Economic Impact of Training and Career Decisions on Urological Surgery

Langston, Joshua P.; Kirby, E. Will; Nielsen, Matthew E.; Smith, Angela; Woods, Michael; Wallen, Eric; Pruthi, Raj S.

doi:10.1016/j.juro.2013.09.060

Cited by 14 publications

(4 citation statements)

References 7 publications

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“…This method of gathering qualitative data prompts revelation of important life experiences illuminated by participants’ reasoning 39,40,46,47. The research initiated and supported the experts’ sharing of unique insights and personal narratives featuring key points of learning and development, with attributions of internal (personal) and external (environmental) factors contributing to their professional knowledge and skill development, leading to expertise.…”

Section: Methodsmentioning

confidence: 85%

“…External opportunities were important for all of these experts, and some found those opportunities provided by their institutions, while others had to initiate and seek out supplemental opportunities, which is generally an expensive choice, negatively impacting short- and long-term earnings 47. Experts who had taken both pathways reported striving to provide their own students with maximum external opportunities and supports.…”

Section: Discussionmentioning

confidence: 99%

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Developing expertise in gynecologic surgery: reflective perspectives of international experts on learning environments and processes

Hardré

Nihira

LeClaire

2017

PRBM

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Research in medical education does not provide a clear understanding of how professional expertise develops among surgeons and what experiential factors contribute to that development. To address this gap, the researchers interviewed 16 international experts in female pelvic medicine and reconstructive surgery to assess their reflective perceptions of what specific opportunities and experiences initiated and supported their development toward expertise in their field. Characteristics and influences explaining the speed and quality of expertise development were sorted into the following themes: the dynamic process of expertise development, internal and personal characteristics, general aptitudes and preparatory skills, role modeling and interpersonal influences, opportunities to learn and practice, and roles and reference points. Across the narratives and perspectives of these expert surgeons, both individual characteristics and choices, and contextual activities and opportunities were necessary and important. Experiences with greatest impact on quality of expertise development included those provided by the environment and mentors, as well as those sought out by learners themselves, to elaborate and supplement existing opportunities. The ideal combination across experts was interaction and integration of individual characteristics with experiential opportunities. Grounded in theory and research in expertise development, these findings can support improvement of medical education, both for individual mentors and strategic program development. As surgery evolves at a continuously increasing pace, effective mentoring of promising surgical trainees will be critical to ensure that future generations of gynecologic surgeons will remain excellent. Effective, efficient surgical expertise development requires identifying trainees with the appropriate characteristics and providing them with the best development opportunities.

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Section: Methodsmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Developing expertise in gynecologic surgery: reflective perspectives of international experts on learning environments and processes

Hardré

Nihira

LeClaire

2017

PRBM

View full text Add to dashboard Cite

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“…Given the high financial cost to attend interviews and accept a year of reduced salary, close relationships and mentoring are pivotal to sustaining pursuit of a fellowship. 13,14 This point is particularly important for applicants at programs without a dedicated reconstructive urologist. It seems prudent for these applicants to seek opportunities at other institutions in order to build relationships in the subspecialty.…”

Section: Discussionmentioning

confidence: 99%

Attributes of Society of Genitourinary Reconstructive Surgeons Fellows and Early Career Trajectory of the Recent Graduates

et al. 2019

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Introduction:We identified the attributes that the Society of Genitourinary Reconstructive Surgeons (GURS) fellowship directors prioritize in applicants. The secondary objective was to study the early career trajectory of recent GURS fellowship graduates.Methods: GURS fellowship directors and fellows from 2014 to 2018 were surveyed electronically using QualtricsÒ software. We asked fellowship directors to rate 12 items for their importance in match selection on a Likert scale. Fellows were prompted for details of practice size, case mix and research time. We assessed research productivity based on published articles on PubMedÒ and Google ScholarÔ. Findings were summarized with descriptive statistics and continuous variables were reported as median with interquartile range.Results: Fellowship directors (90% response rate) rated subjective personal qualities as more important compared to more objective measures and achievements. Personality (5, 5-5), overall interview performance (5, 4-5) and letters of recommendation (5, 4-5) were most important. About 4 papers were published during fellowship per fellow. However, research productivity did not persist during early career. Upon graduation the majority of graduates were the only reconstructionist at their practice, with approximately 40% of their operative time dedicated to such cases. While we identified a variety of practice settings, an academic career focusing on urethroplasty and male incontinence was the most common.Conclusions: Our data provide potential applicants with a better understanding of how to optimize their candidacy and what to expect in their early careers.

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“…One major conclusion finds that such a choice is highly influenced by average expected future earnings. 31 In any specialization, the average income for private practice is significantly higher than the one obtained as an academic practitioner. 32 However, these observations come from a significantly different health care system.…”

Section: Limitations and Challengesmentioning

confidence: 99%

Reflection on career choices in clinical neurosciences

Restellini

Piguet

2020

Clinical and Translational Neuroscience

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Medical faculties are responsible for high-level training, not only on clinical skills but also on scientific research and medical advances. There is an evident need to promote academic careers to ensure the continuity and improvement of top-notch health care. Even if Switzerland is one of the countries with the highest medical density per inhabitant, the lack of interest for academic careers has increased, resulting in difficulties to form clinician-scientists and ensure succession. In this article, we reflect on the challenges and the potential solutions in the training of an academic career.

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Economic Impact of Training and Career Decisions on Urological Surgery

Cited by 14 publications

References 7 publications

Developing expertise in gynecologic surgery: reflective perspectives of international experts on learning environments and processes

Developing expertise in gynecologic surgery: reflective perspectives of international experts on learning environments and processes

Attributes of Society of Genitourinary Reconstructive Surgeons Fellows and Early Career Trajectory of the Recent Graduates

Reflection on career choices in clinical neurosciences

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