外科专科培训旨在满足执业外科医生及其社区的需求。这项研究调查了复杂普通外科肿瘤学 (CGSO) 奖学金毕业生的职业准备情况，确定了与实践准备情况相关的因素，并探索了改进当前培训模式的潜在机会。外科肿瘤学会与国家癌症研究所合作开展了 36-对 2012 年至 2022 年 CGSO 奖学金毕业生进行的问题调查。总体调查回复率为 38% (221/582)，其中男性略占多数 (63%)。 46% 的受访者在 2019 年之后完成了奖学金项目。影响奖学金项目选择的因素包括癌症病例接触的广度 (82%)、导师影响力 (66%) 和研究机会 (38%)。总体而言，毕业生报告了实习准备情况；然而，一些人报告说在研究（18%）和特定临床领域准备不足：胸部（43%）、腹腔热灌注化疗（HIPEC）（15%）和肝胰胆（15%）手术。关于技术准备，70% 的人表示“准备得很好”。受访者表示对机器人（63%）和腹腔镜（33%）手术方法缺乏准备。改进培训的建议包括增加自主权和案例数量、项目开发和研究基础设施。毕业生当前的实践模式表明，理想合同与实际实践之间存在差异，特别是与普通外科实践相关的情况。这项针对 CGSO 奖学金毕业生的研究表明，受训者的期望与肿瘤外科实践的现实之间存在潜在差距。尽管 CGSO 奖学金似乎为外科医生从事肿瘤外科职业做好准备，但可能有机会改进培训模式，以更好地满足执业肿瘤外科医师的需求。© 2023。这是美国政府的作品，在美国不受版权保护;外国版权保护可能适用。

Surgical subspecialty training aims to meet the needs of practicing surgeons and their communities. This study investigates career preparedness of Complex General Surgical Oncology (CGSO) fellowship graduates, identifies factors associated with practice readiness, and explores potential opportunities to improve the current training model.The Society of Surgical Oncology partnered with the National Cancer Institute to conduct a 36-question survey of CGSO fellowship graduates from 2012 to 2022.The overall survey response rate was 38% (221/582) with a slight male predominance (63%). Forty-six percent of respondents completed their fellowship after 2019. Factors influencing fellowship program selection include breadth of cancer case exposure (82%), mentor influence (66%), and research opportunities (38%). Overall, graduates reported preparedness for practice; however, some reported unpreparedness in research (18%) and in specific clinical areas: thoracic (43%), hyperthermic intraperitoneal chemotherapy (HIPEC) (15%), and hepato-pancreato-biliary (15%) surgery. Regarding technical preparedness, 70% reported being "very prepared". Respondents indicated lack of preparedness in robotic (63%) and laparoscopic (33%) surgery approaches. Suggestions for training improvement included increased autonomy and case volumes, program development, and research infrastructure. Current practice patterns by graduates demonstrated discrepancies between ideal contracts and actual practice breakdowns, particularly related to the practice of general surgery.This study of CGSO fellowship graduates demonstrates potential gaps between trainee expectations and the realities of surgical oncology practice. Although CGSO fellowship appears to prepare surgeons for careers in surgical oncology, there may be opportunities to refine the training model to better align with the needs of practicing surgical oncologists.© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.