Recent Trends in Additional Training Beyond Cardiothoracic Surgery Residency
Alison F. Ward1, Neel K. Ranganath2, Tyler J. Wallen3, Stacey Chen2, Amie J. Kent2, Deane E. Smith, III2, Zachary N. Kon2.
1Medical College of Georgia at Augusta University, Augusta, GA, USA, 2NYU Langone Health, New York, NY, USA, 3University of Florida, Gainesville, FL, USA.
OBJECTIVE: There are three cardiothoracic surgery (CTS) training paradigms—general surgery residency followed by CTS residency, 4 years of general surgery +3 years of CTS residency (4+3), and an integrated 6-year pathway (I-6). Studies to assess additional training requirements between paradigms have yet to be well described. METHODS: An anonymous online survey aimed at collecting demographics, training pathway data, and need for additional training from CTS graduates within the past 5 years (2012-2017) was developed. An automated online email list was generated and sent out, with two reminder emails resent for non-responders. The survey was open for a two-month period. RESULTS: Four hundred seventy-seven emails were sent and received with a 20% response rate (95/477). Eighty percent (76/95) were male, mean age 39.4 years old (range 33-50). Eighty-one percent (77/95) completed a traditional training pathway, 7.4% (7/95) a 4+3, and 11.6% (11/95) an I-6. Twenty seven percent (26/95) completed additional training—7.7% (2/26) robotics, 19.2% (5/26) additional thoracic, 3.8% (1/26) additional cardiac, 11.5% (3/26) congenital, 42.3% (11/26) transplant/mechanical circulatory support, 15.4%(4/26) aortic/endovascular. Of those respondents who completed additional training, 73.0% (19/26) had completed a traditional training pathway, 3.8% (1/26) a 4+3, and 7.7% (2/26) an I-6. Twenty four percent (23/95) completed greater than or equal to 10 years of post-graduate training.CONCLUSIONS: There are 3 distinct CTS training pathways offering varying lengths of training and specialization. Among survey respondents, 27% completed additional training after completing CTS residency and 24% of respondents took 10 or more years to complete their training.
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