A Qualitative Survey Study of United States Burn Units: Pathways to a Career in Burn Surgery

Author:

Egro Francesco M1,Johnson Erica D1,Kenny Elizabeth M1,Foglio Aaron M1,Smith Brandon T1,Corcos Alain C1,Ziembicki Jenny A1

Affiliation:

1. University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania

Abstract

Abstract With current changes in training requirements, it is important to understand the venues in the United States for a general surgery (GS) and plastic surgery (PS) resident interested in pursuing a burn surgery career. The study aims to evaluate the pathways to a career in burn surgery and the current state of leadership. A cross-sectional study was conducted between August and September 2017. A 12-question survey was sent to all burn unit directors in the United States, asking about their background, who manages various aspects of burn care and the hiring requirements. Responses were received from 55 burn unit directors (47% response rate). Burn units are lead most commonly by physicians who received GS training (69%), but the majority either did not undergo fellowship training (31%) or completed a burn surgery fellowship (29%). While surgical care (GS = 51%, PS = 42%) and wound care (GS = 51%, PS = 42%) were predominantly managed by GS- or PS-trained burn teams, management of other aspects of burn care varied depending on the institution, demonstrating that a shift in burn care management. The desired hiring characteristics, including GS (67%) or PS residency (44%) and a burn surgery (55%), trauma surgery (15%), or critical care (44%) fellowship. Directors’ training significantly influenced their preferences for hiring requirements. While leadership in burn surgery is dominated by GS-trained physicians, the surgical and wound care responsibilities are shared among PS and GS. Although one third of current directors did not undergo fellowship training, aspiring surgeons are advised to obtain a burn surgery and/or critical care fellowship.

Publisher

Oxford University Press (OUP)

Subject

Rehabilitation,Emergency Medicine,Surgery

Reference11 articles.

1. The need for burns teaching: a cross-sectional study to assess burns teaching in the United Kingdom;Egro;Burns,2014

2. Accreditation Council for Graduate Medical Education. The General Surgery Milestone Project, 2015. Available from http://www.acgme.org/Portals/0/PDFs/Milestones/SurgeryMilestones.pdf?ver=2015-11-06-120519-653. Accessed 18 March 2019.

3. Accreditation Council for Graduate Medical Education. The Plastic Surgery Milestone Project, 2015, accessed 1 December 2018; available from http://www.acgme.org/Portals/0/PDFs/Milestones/PlasticSurgeryMilestones.pdf?ver=2016-05-31-113719-180.

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