Preparing future surgeon-educators: The importance of surgical education fellowships
摘要
To provide a rationale for dedicated surgical education fellowships and propose a pragmatic, Milestones-aligned framework to prepare residents for surgeon-educator careers.
Background DataMany general surgery residents pause clinical training for professional development time; these formative years should support the career trajectories of residents. Surgical education is now a recognized academic track with promotion pathways, but standardized surgical education fellowship models are lacking. A structured approach could accelerate scholarly productivity, leadership readiness, and professional identity formation for aspiring surgeon-educators.
MethodsNarrative perspective informed by the literature and the authors’ institutional experience. Core fellowship components were mapped to the ACGME Clinician Educator Milestones.
ResultsWe propose four pillars for a surgical education fellowship: (1) Scholarship & Educational Science (learning theory, research methods, program evaluation, IRB processes, dissemination); (2) Teaching, Coaching, & Curriculum Development (evidence-based design, simulation, clinical teaching, mentored projects); (3) Leadership, Administration, & Systems Engagement (committee work, accreditation, competency assessment processes); and (4) Identity Formation & Professional Development (mentorship, networking, teaching portfolio). Anticipated outcomes include competence in education research and scholarship, effective teaching skills, and readiness for program leadership roles. Key challenges include trainee awareness, local expertise and infrastructure, funding and salary support, and recognition of nonpublication outputs. Suggested solutions include society-sponsored grants, cross-institutional networks, and systematic tracking of graduates’ career outcomes.
ConclusionsDedicated surgical education fellowships are feasible and needed to professionalize surgeon-educator training. Structuring fellowships around defined milestones can produce competent surgeon-educators and leaders. Future work should evaluate outcomes and expand funding and access.