Evidence map›Paper›PMID 42418084›Full record

ArticleAnnals of surgical oncology2026

Taking Leave During Breast Surgical Oncology Fellowship: A National Evaluation of Policy and Practice.

Melissa M Rangel, Puneet Singh, Andrea Madrigrano, Heather A Lillemoe, Helen M Johnson

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Melissa M RangelDepartment of Breast Surgical Oncology, The University of Texas MD Anderson, Houston, TX, USA.
Puneet SinghDepartment of Breast Surgical Oncology, The University of Texas MD Anderson, Houston, TX, USA.
Andrea MadrigranoDepartment of Surgery, Rush University Medical Center, Chicago, IL, USA.
Heather A LillemoeDepartment of Breast Surgical Oncology, The University of Texas MD Anderson, Houston, TX, USA.
Helen M JohnsonDepartment of Breast Surgical Oncology, The University of Texas MD Anderson, Houston, TX, USA. hmjohnson1@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe American Board of Medical Specialties and the Fellowship Council provide general leave recommendations for many surgical fellowships, yet no standardized policy exists for Breast Surgical Oncology (BSO) programs. Leave is granted on a case-by-case basis by institutions and governing bodies including the Society of Surgical Oncology (SSO) and the American Society of Breast Surgeons (ASBrS). This study characterized the frequency, duration, and types of leave taken by BSO fellows, evaluated institutional leave policies, and barriers to leave implementation.

methodsAn anonymous electronic survey approved by the SSO Research Committee was distributed to program directors and associate PDs of all accredited BSO fellowships in October 2025. Redacted SSO/ASBrS Fellowship Training Committee meeting minutes (2015-2025) were reviewed. Qualitative data on barriers to leave were analyzed using thematic analysis.

resultsThe survey achieved a 73% response rate (48/66 fellowships). Two-thirds of responding programs reported a leave policy, and 75% had at least one fellow take leave during training. Review of Training Committee minutes identified 13 fellows who extended training following leave. Maximum leave duration without training extension varied across programs (median 4 weeks, range 0-12) and by type of leave. Thematic analysis identified four recurring barrier themes; the most commonly cited concern surrounded completing fellowship requirements without extending training.

conclusionAlthough leave during BSO fellowship is common, one-third of programs lack a formal policy and durations vary considerably, underscoring the need for a standardized leave framework to ensure equitable trainee experiences.

Indexed as

Breast NeoplasmsEducation, Medical, GraduateFellowships and ScholarshipsParental LeaveSurgical OncologyFemaleHumansSurveys and QuestionnairesUnited StatesBereavementClinical competenceEducationFellowshipGraduate medical educationParental leaveSick leaveSurveys and questionnaires

Identifiers

PMID42418084
PMCPMC13585786

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.