title: General Surgery Resident Satisfaction on Cardiothoracic Rotations.
abstract: OBJECTIVE
  General surgery residents' exposure to cardiothoracic (CT) surgery rotations has decreased, which may affect resident satisfaction. We surveyed general surgery graduates to assess the relationships among rotation satisfaction, CT disease exposure, rotation length, mentorship, and mistreatment.
  
  
  METHODS
  A survey assessing CT curriculum, exposure, mentorship, and satisfaction was forwarded to general surgery graduates from 17 residency programs. A Wilcoxon rank-sum test was used to assess statistical significance of ordinal level data. Statistical significance was defined as p < 0.05.
  
  
  METHODS
  This study was conducted at the University of Michigan Health System in Ann Arbor, MI, a tertiary care center.
  
  
  METHODS
  The survey was sent to approximately 1300 graduates of general surgery residency programs who graduated between the years of 1999 to 2014. A total of 94 responses were completed and received.
  
  
  RESULTS
  Receiving adequate exposure to CT procedures and disease management was significantly associated with higher satisfaction ratings for all procedures, particularly thoracotomy incisions (p < 0.001), empyemas and pleural effusions (p < 0.001), and lung cancer care (p < 0.001). The absence of mistreatment and good/very good mentorship were both positively associated with higher reported satisfaction (p = 0.018 and p < 0.001, respectively). Increased length of time on CT rotation was neither associated with improved levels of satisfaction nor with an improvement in the quality of mentorship.
  
  
  CONCLUSIONS
  Rotation satisfaction is positively associated with procedure exposure, better mentorship, and the absence of mistreatment. Longer rotation length was not associated with satisfaction. Shorter rotations are not detrimental to training if they have focused clinical exposure and invested mentors to maximize resident satisfaction. These specific markers of rotation quality are useful in curricular design.
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Alisha
authors.initials: A
authors.lastname: Lussiez
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Jack
authors.initials: J
authors.lastname: Bevins
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Andrew
authors.initials: A
authors.lastname: Plaska
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Vadim
authors.initials: V
authors.lastname: Rosin
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan; Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan. Electronic address: reddyrm@med.umich.edu.
authors.forename: Rishindra M
authors.initials: RM
authors.lastname: Reddy
mesh_terms: D003479:Curriculum; D005260:Female; D013502:General Surgery / Q000193:education* / Q000458:organization & administration*; D006801:Humans; D007396:Internship and Residency; D007588:Job Satisfaction; D008297:Male; D011795:Surveys and Questionnaires; D013903:Thoracic Surgery / Q000193:education*
keywords: Medical Knowledge; Professionalism; cardiothoracic surgery; curriculum design; general surgery residents; graduate medical education; mistreatment; resident satisfaction