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Article Dans Une Revue Annals of Surgery Année : 2023

Career needs Assessment for Early Career Academic Surgeons using a Modified Accelerated Delphi Process

Christina A. Fleming
  • Fonction : Auteur
Simone Augustinus
  • Fonction : Auteur
Daan H.L. Lemmers
  • Fonction : Auteur
Victor Lopez-Lopez
  • Fonction : Auteur
Christine Nitschke
  • Fonction : Auteur
Olivier Farges
  • Fonction : Auteur
Paulina Salminen
  • Fonction : Auteur
P. Ronan O'Connell
  • Fonction : Auteur
Ricardo Robles-Campos
  • Fonction : Auteur

Résumé

Introduction: Over the past 2 decades, physicians’ wellbeing has become a topic of interest. It is currently unclear what the current needs are of early career academic surgeons (ECAS). Methods: Consensus statements on academic needs were developed during a Delphi process, including all presenters from the previous European Surgical Association (ESA) meetings (2018-2022). The Delphi involved (1) a literature review, (2) Delphi form generation, and (3) an accelerated Delphi process. The Delphi form was generated by a steering group that discussed findings identified within the literature. The modified accelerated e-consensus approach included 3 rounds over a 4-week period. Consensus was defined as >80% agreement in any round. Results: Forty respondents completed all 3 rounds of the Delphi. Median age was 37 years (interquartile range 5), and 53% were female. Majority were consultant/attending (52.5%), followed by PhD (22.5%), fellowship (15%), and residency (10%). ECAS was defined as a surgeon in ‘development’ years of clinical and academic practice relative to their career goals (87.9% agreement). Access to split academic and clinical contracts is desirable (87.5%). Consensus on the factors contributing to ECAS underperformance included: burnout (94.6%), lack of funding (80%), lack of mentorship (80%), and excessive clinical commitments (80%). Desirable factors to support ECAS development included: access to e-learning (90.9%), face-to-face networking opportunities (95%), support for research team development (100%), and specific formal mentorship (93.9%). Conclusion: The evolving role and responsibilities of ECAS require increasing strategic support, mentorship, and guidance on structured career planning. This will facilitate workforce sustainability in academic surgery in the future.
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Dates et versions

hal-04558196 , version 1 (24-04-2024)

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Christina A. Fleming, Simone Augustinus, Daan H.L. Lemmers, Victor Lopez-Lopez, Christine Nitschke, et al.. Career needs Assessment for Early Career Academic Surgeons using a Modified Accelerated Delphi Process. Annals of Surgery, 2023, Annals of Surgery, 278 (5), pp.655-661. ⟨10.1097/SLA.0000000000006014⟩. ⟨hal-04558196⟩

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