Oral Oncology and Reconstructive Surgery Fellowship Training Programs in India—A Trainee Perspective

AbstractOur objective was to associate characteristics of pediatric critical care medicine (PCCM) fellowship training programs with career outcomes of PCCM physicians, including research publication productivity and employment characteristics. This is a descriptive study using publicly available data from 2557 PCCM physicians from the National Provider Index registry. We analyzed data on a systematic sample of 690 PCCM physicians representing 62 fellowship programs. There was substantial diversity in the characteristics of fellowship training programs in terms of fellowship size, intensive care unit (ICU) bed numbers, age of program, location, research rank of affiliated medical school, and academic metrics based on publication productivity of their graduates standardized over time. The clinical and academic attributes of fellowship training programs were associated with publication success and characteristics of their graduates' employment hospital. Programs with greater publication rate per graduate had more ICU beds and were associated with higher ranked medical schools. At the physician level, training program attributes including larger size, older program, and higher academic metrics were associated with graduates with greater publication productivity. There were varied characteristics of current employment hospitals, with graduates from larger, more academic fellowship training programs more likely to work in larger pediatric intensive care units (24 [interquartile range, IQR: 16–35] vs. 19 [IQR: 12–24] beds; p < 0.001), freestanding children's hospitals (52.6 vs. 26.3%; p < 0.001), hospitals with fellowship programs (57.3 vs. 40.3%; p = 0.01), and higher affiliated medical school research ranks (35.5 [IQR: 14–72] vs. 62 [IQR: 32, unranked]; p < 0.001). Large programs with higher academic metrics train physicians with greater publication success (H index 3 [IQR: 1–7] vs. 2 [IQR: 0–6]; p < 0.001) and greater likelihood of working in large academic centers. These associations may guide prospective trainees as they choose training programs that may foster their career values.

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Effects of COVID-19 on Facial Plastic and Reconstructive Surgery Fellowship Training and Director Practices

OTO Open ◽

10.1177/2473974x211014130 ◽

2021 ◽

Vol 5 (2) ◽

pp. 2473974X2110141

Author(s):

Parsa P. Salehi ◽

Sina J. Torabi ◽

Yan Ho Lee ◽

Babak Azizzadeh

Keyword(s):

Facial Nerve ◽

Reconstructive Surgery ◽

Trauma Surgery ◽

The United States ◽

Fellowship Training ◽

Craniofacial Surgery ◽

Worker Safety ◽

Plastic And Reconstructive Surgery ◽

Facial Plastic ◽

The Impact

Objectives The objectives of this study include characterizing the practice patterns and testing strategies of facial plastic and reconstructive surgery (FPRS) fellowship directors (FDs) secondary to COVID-19 and to quantify the impact of COVID-19 on FPRS fellowship training. Study Design Cross-sectional survey. Setting Online. Methods A survey was sent to all American Academy of Facial Plastic and Reconstructive Surgery FDs and co-FDs in September 2020. Descriptive analyses were performed. Results Of 77 eligible FDs, 45 responded (58.4%) representing a diverse group across the United States. All but 1 FD routinely screened patients for COVID-19 in the preoperative setting. FDs largely believed that universal preoperative testing was cost-effective (66.7%), improved patient safety (80.0%) and health care worker safety (95.6%), and was not burdensome for patients (53.3%). With regard to volume of cosmetic/aesthetic, reconstructive, facial nerve, and trauma surgery, FDs indicated largely no change in volume (34.9%, 71.0%, 68.4%, and 80.0%, respectively) or fellow experience (67.4%, 80.6%, 84.2%, and 80.0%). Half (50.0%) of the FDs reported decreased volume of congenital/craniofacial surgery, but 75.0% did not believe that there was a change in fellow experience. Overall, of the 15 responses indicating “worsened training” across all domains of FPRS, 14 were located in the Northeast (93.33%). Conclusions The COVID-19 pandemic has had the least impact on the volume of reconstructive procedures, facial nerve operations, and trauma surgery and a negative impact on congenital/craniofacial surgery volume, and it has accelerated the demand for cosmetic/aesthetic operations. Overall, the majority of FDs did not feel as though their fellows’ trainings would be adversely affected by the ongoing pandemic.

