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Engaging the Next Generation: Evaluating the Long-term Success of a Premedical Program in Cardiothoracic Surgery
Alexandra A Rizaldi1, Emily L Larson1, Alice L Zhou1
1Division of Cardiac Surgery, Department of Surgery, Johns Hopkins Hospital, Baltimore, Maryland.
The Annals of Thoracic Surgery
|April 27, 2025
Summary
Early exposure to cardiothoracic (CT) surgery through structured programs significantly impacts undergraduate students. These electives positively influence career decisions, attracting talent to CT surgery and addressing specialty workforce needs.
Area of Science:
- Medical Education
- Surgical Training
- Cardiothoracic Surgery
Background:
- Early exposure to surgical specialties enhances student interest in surgical careers.
- Preclinical and premedical students benefit from early surgical specialty exposure.
- The impact of short-term undergraduate electives in cardiothoracic surgery requires evaluation.
Purpose of the Study:
- To assess the long-term academic and career effects of an undergraduate cardiothoracic surgery elective.
- To evaluate the influence of a structured cardiothoracic surgery program on student trajectories.
- To understand how early surgical exposure impacts medical career choices.
Main Methods:
- Retrospective analysis of undergraduate cardiothoracic surgery intersession (CTIS) program participants (2003-2019).
- Survey of former participants regarding program impact on academic and career paths.
- Analysis of medical school matriculation and residency specialty data via AAMC database and online search.
Main Results:
- 97% of participants matriculated to medical school; 39% pursued surgical residencies.
- 5% of participants specifically chose cardiothoracic surgery.
- 94% of respondents found the CTIS program highly influential in their career decisions.
Conclusions:
- Intensive, structured early exposure programs in cardiothoracic surgery significantly shape undergraduate students' academic and career paths.
- Integrating students into the daily life of CT surgeons effectively attracts talent to the specialty.
- These programs are crucial for addressing future workforce challenges in cardiothoracic surgery.

