Do postgraduate research degrees contribute to positive outcomes for surgical doctors? An evaluation of relevant literature
DOI:
https://doi.org/10.18203/2349-2902.isj20230284Keywords:
Postgraduate, Doctorate, Training, Research, GlobalAbstract
Doctorates as part of surgical training are gaining popularity and diversity within the global market. The costs of these degrees need weighed against anticipated benefits for the individual and healthcare systems. This review considers the drivers, impact and future of higher research degrees in surgery.
References
Joint Committee on Surgical Training. JCST-Guidelines for the award of a CCT in general surgery. 2017. Available at: http://www.jcst.org/ quality-assurance/certification-guidelines. Accessed on 25 November 2022.
Brown C, Abdelrahman T, Thomas C. Surgical academic reach: the higher degree effect quantified Postgraduate Med J. 2018;94:151-4.
Amos A, Frazer S Higher degrees: an applicant’s guide. BMJ Military Heal. 2014;160:203-4.
Thomas C, Griffiths G, Abdelrahman T, Santos C, Lewis W. Does UK surgical training provide enough experience to meet today’s training requirements? BMJ. 2015;2503.
Ioannidis J, Bhattacharya S, Evers J, der Veen F, Somigliana E, Barratt C, et al. Protect us from poor-quality medical research. Hum Reproduction. 2018;33(5):770-6.
Royal College of Surgeons of England. Royal College of Surgeons of England. From Theory to Theatre. London; 2011. Available at: https://www.rcseng.ac.uk/library-and-publications/ rcs-publications/docs/from-theory-to-theatre/. Accessed on 26 Nov, 2022.
Health Education England. Portfolio and Self-assessment guidelines for Candidates. 2022. Available at: https://yorksandhumberdeanery.nhs.uk/ recruitment/national-recruitment/national-otolaryngology-ent-st3-recruitment. Accessed on 26 November 2022.
Medical Schools Council. Statement on the core values and attributes needed to study medicine. 2018. Available at: https://www.medschools.ac.uk/ media/2542/statement-on-core-values-to-study-medicine.pdf. Accessed on 26 November 2022.
Ker J, Williams B, Reid M, Dunkley P, Steele R. Attributes of trainers for postgraduate training in general surgery-A national consensus. Surgeon. 2003;1(4):215-20.
Yule S, Flin R, Paterson-Brown S, Maran N. Non-technical skills for surgeons in the operating room: a review of the literature. Surgery. 2006;139(2):140-9.
Macleod G, Lent N, Tian X, Liang Y, Moore M, Sen S. Balancing supportive relationships and developing independence: an activity theory approach to understanding feedback in context for master’s students. Assessment Evaluation Higher Education. 2020;45(7):958-72.
Wigmore S. What kind of higher degree should you do in surgical training MD or PhD? Thoughts on surgery, research and more. 2012. Available at: https://profstevewigmore.wordpress.com/2012/05/14/what-kind-of-higher-degree-should-you-do-in-surgical-training-md-or-phd/. Accessed on 26 November 2022.
Appleton N, Kalaiselvan R. Surviving the Intercollegiate Specialty Examination in General Surgery (FRCS). Bull Royal College Surgeons of England. 2017;99(4):137-40.
Miller G. The assessment of clinical skills/competence/performance. Academic Med. 1990;65(9):S63-7.
Hutchings M. Improving doctoral support through group supervision: analysing face-to-face and technology-mediated strategies for nurturing and sustaining scholarship. Studies Higher Education. 2015;42(3):533-50.
Winchester-Seeto T, Homewood J, Thogersen J, Jacenyik-Trawoger C, Manathunga C, Reid A. Holbrook A. Doctoral supervision in a cross-cultural context: issues affecting supervisors and candidates. Higher Education Res Develop. 2013;33(3):610-26.
Lee A. How can we develop supervisors for the modern doctorate? Studies in Higher Education. 2018;43(5):878-90.
Price S, Lusznat R. Do trainees feel that they belong to a team? Clin Teacher. 2017;15(3):240-44.
