Early career acute care surgeons' priorities and perspectives: A mixed-methods analysis to better understand full-time employment.

J Trauma Acute Care Surg

From the Division of Trauma/Acute Care Surgery, Department of Surgery (P.B.M., C.P., A.H.A.T., E.A.B., R.S.M., J.F., M.d.M.), Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Surgery (J.C.), University of Louisville School of Medicine, Louisville, Kentucky; and Medical College of Wisconsin (M.M., D.D.), Milwaukee, Wisconsin.

Published: December 2023

AI Article Synopsis

  • - This study investigates the preferences and priorities of early career acute care surgeons to understand how to attract and retain them in the workforce.
  • - A survey revealed that most respondents preferred a service-based model, with key job priorities including geography, work schedule, and compensation, and highlighted a desire for less clinical volume than their current workload.
  • - Findings suggest a disconnect between surgeons' expectations and employment realities, emphasizing the need for consistent employment standards to support sustainability in acute care surgery.

Article Abstract

Background: Understanding the expectations of early career acute care surgeons will help clarify the practice and employment models that will attract and retain high-quality surgeons, thereby sustaining our workforce. This study aimed to outline the clinical and academic preferences and priorities of early career acute care surgeons and to better define full-time employment.

Methods: A survey on clinical responsibilities, employment preferences, work priorities, and compensation was distributed to early career acute care surgeons in the first 5 years of practice. A subset of agreeable respondents underwent virtual semistructured interviews. Both quantitative and thematic analysis were used to describe current responsibilities, expectations, and perspectives.

Results: Of 471 surgeons, 167 responded (35%), the majority of whom were assistant professors within the first 3 years of practice (80%). The median desired clinical volume was 24 clinical weeks and 48 call shifts per year, 4 weeks less than their median current clinical volume. Most respondents (61%) preferred a service-based model. The top priorities cited in choosing a job were geography, work schedule, and compensation. Qualitative interviews identified themes related to defining full-time employment, first job expectations and realities, and the often-misaligned system and surgeon.

Conclusion: Understanding the perspectives of early career surgeons entering the workforce is important particularly in the field of acute care surgery where no standard workload or practice model exists. The wide variety of expectations, practice models, and schedule preferences may lead to a mismatch between surgeon desires and employment expectation. Consistent employment standards across our specialty would provide a framework for sustainability.

Level Of Evidence: Prognostic and Epidemiological; Level III.

Download full-text PDF

Source
http://dx.doi.org/10.1097/TA.0000000000004037DOI Listing

Publication Analysis

Top Keywords

early career
20
acute care
20
career acute
16
care surgeons
12
full-time employment
8
years practice
8
clinical volume
8
employment
6
surgeons
6
early
5

Similar Publications

The Awards for Distinguished Contributions to Psychology in the Public Interest recognize persons who have advanced psychology as a science and/or profession by a single extraordinary achievement or a lifetime of outstanding contributions in the public interest. Anjhula Mya Singh Bais is the chair of the International Board of Amnesty International, the first psychologist in this role. Dr.

View Article and Find Full Text PDF

The Early Career Awards, given for the first time in 1974, recognize the large number of excellent early career psychologists. Recipients of this award may not have held a doctoral degree for more than nine years. Anna E.

View Article and Find Full Text PDF

The Early Career Awards, given for the first time in 1974, recognize the large number of excellent early career psychologists. Recipients of this award may not have held a doctoral degree for more than nine years. For insightful and cutting-edge research on the growth and development of racially and ethnically minoritized youth, Yijie Wang is a 2024 award winner.

View Article and Find Full Text PDF

The Early Career Awards, given for the first time in 1974, recognize the large number of excellent early career psychologists. Recipients of this award may not have held a doctoral degree for more than nine years. For outstanding contributions to the computational understanding of 'intuitive theories' in cognition and their development in children, Tomer Ullman is a 2024 award winner.

View Article and Find Full Text PDF

The Early Career Awards, given for the first time in 1974, recognize the large number of excellent early career psychologists. Recipients of this award may not have held a doctoral degree for more than nine years. For her compassionate illumination of the bias, stigma, and discrimination to which individuals with obesity are subjected in media portrayals and in their daily lives, Rebecca L.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: