Survey of Surgical Oncology Fellowship Graduates 2005–2016: Insight into Initial Practice
Despite burgeoning interest in Complex General Surgical Oncology (CGSO) fellowship training, little is reported about postgraduate employment. The goal of this study was to characterize CGSO graduates’ first employment and to identify factors that influenced this decision.
The National Cancer Institute (NCI) and Society of Surgical Oncology developed and distributed an electronic survey to CGSO fellows who graduated from 2005 to 2016.
The survey response rate was 47% (237/509). Fifty-seven percent of respondents were first employed as faculty surgeons at a university-based/affiliated hospital, with 15% returning to their residency institution. The distribution of respondents’ current employment across the United States mirrored the locations of their hometowns. Eighty-five percent of respondents care for patients across at least three disease types, most commonly hepatopancreatobiliary (81%), esophagus/gastric (75%), and sarcoma (74%). Twenty-seven percent of respondents spend the majority of their time in one area of surgical oncology; melanoma, breast, and head/neck were the most common. Two-thirds of respondents (67%) reported that they performed either clinical or basic science research as part of their current position. Multiple factors influenced the decision of first faculty position.
Most CGSO graduates are employed at academic medical centers across the country in proximity to NCI-designated centers, treat a variety of disease types, and spend a percentage of their time dedicated to clinical research.
This research was supported in part by the Intramural Research Program of the National Institutes of Health, National Cancer Institute.
- 4.National Cancer Institute. NCI Designated Cancer Centers. https://www.cancer.gov/research/nci-role/cancer-centers/find. Accessed 7 July 2018.
- 5.Institute of Medicine. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Washington DC: The National Academies Press, 2013.Google Scholar
- 6.Institute of Medicine. Ensuring Quality Cancer Care Through the Oncology Workforce: Sustaining Research and Care in the 21st Century: Workshop Summary. Washington DC: The National Academies Press, 2009.Google Scholar
- 12.Society of Surgical Oncology. Surgical Oncology Training Program Requirements. http://www.surgonc.org/training-fellows/fellows-education/surgical-oncology/program-requirements#2.2%20Clinical%20Training%20in%20Surgical%20Oncology. Accessed 7 July 2018.