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Cosmetic Surgery: A Subspecialty That Needs Specialized Training and Recognition

The American Journal of Cosmetic Surgery ◽

10.1177/07488068211051859 ◽

2021 ◽

pp. 074880682110518

Author(s):

Kamran Dastoury ◽

Jacob Haiavy ◽

Jane Petro ◽

Martha Ayewah

Keyword(s):

American Academy ◽

Plastic Surgery ◽

Cosmetic Surgery ◽

Training Programs ◽

Aesthetic Surgery ◽

Fellowship Training ◽

Subspecialty Training ◽

Plastic And Reconstructive Surgery ◽

Surgery Training ◽

American Society

Introduction: This study was performed to provide a comprehensive review of the breadth and depth of fellowship training provided by the American Academy of Cosmetic Surgery (AACS), with direct comparison with other current aesthetic surgery training programs available in the United States. We hypothesized that this subspecialty training provides essential experience and confidence to perform aesthetic procedures, which are likely not adequately imparted during traditional residency training. We also address the notion that Cosmetic Surgery is not under the sole ownership of one specialty, but rather a subspecialty that flourishes by collaboration between multidisciplinary surgical backgrounds. Materials and Methods: We performed a cross-sectional study of survey data from 2 distinct groups—current fellows in a 1-year AACS program and surgeons who completed an AACS fellowship between July 2008 and June 2017, who have been in active cosmetic surgery practice ranging from 6 months to over 6 years. A survey was administered via email and distributed by the AACS central office. The responses were compared with data published in the Annals of Plastic Surgery concerning Recent Trends in Resident Career Choices after Plastic Surgery Training. Results: The Accreditation Council for Graduate Medical Education (ACGME) requirements for aesthetic surgical cases in a 6-year Plastic Surgery program are 150 cases, but 50% of graduating seniors feel inadequately prepared to transition straight into aesthetic surgery practice, whereas among AACS graduating fellows, 100% feel very prepared to go on the aesthetic surgery practice, having completed an average of 687 cases within the yearlong training program. We note that the survey response rate was 81% among current fellows versus 35% among practicing surgeons. Discussion: We believe that focused subspecialty training in cosmetic surgery after completion of a primary surgical residency in a form of a structured fellowship through AACS, American Society of Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, Commission on Dental Accreditation, and American Society of Ophthalmic Plastic and Reconstructive Surgery (Oculoplastic) is the ideal preparation for the future. As we learn from each other through fellowship training, academic conferences, and research, this will further advance the subspecialty and ultimately improve patient care and outcomes. There is no evidence that these training programs provide less adequate preparation, although they are not accredited by the ACGME. To the contrary, the additional experience and knowledge gained during these fellowship training programs result in better outcomes and more competent practitioners. Conclusions: The development of subspecialty training and board certification for surgeons committed to cosmetic surgery yields the highest level of qualified providers. The diverse backgrounds of these providers continue to allow us to expand and innovate in this field. This study is aimed at moving this conversation forward in a positive direction.

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Trends in Fellowship Training for Female Pelvic Medicine and Reconstructive Surgery

Female Pelvic Medicine & Reconstructive Surgery ◽

10.1097/spv.0000000000000406 ◽

2017 ◽

Vol 23 (6) ◽

pp. 409-411 ◽

Cited By ~ 1

Author(s):

AeuMuro G. Lake ◽

Leslie M. Rickey

Keyword(s):

Reconstructive Surgery ◽

Fellowship Training ◽

Female Pelvic Medicine

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GI Fellowship Training Programs

The American Journal of Gastroenterology ◽

10.1038/ajg.2012.133 ◽

2012 ◽

Vol 107 (7) ◽

pp. 1113-1140

Keyword(s):

Training Programs ◽

Fellowship Training

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`Ivory Tower' Fellowship Statement Challenged

PEDIATRICS ◽

10.1542/peds.88.3.660 ◽

1991 ◽

Vol 88 (3) ◽

pp. 660-660

Author(s):

MARY T. NEWPORT

Keyword(s):

Research Funding ◽

Clinical Medicine ◽

Training Programs ◽

Fellowship Training ◽

Advanced Training ◽

Ivory Tower ◽

Independent Research

I have a number of questions related to the "Statement on Pediatric Fellowship Training" by the Federation on Pediatric Organizations. The article did not list the authors of the statement. How many participants were involved in the development of this statement, what was the composition of the group, and, in particular, how many were subspecialists who practice clinical medicine in nonacademic settings? The statement noted, with regard to the goals of training fellows, that "perhaps most important, graduates of regular and advanced training programs should be prepared to initiate independent research and to compete for peer-reviewed research funding."

