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Practice Patterns of Graduates from a Surgical Oncology Fellowship Program.

Aaron Scott1, Andrew Nguyen1, Christina Perez1

  • 1Division of Surgical Oncology, Department of Surgery, City of Hope, Duarte, CA, USA.

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|January 22, 2026
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Summary

Surgical oncology fellowship adequately prepares graduates for practice. Recent graduates report better preparedness in specific areas like robotic surgery, while leadership training could be enhanced.

Keywords:
FellowshipSurgerySurgical educationSurgical oncologyTraining

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Area of Science:

  • Oncology
  • Surgical Education
  • Medical Training

Background:

  • Surgical oncology training traditionally emphasizes broad tumor treatment across anatomic regions.
  • Increasing complexity of cancer care raises questions about the continued optimality of this broad-based training model.

Purpose of the Study:

  • To assess how surgical oncology fellowship prepares graduates for clinical practice.
  • To identify trends in surgical oncology training and practice over time.

Main Methods:

  • A 24-item survey was distributed to graduates of an academic surgical oncology program (1981-2022).
  • Survey questions covered practice preparedness, current clinical/non-clinical activities, and practice evolution post-fellowship.

Main Results:

  • Graduates generally felt well-prepared for diverse malignancies.
  • Post-2013 graduates reported enhanced preparedness for peritoneal, gynecologic malignancies, and robotic surgery.
  • Pre-2013 graduates felt more prepared for melanoma, extremity sarcoma, head/neck, esophageal, and thoracic malignancies.
  • Respondents treated a median of 5 disease sites, with 36% focusing on one site.
  • 40.9% of graduates held leadership positions despite no formal leadership training.

Conclusions:

  • Current surgical oncology training effectively prepares trainees for practice amidst overlapping fellowships.
  • Many graduates assume leadership roles, indicating a potential benefit from formal leadership training during fellowship.