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Funding a general surgery residency academic development time program.

Katherine E McElroy1, Herbert Chen1, Karin Hardiman1

  • 1The University of Alabama at Birmingham, Birmingham, AL, 35233, USA.

American Journal of Surgery
|October 8, 2023
PubMed
Summary

Full funding for academic development time (ADT) significantly increased resident participation in surgical training. This approach supports surgeon scientists with minimal institutional cost, addressing the decline in academic surgeons.

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Area of Science:

  • Surgical education
  • Academic medicine
  • Physician-scientist training

Background:

  • Academic institutions support academic development time (ADT) for surgical residents to foster surgeon scientists amidst funding challenges.
  • Limited funding and academic interest pose barriers to surgeon scientist progression.

Purpose of the Study:

  • To evaluate the impact of a full funding mechanism on ADT participation among surgical residents.
  • To determine the institutional cost-effectiveness of supporting ADT.

Main Methods:

  • A full funding mechanism for PGY-3 residents was implemented from 2017-2022.
  • Residents were required to apply for at least two external grants.
  • Funding sources and total stipend supplementation were tracked.
Keywords:
Academic development timeFundingResident research

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Main Results:

  • 30 residents participated in 1-4 years of ADT, with increasing prevalence.
  • Approximately $530,000 in total annual funding was secured from 5 sources.
  • Departmental contributions were minimal (9%) compared to external funding (91%).

Conclusions:

  • Full salary supplementation for ADT demonstrably increased resident participation.
  • This model offers a cost-effective solution to increase the number of academic surgeons.
  • Supporting ADT is crucial for sustaining the physician-scientist workforce in surgery.