Surgical Endoscopy

, Volume 32, Issue 11, pp 4422–4427 | Cite as

Perception versus reality: elucidating motivation and expectations of current fellowship council minimally invasive surgery fellows

  • Jeffrey R. Watkins
  • Aurora D. Pryor
  • Michael S. Truitt
  • D. Rohan Jeyarajah



The aim of our study is to determine minimally invasive trainee motivation and expectations for their respective fellowship. Minimally Invasive Surgery (MIS) is one of the largest non-ACGME post-residency training pathways though little is known concerning the process of residents choosing MIS as a fellowship focus. As general surgery evolves, it is important to understand resident motivation in order to better prepare them for a surgical career.


A survey invitation was sent to current trainees in the Minimally Invasive and related pathways through the Fellowship Council. The participants were asked to complete a web-based questionnaire detailing demographics, experiences preparing for fellowship, motivation in choosing an MIS fellowship, and expectations for surgical practice after fellowship.


Sixty-seven MIS trainees responded to the survey out of 151 invitations (44%). The Fellowship Council website, mentors, and other fellows were cited as the most helpful source of information when applying for fellowship. Trainees were active in surgical societies as residents, with 78% having membership in the ACS and 60% in SAGES. When deciding to pursue MIS as a fellowship, the desire to increase laparoscopic training was the most important factor. The least important reasons cited were lack of laparoendoscopic training in residency and desire to learn robotic surgery. The majority of trainees believed their laparoscopic skill set was above that of their residency cohort (81%). The most desired post-fellowship employment model is hospital employee (46%) followed by private practice (27%). Most fellows plan on marketing themselves as MIS surgeons (90%) or General Surgeons (78%) when in practice.


Residents who choose MIS as a fellowship have a strong exposure to laparoscopy and want to become specialists in their field. Mentors and surgical societies including ACS and SAGES play a vital role in preparing residents for fellowship and practice.


MIS Fellow Fellowship council Minimally invasive surgery Survey 



The authors would like to thank the Fellowship Council for its participation and access to the Minimally Invasive Fellows.

Compliance with ethical standards


Drs. Jeffrey R. Watkins, Aurora D. Pryor, Michael S. Truitt, and D. Rohan Jeyarajah have no conflicts of interest or financial ties to disclose.

Supplementary material

464_2018_6184_MOESM1_ESM.docx (15 kb)
Supplementary material 1 (DOCX 15 KB)


  1. 1.
    Richards MK, McAteer JP, Drake FT, Goldin AB, Khandelwal S, Gow KW (2015) A national review of the frequency of minimally invasive surgery among general surgery residents. JAMA Surg 150(2):169CrossRefGoogle Scholar
  2. 2.
    Swanstrom LL, Park A, Arregui M, Franklin M, Smith CD, Blaney C (2006) Bringing order to the chaos. Ann Surg 243(4):431–435CrossRefGoogle Scholar
  3. 3.
    Park A, Kavic SM, Lee TH, Heniford BT (2007) Minimally invasive surgery: the evolution of fellowship. Surgery 142(4):505–513CrossRefGoogle Scholar
  4. 4.
    The Fellowship Council (2015) 2015 Fellowship council match—match statistics. Available at: Jun 2015; Accessed 1 Jun 2017
  5. 5.
    Bruce AC, Bonilla-Velez J, Borman KR, Jenson HB, Johnson K, Kahn MJ (2015) National resident matching program, results and data: 2016 Main Residency Match®. Available at: Apr 2016; Accessed 1 Jun 2017
  6. 6.
    Sorensen MJ (2014) Surgical subspecialization: escape route for surgeons or added benefit for patients? J Grad Med Educ 6(2):215–217CrossRefGoogle Scholar
  7. 7.
    Park AE, Sutton ER, Heniford BT (2015) Minimally invasive surgery fellowship graduates: their demographics, practice patterns, and contributions. Surgery 158(6):1462–1467CrossRefGoogle Scholar
  8. 8.
    Society of American Gastrointestinal and Endoscopic Surgeons (2017) A call for SAGES champions. Available at: Accessed 1 Feb 2018
  9. 9.
    Petrucci AM, Kaneva P, Lebedeva E, Feldman LS, Fried GM, Vassiliou MC (2015) You have a message! Social networking as a motivator for FLS training. J Surg Educ 72(3):542–548CrossRefGoogle Scholar
  10. 10.
    Palter VN, Orzech N, Aggarwal R, Okrainec A, Grantcharov TP (2010) Resident perceptions of advanced laparoscopic skills training. Surg Endosc 24(11):2830–2834CrossRefGoogle Scholar
  11. 11.
    Mattar SG, Alseidi AA, Jones DB, Minter RM (2013) General surgery residency inadequately prepares trainees for fellowship. Ann Surg 258(3):440–449CrossRefGoogle Scholar
  12. 12.
    Fonseca AL, Reddy V, Longo WE, Gusberg RJ (2014) Graduating general surgery resident operative confidence: perspective from a national survey. J Surg Res 190(2):419–428CrossRefGoogle Scholar
  13. 13.
    The Fellowship Council (2018) The fellowship council directory of fellowships. Available at Accessed 1 Feb 2018
  14. 14.
    Farivar BS, Flannagan M, Leitman IM (2015) General surgery residents? Perception of robot-assisted procedures during surgical training. J Surg Educ 72(2):235–242CrossRefGoogle Scholar
  15. 15.
    Cyr-Taro AE, Kotwall CA, Menon RP, Hamann MS, Nakayama DK (2008) Employment and satisfaction trends among general surgery residents from a community hospital. J Surg Educ 65(1):43–49CrossRefGoogle Scholar
  16. 16.
    Weis JJ, Goldblatt M, Pryor A, Dunkin BJ, Brunt LM, Jones DB, Scott DJ (2018) SAGES’s advanced GI/MIS fellowship curriculum pilot project. Surg Endosc. [Epub ahead of print]CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Jeffrey R. Watkins
    • 1
  • Aurora D. Pryor
    • 2
  • Michael S. Truitt
    • 1
  • D. Rohan Jeyarajah
    • 1
    • 3
  1. 1.Department of SurgeryMethodist Dallas Medical CenterDallasUSA
  2. 2.Department of Surgery, Division of Bariatric, Foregut and Advanced Gastrointestinal SurgeryStony Brook University Medical CenterStony BrookUSA
  3. 3.Department of SurgeryMethodist Richardson Medical CenterRichardsonUSA

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