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Ensuring stability in surgical training program leadership: a survey of program directors
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Ensuring stability in surgical training program leadership: a survey of program directors
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Ensuring stability in surgical training program leadership: a survey of program directors
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Journal Article
Ensuring stability in surgical training program leadership: a survey of program directors
2021
Overview
Background: Surgical program directors (PDs) have been identified as being at high risk for emotional exhaustion and burnout. Consequent PD turnover and discontinuity in leadership can affect faculty and trainee success and well-being and the stability of residency programs. Prior studies have documented factors contributing to nonsurgical PD burnout; however, rates of early attrition and contributing factors in surgical PDs have not been investigated. This study examined factors affecting surgical PD satisfaction, stressors and areas where institutions can improve PD support. Methods: A national cross-sectional study of PDs was performed across all accredited surgical subspecialties. Domains assessed via a web-based survey included PD demographic characteristics and compensation, availability of administrative support for programs, satisfaction with the PD role and factors contributing to PD challenges and burnout. Results: Sixty percent of eligible surgical PDs (81/134) responded to the survey from 12 surgical specialties. Substantial heterogeneity was seen in tenure, compensation models and administrative support. All respondents exceeded their protected time for the PD position, and 66% received less than 0.8 full-time equivalent of administrative support. One-third of respondents (36%) were satisfied with their overall compensation for the position, while 43% were unhappy with compensatory models. Most respondents (70%) enjoyed the PD role, specifically relationships with trainees and the ability to shape the education of future surgeons. Stressors included insufficient administrative support, especially around resident remediation, and inadequate compensation, with 37% of PDs considering leaving the post prematurely. Conclusion: The majority of surgical PDs enjoy the role. However, intersecting factors such as disproportionate time demands, lack of administrative support and inadequate compensation for the role contribute to substantial stress and risk of early attrition. Systematic culture change to support PDs via better defined structural processes and sufficient resources is needed to keep these educators engaged and improve both PDs and trainees experiences.
Publisher
CMA Impact, Inc
Subject
