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. 2019 Aug;158(2):632-641.e3.
doi: 10.1016/j.jtcvs.2018.12.104. Epub 2019 Feb 11.

Initial report on young cardiothoracic surgeons' first job: From searching to securing and the gaps in between

Helene M Sterbling  1 , Daniela Molena  2 , Sowmya R Rao  3 , Sharon L Stein  4 , Virginia R Litle  5
Affiliations

Initial report on young cardiothoracic surgeons' first job: From searching to securing and the gaps in between

Helene M Sterbling et al. J Thorac Cardiovasc Surg. 2019 Aug.

Abstract

Objective: Recent industry studies have projected a deficit in cardiothoracic surgeons by 2030. Little is known about the difficulties of the job search process after cardiothoracic training. The purpose of this study is to explore the current practices of the first job hunt and contract negotiation for young cardiothoracic surgeons, and to identify the gaps in resources available to applicants.

Methods: In October 2017, a 56-question survey was e-mailed to recent (2013-2017) board-certified cardiothoracic surgeons in the United States inquiring about their experience securing their first cardiothoracic job. The survey was administered via REDCap, and responses were accepted over 3 months.

Results: The response rate was 12.8% (61/475). The majority of cardiothoracic program graduates (86.9%) interviewed for jobs between October and March of their final cardiothoracic training year, and 79.7% of contracts were signed before completing training. Sixty-four percent of respondents negotiated their first contract. The most influential factor in job selection was partner mentorship. Average starting pretax salary for respondents was $375,588 (±$107,265). More than half of respondents reported needing more resources and support for the identification (59%) and comparison (54.1%) of job opportunities, contract negotiation (70.5%), and salary guidelines navigation (77%).

Conclusions: Little guidance exists to support the search and securing of young cardiothoracic surgeons' first employment. Resources, whether institutional or organizational, are sparse and difficult to tailor to individual needs. Given the potential ramification of early career decisions, focused support is needed to remediate the lack of preparation available to the newest generations of cardiothoracic surgeons.

Keywords: cardiothoracic surgery; career planning; job negotiation.

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Conflict of interest statement

COI

Dr. Stein reports an honorarium relationship with Medtronic and Merck.

Figures

Figure 1.
Figure 1.
Resources used during first cardiothoracic surgery job search.
Figure 2.
Figure 2.
Interview [N=61] and contract signing [N=59] timeline.
Figure 3.
Figure 3.
Distribution of practice setting among survey respondents.
Figure 4.
Figure 4.
At which point in your transition to practice would you have desired more assistance or resources?
Central Picture
Central Picture
Young cardiothoracic surgeons’ interviewing and contract signing timeline.
See this image and copyright information in PMC

Comment in

  • Discussion.
    [No authors listed] [No authors listed] J Thorac Cardiovasc Surg. 2019 Aug;158(2):639-641. doi: 10.1016/j.jtcvs.2018.12.110. Epub 2019 Mar 8. J Thorac Cardiovasc Surg. 2019. PMID: 30857818 No abstract available.
  • Commentary: Finding a job in cardiothoracic surgery: Is it who you know rather than what you know?
    Geraci TC, Ng T. Geraci TC, et al. J Thorac Cardiovasc Surg. 2019 Aug;158(2):642-643. doi: 10.1016/j.jtcvs.2019.03.104. Epub 2019 Apr 23. J Thorac Cardiovasc Surg. 2019. PMID: 31101344 No abstract available.
  • Bridging gaps in transition to practice.
    Luc JGY, Antonoff MB. Luc JGY, et al. J Thorac Cardiovasc Surg. 2019 Nov;158(5):e177. doi: 10.1016/j.jtcvs.2019.06.026. Epub 2019 Jul 29. J Thorac Cardiovasc Surg. 2019. PMID: 31371109 No abstract available.

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