Subspecialization in pediatric surgery: Results of a survey to the American Pediatric Surgical Association
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Read the article on jpedsurg.org ↗Article · Feb 2020 · 1 min read
In brief
In brief
Survey of 458 APSA members reveals 63% identify as general pediatric surgeons while 34% focus on specific niches, most commonly oncology and anorectal malformations. Respondents view subspecialization as beneficial for patient care but express concern about its impact on surgeon versatility, with transplant and fetal surgery considered essential subspecialties.
Written by the GCMD Library team from the article.
Background
Current practice patterns and opinions regarding subspecialization within pediatric surgery are not well known. We aimed to characterize the prevalence of and attitudes surrounding subspecialization within pediatric surgery.
Methods
An anonymous survey regarding subspecialization was distributed to all nonresident members of the American Pediatric Surgical Association.
Results
Of 1118 surveys, we received 458 responses (41%). A majority of respondents labeled themselves ‘general pediatric surgeons' (63%), while 34% considered themselves general surgeons with a specific clinical focus, and 3% reported practicing solely within a specific niche. Subspecialists commonly serve as consultants for relevant cases (52%). Common niches included oncology (10%) and anorectal malformations (9%). Subspecialists felt to be necessary included transplant (79%) and fetal (78%) surgeons. Opinions about subspecialization were variable: 41% felt subspecialization improves patient care while 39% believe it is detrimental to surgeon well-roundedness. Only 10% felt subspecialists should practice solely within their subspecialty. Practicing at an academic hospital or fellowship program correlated with subspecialization, while length of time in practice did not.
Conclusion
While pediatric surgeons report that subspecialization may benefit patient care, concerns exist regarding the unfavorable effect it may have on the individual surgeon. A better understanding of how subspecialization affects quality and outcomes would help clarify its utility.
Type of study
Review article.
Level of evidence
Level V.