Tobbell J, O’Donnell V, Zammit M. Exploring transition to postgraduate study: shifting identities in interaction with communities, practice and participation. Brit Educational Res J. 2010;36(2):261-78.
De Silva P, Stoddart M. Does involvement in clinical trials make trainees better surgeons? BMJ. 2015;350(26-3):h2774.
Morton D, Bicknell C. Should surgical training include involvement in a clinical trial? BMJ. 2015;350(22-12):h2045.
Stroman L, Weil S, Butler K, McDonald C. The cost of a number: can you afford to become a surgeon? Bull Royal College of Surgeons England. 2015;97(3):107-11.
O’Callaghan J, Mohan H, Sharrock A, Gokani V, Fitzgerald J, Williams A, Harries R. Cross-sectional study of the financial cost of training to the surgical trainee in the UK and Ireland. BMJ Open. 2017;7(11):e018086.
Sammour T, Hill A. Full-time research during surgical training: career killer or stepping stone? ANZ J Surg. 2014;84(3):104-5.
Robertson C, Klingensmith M, Coopersmith C. Long-term Outcomes of Performing a Postdoctoral Research Fellowship During General Surgery Residency. Ann Surg. 2007;245(4):516-23.
McBride KE, Young JM, Bannon PG, Solomon MJ. Assessing surgical research at the teaching hospital level. ANZ J Surg. 2017;87(1-2):70-5.
D'Souza R, Srinivasa S, Cribb B, Hill L, Hill A. A comparison of the colorectal surgical research across Europe, USA and Australasia. Colorectal Dis. 2012;14(9):1145-51.
Eldredge T, Harley S, Warren L, Shenfine J. Doctor-doctor: the impact of early career higher degrees in surgical research. ANZ J Sur. 2018;88(9):820-22.
Writing group; Project steering group; ASiT/BOTA Lost Tribe Study Group. Early years postgraduate surgical training programmes in the UK are failing to meet national quality standards: An analysis from the ASiT/BOTA Lost Tribe prospective cohort study of 2,569 surgical trainees. Int J Surg. 2018;52:376-82.
Luton OW, James OP, Mellor K, Eley C, Hopkins L, Robinson DBT, et al. Enhanced stress-resilience training for surgical trainees. BJS Open. 2021;5(4):zrab054.
Fröbert O, Lagerqvist B, Gudnason T, Thuesen L, Svensson R, Olivecrona GK, et al. Thrombus Aspiration in ST-Elevation myocardial infarction in Scandinavia (TASTE trial). A multicenter, prospective, randomized, controlled clinical registry trial based on the Swedish angiography and angioplasty registry (SCAAR) platform. Study design and rationale. Am Heart J. 2010;160(6):1042-8.
Kwan JM, Toubat O, Harrison AM, Riddle M, Wu B, Kim H, et al. A nationwide assessment of perceptions of research-intense academic careers among predoctoral MD and MD-PhD trainees. J Clin Transl Sci. 2020;4(4):307-16.
Van Den Berg N, Davey M, Davey M, Corbett M, Fahy L, Hogan A, et al. The road to consultancy: an epidemiological study. Iris J Med Sci. 2020;190(3):955-63.
Elnikety S, Badr E, Abdelaal A. Surgical training fit for the future: the need for a change. Postgraduate Med J. 2021;2021:139862.
Horwitz L, Kuznetsova M, Jones S. Creating a Learning Health System through Rapid-Cycle, Randomized Testing. N Eng J Med. 2019;381(12):1175-9.
Dowswell G, Bartlett D, Futaba K, Whisker L, Pinkney T. How to set up and manage a trainee-led research collaborative. BMC Med Education. 2014;14(1).
Babl F, Curtis N, Dalziel S. Review article: A primer for clinical researchers in the emergency department: Part VII. Considering a research higher degree in emergency medicine: How does it work, where to start, what to consider. Emergency Med Aust. 2018;1.
Ghanem A. Rapid Response: Good doctor, what makes a good surgeon? BMJ. 2018;324:1533.