Minimally Invasive, Maximum Demand? Recent Trends in the Cardiothoracic Surgery Job Market
Mohammed I. Dairywala1, Saurabh Gupta2, Jessica G. Luc3, Abd-Ur-Rafay Mughal2, Farhad Udwadia3, Mara B. Antonoff4, Tom C. Nguyen1
1McGovern Medical School at UT Houston, Houston, TX, USA, 2McMaster University, Hamilton, ON, Canada, 3University of British Columbia, Vancouver, BC, Canada, 4UT MD Anderson Cancer Center, Houston, TX, USA
BACKGROUND: Previous models predicted an increased demand for cardiothoracic surgeons by 2020. Anecdotal evidence suggests the job market is shifting towards a minimally invasive focus and residents must equip themselves with proper training to be competitive. We analyzed trends in CTSNet job postings as marker of trends in the cardiothoracic jobs
METHODS: Data were extracted from CTSNet job postings from January 2015 to December 2019. Posts were divided into faculty and fellowship positions. Listings were further divided by niche if specified within job posting. Data were then analyzed to observe general trends in each subdivision.
RESULTS: In 2015, 281 cardiothoracic surgery job postings were listed on CTSNet. In 2019, the total increased by 43.1% to 401. Available fellowship positions increased from 34 to 55 (a 61.8% increase). Between 2015 and 2019, several subspecialties saw a substantial increase in available jobs; namely, minimally invasive/robotic surgery (+4; +400%), structural heart and aortic surgery (+4 ; +75%), general thoracic surgery +31 (+91%), and mechanical and circulatory support/transplant surgery (+9; +56%). Similarly, several subspecialty fellowships saw an increase as well; namely, minimally invasive/robotic surgery (+3; +60%) and structural heart and aortic surgery (+7; +700%).
CONCLUSIONS: CTSNet data highlights an increase in the overall job availability for cardiothoracic surgeons. Specifically, demand for minimally invasive cardiac surgery (MICS) demonstrates a substantial boom. As the demand for MICS training grows among employers and graduates, new training paradigms may be necessary to suit the needs of the future market.
LEGEND: Key Changes in the Cardiothoracic Surgery Job Market from 2015 to 2019 based on CTSNet Job Postings. Jobs in robotic and minimally-invasive surgery quadrupled. Structural heart and general thoracic surgery also saw substantial increases.