Surgical Thoracic Transplant Training: Super Fellowship-Is It Super?

George Makdisi, Tony Makdisi, Christiano C. Caldeira, I-Wen Wang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: The quality of training provided to thoracic transplant fellows is a critical step in the care of complex patients undergoing transplant. The training varies since it is not an accreditation council for graduate medical education accredited fellowship. Method: A total of 104 heart or lung transplant program directors throughout the United States were sent a survey of 24 questions focusing on key aspects of training, fellowship training content and thoracic transplant job satisfaction. Out of the 104 programs surveyed 45 surveys (43%) were returned. Results: In total, 26 programs offering a transplant fellowship were included in the survey. Among these programs 69% currently have fellows of which 56% are American Board of Thoracic Surgery board eligible. According to the United Network for Organ Sharing (UNOS) requirements, 46% of the programs do not meet the requirements to be qualified as a primary heart transplant surgeon. A total of 23% of lung transplant programs also perform less than the UNOS minimum requirements. Only 24% have extra-surgical curriculum. Out of the participating programs, only 38% of fellows secured a job in a hospital setting for performing transplants. An astounding 77% of replies site an unpredictable work schedule as the main reason that makes thoracic transplant a less than favorable profession among new graduates. Long hours were also a complaint of 69% of graduates who agreed that their personal life is affected by excessive work hours. Conclusion: Annually, almost half of all thoracic transplant programs perform fewer than the UNOS requirements to be a primary thoracic surgeon. This results in a majority of transplant fellows not finding a suitable transplant career. The current and future needs for highly qualified thoracic transplant surgeons will not be met through our existing training mechanisms.

Original languageEnglish (US)
JournalJournal of Surgical Education
DOIs
StateAccepted/In press - 2017

Fingerprint

Thorax
Transplants
graduate
program offering
organ transplant
job satisfaction
accreditation
complaint
surgery
director
profession
career
Graduate Medical Education
Lung
curriculum
Job Satisfaction
Accreditation
Curriculum
Thoracic Surgery
Patient Care

Keywords

  • Fellowship
  • Interpersonal and Communication Skills
  • Medical Knowledge
  • Patient Care
  • Practice-Based Learning and Improvement
  • Professionalism
  • Super fellowship
  • Surgical training and transplant
  • Systems-Based Practice
  • Thoracic transplant

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Surgical Thoracic Transplant Training : Super Fellowship-Is It Super? / Makdisi, George; Makdisi, Tony; Caldeira, Christiano C.; Wang, I-Wen.

In: Journal of Surgical Education, 2017.

Research output: Contribution to journalArticle

Makdisi, George ; Makdisi, Tony ; Caldeira, Christiano C. ; Wang, I-Wen. / Surgical Thoracic Transplant Training : Super Fellowship-Is It Super?. In: Journal of Surgical Education. 2017.
@article{8a4acd8c5e0845bdb1620eda746c7d31,
title = "Surgical Thoracic Transplant Training: Super Fellowship-Is It Super?",
abstract = "Objective: The quality of training provided to thoracic transplant fellows is a critical step in the care of complex patients undergoing transplant. The training varies since it is not an accreditation council for graduate medical education accredited fellowship. Method: A total of 104 heart or lung transplant program directors throughout the United States were sent a survey of 24 questions focusing on key aspects of training, fellowship training content and thoracic transplant job satisfaction. Out of the 104 programs surveyed 45 surveys (43{\%}) were returned. Results: In total, 26 programs offering a transplant fellowship were included in the survey. Among these programs 69{\%} currently have fellows of which 56{\%} are American Board of Thoracic Surgery board eligible. According to the United Network for Organ Sharing (UNOS) requirements, 46{\%} of the programs do not meet the requirements to be qualified as a primary heart transplant surgeon. A total of 23{\%} of lung transplant programs also perform less than the UNOS minimum requirements. Only 24{\%} have extra-surgical curriculum. Out of the participating programs, only 38{\%} of fellows secured a job in a hospital setting for performing transplants. An astounding 77{\%} of replies site an unpredictable work schedule as the main reason that makes thoracic transplant a less than favorable profession among new graduates. Long hours were also a complaint of 69{\%} of graduates who agreed that their personal life is affected by excessive work hours. Conclusion: Annually, almost half of all thoracic transplant programs perform fewer than the UNOS requirements to be a primary thoracic surgeon. This results in a majority of transplant fellows not finding a suitable transplant career. The current and future needs for highly qualified thoracic transplant surgeons will not be met through our existing training mechanisms.",
keywords = "Fellowship, Interpersonal and Communication Skills, Medical Knowledge, Patient Care, Practice-Based Learning and Improvement, Professionalism, Super fellowship, Surgical training and transplant, Systems-Based Practice, Thoracic transplant",
author = "George Makdisi and Tony Makdisi and Caldeira, {Christiano C.} and I-Wen Wang",
year = "2017",
doi = "10.1016/j.jsurg.2017.09.013",
language = "English (US)",
journal = "Journal of Surgical Education",
issn = "1931-7204",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Surgical Thoracic Transplant Training

T2 - Super Fellowship-Is It Super?

