Publication date: May 30, 2025
The Integrated Academic Training (IAT) pathway was introduced to support surgical academic careers encouraging research integration alongside clinical training. Success of the IAT pathway remains unclear. This study aims to investigate the progression of IAT surgical trainees from Academic Clinical Fellowship (ACF) to Clinical Lecturship (CL) while exploring the impact of gender, age and COVID-19. A retrospective cohort study (2016-2024) of 686 academic trainees across 10 surgical specialties was conducted using data from the Joint Committee on Surgical Training (JCST) and ISCP. Statistical analysis was performed using cox proportional hazards and logistic regression models to assess factors influencing progression from ACF to CL. Demographic variables and the impact of the COVID-19 pandemic (defined by training start year) were analysed. Progression from ACF to CL was low (7. 3%) with no significant gender differences observed in progression rates (7. 62% for men vs 6. 32% for women). COVID-19 had a significantly negative impact on progression, with an adjusted odds ratio of 0. 09 (95% CI: 0. 003-0. 30, p
| Concepts | Keywords |
|---|---|
| Academic | differential attainment |
| Covid | gender disparity |
| Pandemic | integrated academic pathway |
| Women | surgical academia |
Semantics
| Type | Source | Name |
|---|---|---|
| drug | DRUGBANK | Spinosad |
| disease | MESH | COVID-19 |
| disease | MESH | Long Covid |