Evidence map›Paper›PMID 29929756›Full record

ArticleSurgery2018

Academic or community practice? What is driving decision-making and career choices.

Bernadette J Goudreau, Taryn E Hassinger, Traci L Hedrick, Craig L Slingluff, Anneke T Schroen, Lynn T Dengel

Abstract read
In one paragraph

Article in Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Faculty Recruitment and Retention in Academic Plastic Surgery.Plastic and reconstructive surgery. Global open · 2026
    Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bernadette J GoudreauDivision of General Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia. Electronic address: bjg4ps@virginia.edu.
Taryn E HassingerDivision of General Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.
Traci L HedrickDivision of General Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.
Craig L SlingluffDivision of Surgical Oncology, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.
Anneke T SchroenDivision of Surgical Oncology, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.
Lynn T DengelDivision of Surgical Oncology, Department of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.

Funding

Postdoctoral Training Grant for MDs in Surgical Oncology ResearchT32CA163177 · NCI · UNIVERSITY OF VIRGINIA · PI Craig Lee Slingluff, Allan Tsung · 2011 to 2026
$4.6M
NCI NIH HHS T32 CA163177
6 · The paper itself

Abstract

backgroundIdentifying factors that impact progression of surgery trainees into academic versus non-academic practices may permit tailoring residency experiences to promote academic careers in institutions charged with the training of future surgeon scientists. The aim of this study was to identify factors associated with progression of surgery trainees into academic versus non-academic practice.

methodsA survey was distributed to 135 surgeons graduating from the University of Virginia residency program from 1964-2016, a single academic institution. Questions addressed practice type, research productivity, work/life balance, mentorship, and overall sentiment toward research and academic surgery. A 5-point Likert scale measured career satisfaction and influence of factors in practice setting choice.

resultsOf the 135 surveys that were electronically distributed, 69 participants responded (response rate: 51%). Of the 54 with known current practice types, 34 (63%) were academic and 20 (37%) non-academic. Academic surgeons reported more publications by the conclusion of surgery training (56% vs 25% with >10 publications, P = .02). More academic surgeons reported >$100,000 in student debt at graduation (44% vs 25%, P < .05). Factors encouraging an academic career were similar for both types of surgeons, including involvement in education of trainees and access to mentorship. Both groups were discouraged from an academic practice by requirements of grant-writing and funding responsibilities. Surgeons in academic practice were more likely to recommend surgery as a career to a current medical student (100% vs 70%, P = .001).

conclusionThis knowledge may help to tailor training experiences to promote academic careers. By supporting funding mechanisms and grant-writing programs, while encouraging mentorship and productive research experiences, current surgical trainees may be more enthusiastic about a career in academic practice.

Indexed as

Biomedical ResearchCareer ChoiceInternship and ResidencyProfessional PracticeAdultDecision MakingFemaleGeneral SurgeryHumansMaleSurveys and QuestionnairesYoung Adult

Identifiers

PMID29929756
PMCPMC6108941

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.