Article2023

Career Needs Assessment for Early Career Academic Surgeons Using a Modified Accelerated Delphi Process

Christina Fleming · Simone Augustinus · Daan H.L. Lemmers · Christine Nitschke · Olivier Farges · Paulina T. P. Salminen +3 more

17 citations0/0 files storedAnnals of Surgery

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Diversity and Career in Medicine Health and Medical Research Impacts Mentoring and Academic Development

Abstract

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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2005The Delphi technique in health sciences education research 2017The Use of the Delphi and Other Consensus Group Methods in Medical Education Research: A Review 2013Mentoring Programs for Physicians in Academic Medicine 2016Prevalence and Causes of Attrition Among Surgical Residents 2020The Current Status of Women in Surgery 2013Mentoring and the Career Satisfaction of Male and Female Academic Medical Faculty 2014Standardised method for reporting exercise programmes: protocol for a modified Delphi study 2018Racial and ethnic disparities in promotion and retention of academic surgeons

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