{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:05:05Z","timestamp":1773021905526,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>With current changes in training requirements, it is important to understand the venues in the United States for a general surgery (GS) and plastic surgery (PS) resident interested in pursuing a burn surgery career. The study aims to evaluate the pathways to a career in burn surgery and the current state of leadership. A cross-sectional study was conducted between August and September 2017. A 12-question survey was sent to all burn unit directors in the United States, asking about their background, who manages various aspects of burn care and the hiring requirements. Responses were received from 55 burn unit directors (47% response rate). Burn units are lead most commonly by physicians who received GS training (69%), but the majority either did not undergo fellowship training (31%) or completed a burn surgery fellowship (29%). While surgical care (GS = 51%, PS = 42%) and wound care (GS = 51%, PS = 42%) were predominantly managed by GS- or PS-trained burn teams, management of other aspects of burn care varied depending on the institution, demonstrating that a shift in burn care management. The desired hiring characteristics, including GS (67%) or PS residency (44%) and a burn surgery (55%), trauma surgery (15%), or critical care (44%) fellowship. Directors\u2019 training significantly influenced their preferences for hiring requirements. While leadership in burn surgery is dominated by GS-trained physicians, the surgical and wound care responsibilities are shared among PS and GS. Although one third of current directors did not undergo fellowship training, aspiring surgeons are advised to obtain a burn surgery and\/or critical care fellowship.<\/jats:p>","DOI":"10.1093\/jbcr\/irz071","type":"journal-article","created":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T08:13:21Z","timestamp":1556525601000},"page":"595-600","source":"Crossref","is-referenced-by-count":15,"title":["A Qualitative Survey Study of United States Burn Units: Pathways to a Career in Burn Surgery"],"prefix":"10.1093","volume":"40","author":[{"given":"Francesco M","family":"Egro","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica D","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth M","family":"Kenny","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron M","family":"Foglio","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon T","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain C","family":"Corcos","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny A","family":"Ziembicki","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Mercy Burn Center, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"2020071622394430400_CIT0001","volume-title":"Burn-related hospital inpatient stays and emergency department visits, 2013. HCUP Statistical Brief #217.","author":"McDermott","year":"2016"},{"key":"2020071622394430400_CIT0002","volume-title":"NFPA\u2019s \u201cFire Loss in the United States During 2017\u201d","author":"Evarts"},{"key":"2020071622394430400_CIT0003","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.burns.2013.10.001","article-title":"The need for burns teaching: a cross-sectional study to assess burns teaching in the United Kingdom","volume":"40","author":"Egro","year":"2014","journal-title":"Burns"},{"key":"2020071622394430400_CIT0004","unstructured":"Accreditation Council for Graduate Medical Education. The General Surgery Milestone Project, 2015. Available from http:\/\/www.acgme.org\/Portals\/0\/PDFs\/Milestones\/SurgeryMilestones.pdf?ver=2015-11-06-120519-653. Accessed 18 March 2019."},{"key":"2020071622394430400_CIT0005","unstructured":"Accreditation Council for Graduate Medical Education. The Plastic Surgery Milestone Project, 2015, accessed 1 December 2018; available from http:\/\/www.acgme.org\/Portals\/0\/PDFs\/Milestones\/PlasticSurgeryMilestones.pdf?ver=2016-05-31-113719-180."},{"key":"2020071622394430400_CIT0006","unstructured":"American Council of Academic Plastic Surgeons. American Council of Academic Plastic Surgeons Milestone for Wound Care, 2013, accessed 1 December 2018; available from http:\/\/acaplasticsurgeons.org\/multimedia\/files\/ACGME\/Milestones\/Plastic-Surgery\/Wound-Care.pdf."},{"key":"2020071622394430400_CIT0007","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1097\/BCR.0b013e318204b318","article-title":"The burn surgeon: an endangered species. Can exposure in medical school increase interest in burn surgery?","volume":"32","author":"Kahn","year":"2011","journal-title":"J Burn Care Res"},{"key":"2020071622394430400_CIT0008","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.cps.2009.05.015","article-title":"Burn teams and burn centers: the importance of a comprehensive team approach to burn care","volume":"36","author":"Al-Mousawi","year":"2009","journal-title":"Clin Plast Surg"},{"key":"2020071622394430400_CIT0009","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1097\/00006534-200301000-00071","article-title":"Mandating shorter work hours and enhancing patient safety: a new challenge for resident education","volume":"111","author":"Rohrich","year":"2003","journal-title":"Plast Reconstr Surg"},{"key":"2020071622394430400_CIT0010","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1007\/s00268-011-1419-6","article-title":"Trauma and burn education: a global survey","volume":"36","author":"Zonies","year":"2012","journal-title":"World J Surg"},{"key":"2020071622394430400_CIT0011","author":"American Burn Association","year":"2018"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irz071\/28746109\/irz071.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jbcr\/article-pdf\/40\/5\/595\/29163537\/irz071.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jbcr\/article-pdf\/40\/5\/595\/29163537\/irz071.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T11:07:17Z","timestamp":1594984037000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/40\/5\/595\/5481221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,29]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,4,29]]},"published-print":{"date-parts":[[2019,8,14]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irz071","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"value":"1559-047X","type":"print"},{"value":"1559-0488","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,9]]},"published":{"date-parts":[[2019,4,29]]}}}