TY - JOUR
T1 - Outcomes of non-designated preliminary general surgery interns
T2 - A 25-year Mayo Clinic experience
AU - Rajesh, Aashish
AU - Asaad, Malke
AU - Chandra, Abhishek
AU - McKenzie, Travis J.
AU - Farley, David R.
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2020/2
Y1 - 2020/2
N2 - Background: Non-designated preliminary, general surgery interns have no job security after year 1. Understanding how such non-designated preliminary, general surgery interns fare at any single institution might help future prelim applicants make better ranking decisions. We aimed to analyze the outcomes of residents pursuing a non-designated preliminary year in general surgery at a single institution. Methodology: A retrospective cohort analysis of non-designated preliminary interns, who completed a preliminary year at our institution from 1993 to 2017, was conducted to understand their career path after the preliminary general surgery year. Results: Three hundred and fifteen non-designated preliminary interns (232 international medical graduates and 83 American medical graduates) were identified. Two hundred and thirty-five (75%) matched into categorical residency spots (115 [49%] in general surgery, 18 [8%] each in orthopedic surgery and anesthesiology) after their preliminary year, 58 (18%) matched into a second year preliminary spot, and 22 (7%) left graduate medical education. American medical graduates (90%) more commonly matched into categorical spots than international medical graduates (69%; P < .0001). One hundred and fifty-four (49%) of our total nondesignated, preliminary resident cohort eventually garnered categorical general surgery residency positions. Importantly, 33 (65%) of our non-designated, preliminary residents who pursued a postgraduate year 2 preliminary surgery position subsequently obtained a categorical general surgery position. Twenty-nine nondesignated, preliminary interns joined our general surgery training program to fill open postgraduate year 2 slots. Of our nondesignated, preliminary residents (n = 300), 95% are currently practicing in the United States. Conclusion: Most nondesignated, preliminary residents at our institution secured categorical spots for continuing graduate medical education. A preliminary internship year seems a useful endeavor for most trainees and even a second prelim year produces a categorical position for most of these driven and hard-working individuals.
AB - Background: Non-designated preliminary, general surgery interns have no job security after year 1. Understanding how such non-designated preliminary, general surgery interns fare at any single institution might help future prelim applicants make better ranking decisions. We aimed to analyze the outcomes of residents pursuing a non-designated preliminary year in general surgery at a single institution. Methodology: A retrospective cohort analysis of non-designated preliminary interns, who completed a preliminary year at our institution from 1993 to 2017, was conducted to understand their career path after the preliminary general surgery year. Results: Three hundred and fifteen non-designated preliminary interns (232 international medical graduates and 83 American medical graduates) were identified. Two hundred and thirty-five (75%) matched into categorical residency spots (115 [49%] in general surgery, 18 [8%] each in orthopedic surgery and anesthesiology) after their preliminary year, 58 (18%) matched into a second year preliminary spot, and 22 (7%) left graduate medical education. American medical graduates (90%) more commonly matched into categorical spots than international medical graduates (69%; P < .0001). One hundred and fifty-four (49%) of our total nondesignated, preliminary resident cohort eventually garnered categorical general surgery residency positions. Importantly, 33 (65%) of our non-designated, preliminary residents who pursued a postgraduate year 2 preliminary surgery position subsequently obtained a categorical general surgery position. Twenty-nine nondesignated, preliminary interns joined our general surgery training program to fill open postgraduate year 2 slots. Of our nondesignated, preliminary residents (n = 300), 95% are currently practicing in the United States. Conclusion: Most nondesignated, preliminary residents at our institution secured categorical spots for continuing graduate medical education. A preliminary internship year seems a useful endeavor for most trainees and even a second prelim year produces a categorical position for most of these driven and hard-working individuals.
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U2 - 10.1016/j.surg.2019.09.013
DO - 10.1016/j.surg.2019.09.013
M3 - Article
C2 - 31653492
AN - SCOPUS:85073937487
SN - 0039-6060
VL - 167
SP - 314
EP - 320
JO - Surgery (United States)
JF - Surgery (United States)
IS - 2
ER -