AU - Makdisi, George

AU - Makdisi, Tony

AU - Caldeira, Christiano C.

AU - Wang, I-Wen

PY - 2017

Y1 - 2017

N2 - Objective: The quality of training provided to thoracic transplant fellows is a critical step in the care of complex patients undergoing transplant. The training varies since it is not an accreditation council for graduate medical education accredited fellowship. Method: A total of 104 heart or lung transplant program directors throughout the United States were sent a survey of 24 questions focusing on key aspects of training, fellowship training content and thoracic transplant job satisfaction. Out of the 104 programs surveyed 45 surveys (43%) were returned. Results: In total, 26 programs offering a transplant fellowship were included in the survey. Among these programs 69% currently have fellows of which 56% are American Board of Thoracic Surgery board eligible. According to the United Network for Organ Sharing (UNOS) requirements, 46% of the programs do not meet the requirements to be qualified as a primary heart transplant surgeon. A total of 23% of lung transplant programs also perform less than the UNOS minimum requirements. Only 24% have extra-surgical curriculum. Out of the participating programs, only 38% of fellows secured a job in a hospital setting for performing transplants. An astounding 77% of replies site an unpredictable work schedule as the main reason that makes thoracic transplant a less than favorable profession among new graduates. Long hours were also a complaint of 69% of graduates who agreed that their personal life is affected by excessive work hours. Conclusion: Annually, almost half of all thoracic transplant programs perform fewer than the UNOS requirements to be a primary thoracic surgeon. This results in a majority of transplant fellows not finding a suitable transplant career. The current and future needs for highly qualified thoracic transplant surgeons will not be met through our existing training mechanisms.

AB - Objective: The quality of training provided to thoracic transplant fellows is a critical step in the care of complex patients undergoing transplant. The training varies since it is not an accreditation council for graduate medical education accredited fellowship. Method: A total of 104 heart or lung transplant program directors throughout the United States were sent a survey of 24 questions focusing on key aspects of training, fellowship training content and thoracic transplant job satisfaction. Out of the 104 programs surveyed 45 surveys (43%) were returned. Results: In total, 26 programs offering a transplant fellowship were included in the survey. Among these programs 69% currently have fellows of which 56% are American Board of Thoracic Surgery board eligible. According to the United Network for Organ Sharing (UNOS) requirements, 46% of the programs do not meet the requirements to be qualified as a primary heart transplant surgeon. A total of 23% of lung transplant programs also perform less than the UNOS minimum requirements. Only 24% have extra-surgical curriculum. Out of the participating programs, only 38% of fellows secured a job in a hospital setting for performing transplants. An astounding 77% of replies site an unpredictable work schedule as the main reason that makes thoracic transplant a less than favorable profession among new graduates. Long hours were also a complaint of 69% of graduates who agreed that their personal life is affected by excessive work hours. Conclusion: Annually, almost half of all thoracic transplant programs perform fewer than the UNOS requirements to be a primary thoracic surgeon. This results in a majority of transplant fellows not finding a suitable transplant career. The current and future needs for highly qualified thoracic transplant surgeons will not be met through our existing training mechanisms.

KW - Fellowship

KW - Interpersonal and Communication Skills

KW - Medical Knowledge

KW - Patient Care

KW - Practice-Based Learning and Improvement

KW - Professionalism

KW - Super fellowship

KW - Surgical training and transplant

KW - Systems-Based Practice

KW - Thoracic transplant

UR - http://www.scopus.com/inward/record.url?scp=85030867632&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030867632&partnerID=8YFLogxK

U2 - 10.1016/j.jsurg.2017.09.013

DO - 10.1016/j.jsurg.2017.09.013

M3 - Article

AN - SCOPUS:85030867632

JO - Journal of Surgical Education

JF - Journal of Surgical Education

SN - 1931-7204

ER -