scholarly journals Gender distribution and leadership trends in trauma surgery societies

2020 ◽  
Vol 5 (1) ◽  
pp. e000433
Author(s):  
Shannon Marie Foster ◽  
Jennifer Knight ◽  
Catherine Garrison Velopulos ◽  
Stephanie Bonne ◽  
D'Andrea Joseph ◽  
...  
Keyword(s):  
Critical Care ◽  
Gender Diversity ◽  
Trauma Surgery ◽  
Executive Leadership ◽  
Senior Author ◽  
Acute Care Surgery ◽  
Level Of Evidence ◽  
Gender Distribution ◽  
Surgical Critical Care ◽  
Care Surgery

IntroductionWomen are under-represented in the surgical disciplines and gender bias is believed to play a factor. We aimed to understand the gender distribution of membership, leadership opportunities, and scientific contributions to annual trauma professional meetings as a case study of gender issues in trauma surgery.MethodsRetrospective collection of membership, leadership, presentation and publication data from 2016 to 2018 Trauma/Acute Care Surgery/Surgical Critical Care (TACSCC) Annual Meetings. Gender was assigned based on self-identification in demographic information, established relationships, or public sources.ResultsWomen remain under-represented with only 28.1% of those ascertaining American Board of Surgery certification in critical care self-identifying as female. The proportion of female members in Eastern Association for the Surgery of Trauma (EAST) was comparable (29.4%), slightly lower for Western Trauma Association (WTA) (19.0%), and lowest for American Association for the Surgery of Trauma (AAST) (12.8%, p<0.05). In contrast, AAST had the highest proportion of female participants in executive leadership (AAST 32.5%, WTA 19.0%, EAST 18.8%) and WTA the highest for committee chairs (WTA 33.3%, AAST 27.8%, EAST 20.5%). AAST had the most significant increase in executive leadership during the last 3 years (AAST 28.6% to 41.6%). Invited lectureships, masters, panelists and senior author scientific contributions demonstrated the largest gap of academic representation of female TACSCC surgeons.ConclusionFewer women than men pursue careers in the trauma field. Continuing to provide mentorship, leadership, and scientific recognition will increase gender diversity in TACSCC. We must continue to promote, sponsor, recognize, invite, and elect ‘her’.Level of evidenceIII, Epidemiology.

The Impact of Hospital/University Affiliation on Research Productivity Among US-Based Authors in the Fields of Trauma, Surgical Critical Care, Acute Care, and Emergency General Surgery

2020 ◽  
pp. 000313482094950
Author(s):  
Amanda Baroutjian ◽  
Mason Sutherland ◽  
John J. Hoff ◽  
Tyler Bean ◽  
Carol Sanchez ◽  
...  
Keyword(s):  
Critical Care ◽  
Acute Care ◽  
General Surgery ◽  
Research Productivity ◽  
Trauma Surgery ◽  
Acute Care Surgery ◽  
Emergency General Surgery ◽  
Surgical Critical Care ◽  
Care Surgery ◽  
The Impact

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.

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

2007 ◽  
Vol 73 (5) ◽  
pp. 433-437 ◽  
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.

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

2018 ◽  
Vol 232 ◽  
pp. 160-163 ◽  
Author(s):  
Colin K. Cantrell ◽  
Nicholas J. Dahlgren ◽  
Bradley L. Young ◽  
Kimberly M. Hendershot
Keyword(s):  
Critical Care ◽  
Acute Care ◽  
Acute Care Surgery ◽  
Surgical Critical Care ◽  
Care Surgery

The role and value of surgical critical care, an essential component of Acute Care Surgery, in the Affordable Care Act

2012 ◽  
Vol 73 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Heidi L. Frankel ◽  
Karyn L. Butler ◽  
Joseph Cuschieri ◽  
Randall S. Friese ◽  
Toan Huynh ◽  
...  
Keyword(s):  
Critical Care ◽  
Acute Care ◽  
Affordable Care Act ◽  
Acute Care Surgery ◽  
Essential Component ◽  
Surgical Critical Care ◽  
The Affordable Care Act ◽  
Care Surgery

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

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

scholarly journals Morning report decreases length of stay in emergency general surgery patients

2019 ◽  
Vol 8 (6) ◽  
pp. 1
Author(s):  
James R. Gardner ◽  
John D. Wolfe ◽  
William C. Beck ◽  
Kevin W. Sexton ◽  
Avi Bhavaraju ◽  
...  
Keyword(s):  
Length Of Stay ◽  
General Surgery ◽  
Average Length ◽  
Hospital Setting ◽  
Acute Care Surgery ◽  
Morning Report ◽  
Emergency General Surgery ◽  
Medical Specialties ◽  
Surgical Critical Care ◽  
Care Surgery

Objective: Communication in the hospital setting is an easy target for quality improvement. Capturing this change via communication between providers during hand-offs is necessary to reduce delays and errors. While this process has been more widely characterized in medical specialties, we designed this study to address the knowledge gap in surgical specialties.Methods: Our institution’s division of Acute Care Surgery (ACS) implemented Morning Report (MR) in October of 2015. At MR, all admissions and service transfers were discussed from Trauma, Emergency General Surgery (EGS), and Surgical Critical Care services from the previous 24 hours. This study compared patients who underwent a surgical procedure during their hospital stay before and after protocol implementation.Results: 974 patients were included in this study. The average patient was 50.3 years of age, 65.4% were white, and 51.7% were male. The average length of stay (LOS) was 8.3 days with 1.75 days to procedure. The post-MR cohort LOS was 2.7 shorter and had 0.85 fewer days to procedure. In an adjusted regression analysis, days to procedure and LOS decreased by 33% (p < .01) and 17% (p < .01) respectively.Conclusions: Implementation of MR led to a decrease in the overall LOS and days to procedure for operative patients. Our results advocate for the standard use of structured hand-offs in surgical units.

Critical Care in Acute Care Surgery

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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