The Current Pediatric Surgery Job Market: A Perspective of Recent Fellowship Graduates

Abstract

Purpose: This study describes the job market from the perspective of recent pediatric surgery graduates.

Methods: An anonymous survey was circulated to the 137 pediatric surgeons who graduated from fellowships 2019-2021.

Results: The survey response rate was 49%. The majority of respondents were women (52%), Caucasian (72%), and had a median student debt burden of $225,000. Considering job opportunities, respondents strongly emphasized camaraderie (93%), mentorship (93%), case mix (85%), geography (67%), faculty reputation (62%), spousal employment (57%), compensation (51%), and call frequency (45%). 30% were satisfied with the employment opportunities available, and 21% felt strongly prepared to negotiate for their first job. All respondents were able to secure a job. Most jobs were university-based (70%) or hospital employed (18%) positions where surgeons covered median of two hospitals. 49% wanted protected research time, and 12% of respondents were able to secure substantial, protected research time. The median compensation for university-based jobs was $12,583 below the median AAMC benchmark for assistant professors for the corresponding year of graduation.

Conclusion: These data highlight the ongoing need for assessment of the pediatric surgery workforce and for professional societies and training programs to further assist graduating fellows in preparing to negotiate their first job.

Type of study: Survey LEVEL OF EVIDENCE: Level V.

Keywords: Employment satisfaction; Fellows; Fellowship; Pediatric surgery; Subspecialty training; Workforce.