From preliminary to categorical: A scoping review of trends and outcomes for non-designated preliminary general surgery residents

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-03-24 DOI:10.1016/j.amjsurg.2025.116313

Hazem Nasef , Sanjan Kumar , Jacob Strouse , Zackary Yates , Ruth Zagales , William S. Havron , Adel Elkbuli

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引用次数: 0

Abstract

Introduction

This scoping review aims to evaluate current literature regarding non-designated preliminary surgery resident (NDPSR) demographics, transition into categorical general surgery positions (CGS), predictors for success, and institutional solutions.

Methods

A literature search using five databases was conducted to identify relevant articles assessing NDPSRs transitioning into CGS positions.

Results

Positive predictors of CGS transition included test scores (Odds Ratio (OR) 1.04, p < 0.001), US medical school graduation (OR 3.47, p = 0.02), and not requiring a work visa (OR 0.18, p = 0.03). Negative predictors were increased age (OR 0.54, p = 0.002) and identifying as Black race (OR 0.28, p < 0.001) or Hispanic ethnicity (OR:0.50, p = 0.010). The overall mean rate of NDPSRs obtaining CGS positions across included studies was 39.7 %, with success rates rising from a mean of 25.2 % after the first year to a mean of 46.0 % after the second, nearly doubling. Institutional strategies implemented include program director meetings and transition pipeline programs.

Conclusion

Approximately 60 % of non-designated preliminary surgery residents will not transition into categorical general surgery positions, prompting the need for strategies to aid residents in achieving their career goals.

查看原文本刊更多论文

从初步到分类：对非指定初步普外科住院医师的趋势和结果的范围审查

本综述旨在评估目前关于非指定的初步外科住院医师（NDPSR）人口统计学、向分类普外科职位（CGS）的转变、成功的预测因素和机构解决方案的文献。方法利用5个数据库进行文献检索，找出评估ndpsr向CGS职位转变的相关文章。结果CGS转变的阳性预测因子包括考试成绩(比值比（OR） 1.04, p <；0.001)，美国医学院毕业（OR 3.47, p = 0.02），不需要工作签证（OR 0.18, p = 0.03）。负面预测因子为年龄增加（OR 0.54, p = 0.002）和黑人种族(OR 0.28, p <；0.001)或西班牙裔（or:0.50, p = 0.010）。在纳入的研究中，ndpsr获得CGS职位的总体平均率为39.7%，成功率从第一年的平均25.2%上升到第二年的平均46.0%，几乎翻了一番。实施的机构战略包括项目主管会议和过渡管道项目。结论约60%的非指定初级外科住院医师无法过渡到分类普外科职位，这促使需要制定策略来帮助住院医师实现其职业目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.