Surgical oncology fellowship: Viable pathway to academic surgery?

Background: Data that document academic status after surgical oncology fell owship are sparse. This study was done to report the academic status and cl inical practice of graduates of a major surgical oncology program. Methods: During the 10 years that ended in 1994, 68 fellows graduated. Each was surveyed about current academic status, number of jobs, job satisfacti on, hours worked per week, and clinical practice. During 1995 and 1996, 11 fellows graduated. From this group, data were available on clinical practic e while in fellowship (n = 6) and from the most recent year tending July 19 97) in a new position (n = 8). Results: Sixty-seven of the 68 (99%) who were fellows from 1985 to 1994 ret urned surveys. Most (69%) are in "academic full-time" positions. Of those w ho listed an academic rank, 51% and 27% are assistant or associate professo rs, respectively. Job satisfaction was reported at a mean of 4.2, median of 5, on a scale from 1 to 5, with 5 being the best. Seventy-one percent rema in at their first job, whereas 26% have had one previous position. The medi an number of hours worked per week was 70 (range, 45-100). Time allocation was patient care-60%; research-20%; education-10%; and administration-10%. Conclusions: Surgical oncology fellowship results in the majority placed in academic surgery, satisfied with their positions. Graduates are prepared f or current practice patterns, and surgical oncology fellowship training sho uld be suggested to residents interested in academic medicine.