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Competence in pediatric urology upon graduation from residency: perceptions of residents, program directors and pediatric urologists

Canadian Urological Association Journal ◽

10.5489/cuaj.596 ◽

2013 ◽

Vol 2 (3) ◽

pp. 205 ◽

Cited By ~ 2

Author(s):

Jennifer J. Mickelson ◽

Andrew E. MacNeily ◽

Dinesh Samarasekera ◽

Darren Beiko ◽

Kourosh Afshar

Keyword(s):

Training Programs ◽

Study Groups ◽

Program Directors ◽

Fellowship Training ◽

Pediatric Urology ◽

Urological Procedures ◽

Significant Disagreement ◽

Moderate Complexity ◽

Ongoing Assessment ◽

Residency Program Directors

Objective: We aimed to clarify the scope of pediatric urological procedures that Canadian urology residents are perceived to be competent to perform upon graduation.Methods: We conducted a survey from April 2005 to June 2006 of urology residency program directors (UPDs), senior urology residents (SURs) and Pediatric Urologists of Canada (PUC) members from all 12 Canadian training programs. Questions focused on which of 23 pediatric urological procedures the 3 study groups perceived urology residents would be competent to perform upon completion of residency without further fellowship training. Procedures were based on the “A,” “B” and “C” lists of procedures (least complex to most complex) as outlined in the Royal College of Physicians and Surgeons of Canada Objectives of Training in Urology.Results: Response rates were 12/12 (100%), 41/53 (77%) and 17/23 (74%) for UPDs, SURs and PUC members, respectively. Average exposure to pediatric urology during residency was 5.4 (range 3–9) months and considered sufficient by 75% of UPDs and 69% of SURs, but only 41% of PUC members (p = 0.05). Overall, the 3 groups disagreed on the level of competence for performing level “A” and “B” procedures, with significant disagreement between PUC members and UPDs as well as SURs (p < 0.005).Conclusion: PUC members perceive Canadian urology residents’ exposure to pediatric urology as insufficient and their competence for procedures of low to moderate complexity as inadequate. Further investigation regarding exposure to and competence in other emerging subspecialty spheres of urology may be warranted. Ongoing assessment of the objectives for training in pediatric urology is required.

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Parenting While in Training: A Comprehensive Needs Assessment of Residents and Fellows

Journal of Graduate Medical Education ◽

10.4300/jgme-d-19-00563.1 ◽

2020 ◽

Vol 12 (2) ◽

pp. 162-167 ◽

Cited By ~ 1

Author(s):

Kirti Magudia ◽

Thomas S. C. Ng ◽

Alexander G. Bick ◽

Megan A. Koster ◽

Camden Bay ◽

...

Keyword(s):

Clinical Training ◽

Training Programs ◽

Parental Leave ◽

Fellowship Training ◽

Parental Status ◽

Specific Information ◽

Online Questionnaire ◽

Access And Affordability ◽

Selection Of ◽

Individual Training

ABSTRACT Background Parenting issues can affect physicians' choice of specialty or subspecialty, as well as their selection of individual training programs, because of the distinctive challenges facing residents and fellows with children. Specific information about how residents perceive these challenges is limited. Objective We sought to better understand the challenges associated with parenting during residency and fellowship training in order to inform policy and research. Methods In 2017, a voluntary online questionnaire was distributed to all 2214 Partners HealthCare graduate medical education trainees across 285 training programs. The survey queried attitudes of and about trainees with children and assessed needs and experiences related to parental leave, lactation, and childcare. Responses were compared between subgroups, including gender, surgical versus nonsurgical specialty, parental status, and whether the respondent was planning to become a parent. Results A total of 578 trainees (26%) responded to the questionnaire. Of these, 195 (34%) became parents during training. An additional 298 (52%) planned to become parents during training. Respondents overwhelmingly agreed that their institution should support trainees with children (95%) and that doing so is important for trainee wellness (98%). However, 25% felt that trainees with children burden trainees without children. Childcare access, affordability, and availability for sufficient hours were identified as key challenges, along with issues related to parental leave, lactation facilities, and effect on peers. Conclusions This survey highlights trainees' perspectives about parenting during their clinical training, signaling parental leave, lactation facilities, and childcare access and affordability as particular challenges and potential targets for future interventions.

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