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RESEARCH ARTICLE
Contents Vol 48(4)

Australian surgeon attitudes and experiences towards completing a higher degree by research

Mariana Sena Board A * , Kate E. McBride A B , Michael J. Solomon A B C , Sarah J. Aitken C D , Matthew J. F. X. Rickard C D , Jean-Mah Collins D and Daniel Steffens https://orcid.org/0000-0002-9715-860X A B D
+ Author Affiliations
- Author Affiliations

A RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, PO Box M157, Sydney, NSW, Australia.

B Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, NSW, Australia.

C Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW, Australia.

D Concord Institute for Academic Surgery, Sydney, NSW, Australia.

* Correspondence to: Mariana.SenaBoard@health.nsw.gov.au

Australian Health Review 48(4) 406-413 https://doi.org/10.1071/AH23230
Submitted: 8 March 2024  Accepted: 25 June 2024  Published: 22 July 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

In Australia, there is little evidence exploring why higher degrees by research (HDRs) are undertaken by surgeons. This study aims to describe the attitudes and experiences of surgical trainees and surgeons towards HDRs.

Methods

A 23-question cross-sectional survey of surgical trainees and consultant surgeons from three Australian public hospitals was undertaken between August and December 2022. Data were analysed according to stage of career and HDR status and assessed using chi-squared test, with P < 0.05 considered significant.

Results

Out of 270 participants, 72 (27%) completed the survey including 30 (42%) trainees and 42 (58%) consultants. Overall, 43 (60%) participants had completed or were undertaking a HDR, which was similar between trainees (n = 18) and consultants (N = 25; P = 0.968). A HDR was associated with more publications (P < 0.5). Respondents with a HDR were more likely to have a salaried academic position (50%) than those without (15%). There was no significant difference in academic appointments based on HDR attainment (P = 0.192). For surgical trainees, 93% rated the strengthening of resumes as the primary driver, compared with only 60% of consultants. For consultants, academic career aspirations and research interests were ranked the highest at 64% equally. Lack of time and competing nature of surgical training were equally ranked among all as the key barriers to completing a HDR.

Conclusions

These results provide insight into the academic pursuits of surgeons with an understanding of the role HDRs play, including the different drivers for Masters and Doctorates. This is important for supporting future surgeons who seek to pursue research.

Keywords: academic, clinical, doctorates, higher degrees by research, master, research, surgical education.

References

1  Bell TM, Valsangkar N, Joshi M, Mayo J, Blanton C, Zimmers TA, Torbeck L, Koniaris LG. The role of PhD faculty in advancing research in departments of surgery. Ann Surg 2017; 265(1): 111-5.
| Crossref | Google Scholar | PubMed |

2  Galaiya R, Kinross J, Arulampalam T. Factors associated with burnout syndrome in surgeons: a systematic review. Ann R Coll Surg Engl 2020; 102(6): 401-7.
| Crossref | Google Scholar | PubMed |

3  Bajaj SS, Wang H, Williams KM, Heiler JC, Pickering JM, Manjunatha K, O’Donnell CT, Sanchez M, Boyd JH. Impact of PhD degree versus non-PhD research fellowship on future research productivity among academic cardiothoracic surgeons. World J Surg 2022; 46(10): 2526-35.
| Crossref | Google Scholar | PubMed |

4  Royal Australasian College of Surgeons. Training Requirements and Curriculum Structure. Melbourne: Education and Training Administration Policy. 2018. Available at https://www.surgeons.org/-/media/Project/RACS/surgeons-org/files/policies/eta-education-and-training-administration/set-surgical-education-and-training/eta-set-044_training_requirements_and_curriculum_structure.pdf?rev=97ceb287e1464694be43ee3b9632eb74&hash=3DDB40B8FEFAB9E28DBDC5C1691CD711 [cited 28 March 2023].

5  Dunn JC, Lai EC, Brooks CM, Stabile BE, Fonkalsrud EW. The outcome of research training during surgical residency. J Pediatr Surg 1998; 33(2): 362-4.
| Crossref | Google Scholar | PubMed |

6  Segal LS, Black KP, Schwentker EP, Pellegrini VD. An elective research year in orthopaedic residency: how does one measure its outcome and define its success? Clin Orthop Relat Res 2006; 449: 89-94.
| Crossref | Google Scholar | PubMed |

7  Edwards D, Bexley E, Richardson S. Regenerating the Academic Workforce: The Careers, Intentions and Motivations of Higher Degree Research Students in Australia. Findings of the National Research Student Survey (NRSS). Centre for the Study of Higher Education; 2010.

8  Ansell J, Mason J, Beamish AJ, Warren N, Torkington J. How do surgical trainees without a higher degree compare with their postdoctoral peers? Bull R Coll Surg Engl 2013; 95(8): 1-5.
| Crossref | Google Scholar |

9  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.
| Crossref | Google Scholar | PubMed |

10  Merani S, Switzer N, Kayssi A, Blitz M, Ahmed N, Shapiro AM. Research productivity of residents and surgeons with formal research training. J Surg Educ 2014; 71(6): 865-70.
| Crossref | Google Scholar | PubMed |

11  Over R. Career prospects for academics in Australian universities. Higher Educ 1985; 14(5): 497-512.
| Crossref | Google Scholar |

12  Collins JP, Gough IR, Civil ID, Stitz RW. A new surgical education and training programme. ANZ J Surg 2007; 77(7): 497-501.
| Crossref | Google Scholar | PubMed |

13  Collins JP, Civil ID, Sugrue M, Balogh Z, Chehade MJ. Surgical education and training in Australia and New Zealand. World J Surg 2008; 32: 2138-44.
| Crossref | Google Scholar | PubMed |

14  Bajaj SS, Wang H, Williams KM, Pickering JM, Heiler JC, Manjunatha K, O’Donnell CT, Sanchez M, Boyd JH. New attending surgeons hired by their training institution exhibit greater research productivity. Ann Thorac Surg 2021; 112(4): 1342-8.
| Crossref | Google Scholar | PubMed |

15  Ferguson E, James D, Madeley L. Factors associated with success in medical school: systematic review of the literature. BMJ 2002; 324(7343): 952-7.
| Crossref | Google Scholar | PubMed |

16  Hirst A, Agha RA, Rosin D, McCulloch P. How can we improve surgical research and innovation?: the IDEAL framework for action. Int J Surg 2013; 11(10): 1038-42.
| Crossref | Google Scholar | PubMed |

17  Staveley-O’Carroll K, Pan M, Meier A, Han D, McFadden D, Souba W. Developing the young academic surgeon. J Surg Res 2004; 118(2): 109-13.
| Crossref | Google Scholar | PubMed |

18  Kuerer HM, Eberlein TJ, Pollock RE, Huschka M, Baile WF, Morrow M, Michelassi F, Singletary SE, Novotny P, Sloan J, Shanafelt TD. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol 2007; 14: 3043-53.
| Crossref | Google Scholar | PubMed |

19  Park J, Minor S, Taylor RA, Vikis E, Poenaru D. Why are women deterred from general surgery training? Am J Surg 2005; 190(1): 141-6.
| Crossref | Google Scholar | PubMed |

20  Sonnad SS, Colletti LM. Issues in the recruitment and success of women in academic surgery. Surgery 2002; 132(2): 415-9.
| Crossref | Google Scholar | PubMed |