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Associate Program Directors in Surgery: A Select Group of Surgical Educators.

Farin Amersi1, Jennifer Choi2, Afshin Molkara3

  • 1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

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|October 3, 2017
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Summary
This summary is machine-generated.

Associate Program Directors (APDs) in surgical education have varied roles and compensation, with many aspiring to become Program Directors (PDs). This study highlights their significant contribution and need for defined leadership positions.

Keywords:
ACGME requirementsAssociate Program DirectorsSystems-Based Practiceadministrative dutiesgeneral surgery residencysurgical education

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Area of Science:

  • Medical Education
  • Surgical Residency Programs
  • Leadership Development

Background:

  • The role of Associate Program Directors (APDs) in surgical education lacks clear definition and regulation by accrediting bodies.
  • This ambiguity results in institutional variations in APD responsibilities, credentials, compensation, and protected time.
  • APDs assist Program Directors (PDs) with increasing administrative burdens in surgical residency programs.

Purpose of the Study:

  • To survey Associate Program Directors (APDs) in general surgery residency programs to understand their characteristics and roles.
  • To gather data on APD demographics, qualifications, time commitment, compensation, and career aspirations.
  • To inform the development and definition of APD positions within surgical education leadership.

Main Methods:

  • A survey was distributed to all 235 general surgery residency programs via the Association of Program Directors in Surgery list serve.
  • The survey collected data on APD demographics, program information, qualifications, time commitment, compensation, administrative duties, and career tracks.
  • 108 Associate Program Directors (46% response rate) participated in the survey.

Main Results:

  • Most respondents (70.2%) were male, with 77.8% in practice for over 5 years and 69% at university-based programs.
  • A majority felt administrative and curricular tasks were appropriately shared with PDs.
  • 44.6% were on a path to become PDs, while compensation varied significantly, with 42.6% receiving extra pay and 14.8% having a reduced clinical load.

Conclusions:

  • This study is the first to characterize APDs in surgical education, revealing their substantial role in residency program function.
  • Data indicate a need for further development and clearer definition of the APD position within program leadership.
  • Standardizing the APD role can enhance surgical residency program effectiveness and leadership structure.