Facilitating Success of the Early Stage Surgeon-Scientist Trainee: Growing the Surgeon Scientist Pipeline.

Objective Surgeon scientists bring to bear highly specialized talent and innovative and impactful solutions for complicated clinical problems. Our objective is to inform and provide framework for early stage surgeon scientist training and support. Summary background data Undergraduate, medical student and residency experiences impact the career trajectory of surgeon scientists. To combat the attrition of the surgeon scientist pipeline, interventions are needed to engage trainees and to increase the likelihood of success of future surgeon scientists. Methods A surgery resident writing group at an academic medical center, with guidance from faculty, prepared this guidance document for early stage surgeon-scientist trainees with integration of the published literature to provide context. The publicly available NIH RePORTER tool was queried to provide data salient to early stage surgeon scientist training. Results The educational path of surgeons and the potential research career entry points are outlined. Challenges and critical supportive elements needed to inspire and sustain progress along the surgeon scientist training path are detailed. Funding mechanisms available to support formal scientific training of early stage surgeon scientists are identified and obstacles specific to surgical careers are discussed. Conclusions This guidance enhances awareness of essential education, communication, infrastructure, resources and advocacy by surgery leaders and other stakeholders to promote quality research training in residency and to re-invigorate the surgeon scientist pipeline.