospitals (TOPS) is associated with increased research productivity measured by numbers of peer-reviewed publications in PubMed (PMIDs). Methods A bibliometric analysis was performed for PMIDs. Affiliated authors who published in trauma surgery (TS), surgical critical care (SCC), acute care surgery (ACS), and emergency general surgery (EGS) were evaluated for publications between 2015 and 2019, and lifetime productivity. Our analysis included 3443 authors from 443 different institutions. Our main outcome was PMIDs of first author (FA) and senior author (SA) in each field (2015-2019) and total lifetime publications. Results Significant differences exist between PMIDs from TOPS vs non-TOPS in FA-TS (1.34 vs 1.23, P = .001), SA-TS (1.71 vs 1.46, P < .001), total SA-PMIDs (44.10 vs 26.61, P < .001), and SA-lifetime PMIDs (90.55 vs 59.03, P < .001). There were no significant differences in PMIDs for FA or SA-SCC, FA or SA-ACS, FA or SA-EGS, FA-total PMIDs 2015-2019, or FA-lifetime PMIDs ( P > .05 for all). Conclusion There were significantly higher TS PMIDs among FAs and SAs affiliated with top US institutions in 2015-2019, along with higher total PMIDs (2015-2019) and lifetime PMIDs. These findings are of significance to future graduate medical applicants and academic surgeons who need to make decisions about training and future career opportunities.

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Perceptions and Attitudes of Critical Care Training and Careers among United States Surgical Residents: Who Wants to be a Surgical Intensivist?

The American Surgeon ◽

10.1177/000313480707300502 ◽

2007 ◽

Vol 73 (5) ◽

pp. 433-437 ◽

Cited By ~ 4

Author(s):

Stephen M. Cohn ◽

Michelle A. Price ◽

Ronald M. Stewart ◽

Basil A. Pruitt ◽

Daniel L. Dent

Keyword(s):

United States ◽

Critical Care ◽

Acute Care ◽

Trauma Surgery ◽

The United States ◽

Acute Care Surgery ◽

Surgical Residents ◽

Perceptions And Attitudes ◽

Surgical Critical Care ◽

Care Surgery

Less than 50 per cent of surgical critical care (SCC) fellowship positions are filled each year. We surveyed senior surgical residents to determine their opinions regarding a career in SCC and acute care surgery. A survey was sent to 1348 postgraduate year 3, 4, and 5 residents in the United States. Two hundred fifty-one surveys were returned (19% response rate). Whereas 78 per cent were planning to complete a fellowship, 21 per cent expressed interest in SCC. Fifty-six per cent plan to handle SCC problems only for their own patients, whereas 39 per cent plan to turn this management over to a critical care provider. SCC fellowships were considered to be potentially more appealing if the following changes could be made to the existing structure: adding more general surgery (70% of respondents); adding more trauma experience (50%); adding emergency neurosurgery (44%); adding more emergency orthopedics (42%); or decreasing months of critical care (36%). Increasing salary enhanced appeal for 82 per cent. SCC has limited appeal for most senior surgical residents. Theoretical expansion of surgical critical fellowships to include more general or trauma surgery (acute care surgery) increased the level of interest among senior surgical residents.

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The association between self-declared acute care surgery services and critical care resources: Results from a national survey

Journal of Critical Care ◽

10.1016/j.jcrc.2020.04.002 ◽

2020 ◽

Vol 60 ◽

pp. 84-90

Author(s):

Ashley M. Tameron ◽

Kevin B. Ricci ◽

Wendelyn M. Oslock ◽

Amy P. Rushing ◽

Angela M. Ingraham ◽

...

Keyword(s):

Critical Care ◽

Acute Care ◽

National Survey ◽

Acute Care Surgery ◽

Care Surgery

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Critical Care in Acute Care Surgery

Acute Care Surgery Handbook ◽

10.1007/978-3-319-15341-4_15 ◽

2017 ◽

pp. 277-290

Author(s):

Kathryn L. Butler ◽

George Velmahos

Keyword(s):

Critical Care ◽

Acute Care ◽

Acute Care Surgery ◽

Care Surgery

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Education and training of the future trauma surgeon in acute care surgery: trauma, critical care, and emergency surgery

The American Journal of Surgery ◽

10.1016/j.amjsurg.2005.05.014 ◽

2005 ◽

Vol 190 (2) ◽

pp. 212-217 ◽

Cited By ~ 47

Author(s):

David A. Spain ◽

Frank B. Miller

Keyword(s):

Critical Care ◽

Acute Care ◽

Emergency Surgery ◽

Education And Training ◽

Acute Care Surgery ◽

Trauma Surgeon ◽

The Future ◽

Care Surgery ◽

And Training

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Macroeconomic trends and practice models impacting acute care surgery

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2018-000295 ◽

2019 ◽

Vol 4 (1) ◽

pp. e000295 ◽

Cited By ~ 5

Author(s):

Andrew Bernard ◽

Kristan Staudenmayer ◽

Joseph P Minei ◽

Jay Doucet ◽

Adil Haider ◽

...

Keyword(s):

Critical Care ◽

Acute Care ◽

Elective Surgery ◽

Care Delivery ◽

Acute Care Surgery ◽

Healthcare Organizations ◽

Emergency General Surgery ◽

Case Volume ◽

Practice Models ◽

Care Surgery

Acute care surgery (ACS) diagnoses are responsible for approximately a quarter of the costs of inpatient care in the US government, and individuals will be responsible for a larger share of the costs of this healthcare as the population ages. ACS as a specialty thus has the opportunity to meet a significant healthcare need, and by optimizing care delivery models do so in a way that improves both quality and value. ACS practice models that have maintained or added emergency general surgery (EGS) and even elective surgery have realized more operative case volume and surgeon satisfaction. However, vulnerabilities exist in the ACS model. Payer mix in a practice varies by geography and distribution of EGS, trauma, critical care, and elective surgery. Critical care codes constitute approximately 25% of all billing by acute care surgeons, so even small changes in reimbursement in critical care can have significant impact on professional revenue. Staffing an ACS practice can be challenging depending on reimbursement and due to uneven geographic distribution of available surgeons. Empowered by an understanding of economics, using team-oriented leadership inherent to trauma surgeons, and in partnership with healthcare organizations and regulatory bodies, ACS surgeons are positioned to significantly influence the future of healthcare in the USA.

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