{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:47:56Z","timestamp":1790311676981,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T00:00:00Z","timestamp":1721260800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transplant surgery has historically been a less desirable fellowship among general surgery graduates. Limited work has been done to understand factors associated with residents\u2019 interest in transplantation. Using a multi\u2010institutional cohort, we examined how the resident experience on transplant surgery may influence their decision to pursue transplant fellowship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Individual demographics, program characteristics, and transplant\u2010specific case logs were collected for graduates from 2010 to 2020 at 20 general surgery residency programs within the US Resident OPerative Experience (ROPE) Consortium. Residents who pursued transplant surgery fellowship were compared to those who went directly into practice or pursued a non\u2010transplant fellowship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 1342 general surgery graduates, 52 (3.9%) pursued abdominal transplant fellowship. These residents completed more transplant (22\u00a0vs. 9), liver (14\u00a0vs. 9), pancreas (15\u00a0vs. 11), and vascular access operations (38\u00a0vs. 30) compared to residents who did not pursue transplant fellowship (all <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Multivariable logistic regression found that residents underrepresented in medicine were three times more likely (95% CI 1.54\u20136.58, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01) and residents at a program co\u2010located with a transplant fellowship six times more likely (95% CI 1.95\u201318.18, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01) to pursue transplant fellowship. Additionally, a resident's increasing total transplant operative volume was associated with an increased likelihood of pursuing a transplant fellowship (OR = 1.12, 95% CI 1.09\u20131.14, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings from this multi\u2010institutional study demonstrate that increased exposure to transplant operations and interaction within a transplant training program is associated with a resident's pursuit of\u00a0transplant surgery fellowship. Efforts to increase operative exposure, case participation, and mentorship may optimize the resident experience and promote the transplant surgery pipeline.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.15398","type":"journal-article","created":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T10:47:44Z","timestamp":1721299664000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Examining the Influence of a General Surgery Resident's Transplant Experience on Their Pursuit of Transplant Surgery Fellowship"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0992-3664","authenticated-orcid":false,"given":"Mignote","family":"Yilma","sequence":"first","affiliation":[{"name":"Division of Transplant Surgery University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6898-2114","authenticated-orcid":false,"given":"Audrey E.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jalen","family":"Harvey","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher C.","family":"Stahl","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Wisconsin Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph C","family":"Quillin","sequence":"additional","affiliation":[{"name":"Department of Surgery Cincinnati Research on Education in Surgical Training (CREST) University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shareef M.","family":"Syed","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery University of California San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander R.","family":"Cortez","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery University of California San Francisco San Francisco California USA"},{"name":"Department of Surgery Cincinnati Research on Education in Surgical Training (CREST) University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the US Resident OPerative Experience (ROPE) 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