Surgical Resident Perceptions of Trauma Surgery as a Specialty

Hadzikadic, Lejla; Burke, Patricia A.; Esposito, Thomas J.; Agarwal, Suresh

doi:10.1001/archsurg.2010.49

Cited by 26 publications

(8 citation statements)

References 12 publications

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“…Over recent years, the role of the "trauma surgeon" has evolved, expanding into the field of acute care surgery (ACS). 1,2 ACS has been considered historically as the "unassigned referral," indigent/uninsured, and the emergency department coverage population in many hospitals in the United States. In part, this evolution came about in response to the increasingly nonoperative nature of trauma surgery, the need to attract younger participants into the discipline by providing operative opportuni-ties, and to satisfy the growing need to cover emergent cases as many surgeons were aging or opting out of this aspect of their practice.…”

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confidence: 99%

Understanding the Trauma/Acute Care Surgery Workforce

Hughes

Ewart

Bell

et al. 2019

The American Surgeon™

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As the roles of trauma/acute care surgeons continue to evolve, it is imperative that health-care systems adapt to meet workforce needs. Tailoring retention strategies that elicit workforce satisfaction ensure continued coverage that is mutually beneficial to surgeons and health-care systems. We sought to elicit factors related to career characteristics and expectations of the trauma/acute care surgery (ACS) workforce to assist with such future progress. In this study, 1552 Eastern Association for the Surgery of Trauma members were anonymously surveyed. Data collected included demographics, career expectations, and motivators of trauma/ACS. Four hundred eight (26%) Eastern Association for the Surgery of Trauma members responded. Respondents were 78 per cent male and had a median age of 47.3 years. Forty-six per cent of surgeons reported earning $351K–$475K and 23 per cent >$475K. At this point in their career, 49 per cent of surgeons felt quality of life was “most important”, followed by 31 per cent career ambitions and 13 per cent salary. Prominent career satisfiers were patient care and teaching. Greatest detractors were burnout, bureaucracy, and work environment. Eighty per cent would change jobs in the final 10 years of practice, 31 per cent because of family/retirement, 29 per cent because of professional growth, 24 per cent because of workload, and 7 per cent because of salary. This study could be used to help develop trauma/ACS workforce strategies. This workforce remains mobile into late career; personal happiness and patient ownership overshadow financial rewards, and most prefer a total and shared patient care model compared with no patient ownership. Burnout, bureaucracy, and work environment are dominant detractors of job satisfaction among surveyed trauma/ACS surgeons.

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confidence: 99%

Understanding the Trauma/Acute Care Surgery Workforce

Hughes

Ewart

Bell

et al. 2019

The American Surgeon™

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“…5,7 This correlates with the majority opinion of practicing general surgeons that maintaining the status quo of practice within trauma surgery was not conducive to preserving it as a viable career option in the future. 15 It is reassuring that the level of interest expressed in ACS by residents in this survey is similar to that expressed by medical students when the same factors of lifestyle and professional satisfaction are taken into consideration.…”

Section: Discussionmentioning

confidence: 84%

Acute care surgery

Coleman

Esposito

Rozycki

et al. 2013

Journal of Trauma and Acute Care Surgery

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“…Indeed, increased job satisfaction for trauma surgeons after implementing ACS has been documented [10,24]. Furthermore, trainees observing these benefits when they rotate through ACS has also engendered renewed interest in the specialty formerly known as trauma [31–33]. …”

Section: Discussionmentioning

confidence: 99%

Innovation or rebranding, acute care surgery diffusion will continue

Collins

Pringle

Santry

2015

Journal of Surgical Research

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Background Patterns of adoption of acute care surgery (ACS) as a strategy for emergency general surgery (EGS) care are unknown. Methods We conducted a qualitative study comprising face-to-face interviews with senior surgeons responsible for ACS at 18 teaching hospitals chosen to ensure diversity of opinions and practice environment (three practice types [community, public/charity, university] in each of six geographic regions [Mid-Atlantic, Midwest, New England, Northeast, South, West]). Interviews were recorded, transcribed, and analyzed using NVivo (QSR International, Melbourne, Australia). We applied the methods of investigator triangulation using an inductive approach to develop a final taxonomy of codes organized by themes related to respondents’ views on the future of ACS as a strategy for EGS. We applied our findings to a conceptual model on diffusion of innovation. Results We found a paradox between ACS viewed as a healthcare delivery innovation versus a rebranding of comprehensive general surgery. Optimism for the future of ACS due to increased desirability for trauma/critical care careers and improved outcomes for EGS was tempered by fear over lack of continuity, poor institutional resources and uncertainty regarding financial viability. Our analysis suggests that the implementation of ACS, whether a true healthcare delivery innovation or an innovative rebranding, fits into the Rogers’ Diffusion of Innovation Theory. Conclusions Despite concerns over resource allocation and the definition of the specialty, from the perspective of senior surgeons deeply entrenched in executing this care-delivery model, ACS represents the new face of general surgery that will likely continue to diffuse from these early adopters.

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Surgical Resident Perceptions of Trauma Surgery as a Specialty

Cited by 26 publications

References 12 publications

Understanding the Trauma/Acute Care Surgery Workforce

Understanding the Trauma/Acute Care Surgery Workforce

Acute care surgery

Innovation or rebranding, acute care surgery diffusion will continue

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