General surgery training without laparoscopic surgery fellows: The impact on residents and patients

2012 ◽  
Vol 2012 ◽  
pp. 291-292 ◽  
Author(s):  
K.E. Behrns
Keyword(s):  
Laparoscopic Surgery ◽  
General Surgery ◽  
Surgery Training ◽  
The Impact ◽  
General Surgery Training

General surgery training without laparoscopic surgery fellows: The impact on residents and patients

Surgery ◽  
2011 ◽  
Vol 150 (4) ◽  
pp. 752-758 ◽  
Author(s):  
John G. Linn ◽  
Eric S. Hungness ◽  
Sara Clark ◽  
Alexander P. Nagle ◽  
Edward Wang ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
General Surgery ◽  
Surgery Training ◽  
The Impact ◽  
General Surgery Training

Operative Experience in the Era of Duty Hour Restrictions: Is Broad-Based General Surgery Training Coming to an End?

2010 ◽  
Vol 76 (6) ◽  
pp. 578-582 ◽  
Author(s):  
Lindsay M. Fairfax ◽  
A. Britton Christmas ◽  
John M. Green ◽  
William S. Miles ◽  
Ronald F. Sing
Keyword(s):  
General Surgery ◽  
Alimentary Tract ◽  
Gynecologic Surgery ◽  
Case Volume ◽  
Surgery Training ◽  
Resident Work ◽  
The Mean ◽  
Operative Experience ◽  
The Impact ◽  
General Surgery Training

Since the institution of Accreditation Council for Graduate Medical Education (ACGME) resident work hour restrictions, conflicting evidence exists regarding the impact on resident case volume with most data from single-institution studies. We examined the effect of restrictions on national resident operative experience. After permission from the ACGME, we reviewed the publicly available national resident case log data (1999 through 2008) maintained on the ACGME web site ( www.acgme.org ), including total major cases with subanalysis of the ACGME-specified categories. The mean cases per resident were compared before (1999 to 2003) and after (2003 to 2008) restrictions. After the implementation of duty hour restrictions, the mean number of total cases per resident significantly decreased (949 ± 18 vs 911 ± 14, P = 0.004). Subanalysis showed a significant increase in alimentary tract (217 ± 7 vs 229 ± 3, P = 0.004), skin/soft tissue (31 ± 3 vs 36 ± 1, P = 0.01), and endocrine (26 ± 2 vs 31 ± 2, P = 0.006) cases. However, we observed a significant decrease in head and neck (21 ± 0.3 vs 20 ± 0.3, P = 0.01), vascular (164 ± 29 vs 126 ± 5, P = 0.01), pediatric (41 ± 1 vs 37 ± 2, P = 0.006), genitourinary (10 ± 2 vs 7 ± 1, P = 0.004), gynecologic surgery (5 ± 1 vs 3 ± 0.6, P = 0.002), plastics (16 ± 0.3 vs 15 ± 0.7, P = 0.03), and endoscopy (91 ± 3 vs 82 ± 2, P < 0.001) procedures. Analysis of the ACGME-compiled national data confirms that duty hour restrictions have significantly impacted resident operative experience. Importantly, experience in specialty areas, including vascular and endoscopy, appears to have been sacrificed for consolidation of resources into general surgery services as indicated by the increase in alimentary tract and endocrine cases. These findings raise the following question: Is the era of truly broad-based general surgery training coming to an end?

Does Protected Research Time During General Surgery Training Contribute to Graduates’ Career Choice?

2011 ◽  
Vol 77 (7) ◽  
pp. 907-910 ◽  
Author(s):  
Syamal D. Bhattacharya ◽  
Judson B. Williams ◽  
Sebastian G. De La Fuente ◽  
Paul C. Kuo ◽  
Hilliard F. Seigler
Keyword(s):  
Training Program ◽  
General Surgery ◽  
Training Period ◽  
Research Experience ◽  
Financial Barriers ◽  
Academic Surgery ◽  
Surgery Training ◽  
Research Activities ◽  
The Impact ◽  
General Surgery Training

A number of general surgery training programs offer a dedicated research experience during the training period. There is much debate over the importance of these experiences with the added constraints placed on training surgeons including length of training, Accreditation Council of Graduate Medical Education limitations, and financial barriers. We seek to quantify the impact of a protected research experience on graduates of a university-affiliated general surgery training program. We surveyed all graduates of a single university-affiliated general surgery training program who completed training from 1989 to 1999. Data was obtained for 100 per cent of the subjects. Most graduates (72/73; 98.6%) completed a dedicated research experience (range: 1-5 years). Presently, 72.6 per cent (53/73) are practicing academic surgery and 82.5 per cent (60/73) are engaged in research activities. Fifty-one of 73 graduates (69.5%) have current research funding including 32.9 per cent (24/73) with National Institutes of Health funding. Of all graduates, 42.5 per cent (31/73) have become full professors with 20.2 per cent (15/73) division/section chiefs and 14.3 per cent (10/73) department chairmen or vice chairmen. Those trainees achieving a career in academic surgery were statistically more likely to have committed 2 or more years to a protected research experience during training ( P < 0.05), fellowship training after general surgery residency ( P < 0.01), and a first job at an academic institution upon completion of training ( P < 0.001). Understanding the importance of resident research experiences while highlighting critical factors during the formative training period may help to ensure continued academic interest and productivity of future trainees.

The Impact of Laparoscopy on the Volume of Open Cases in General Surgery Training

2010 ◽  
Vol 67 (5) ◽  
pp. 316-319 ◽  
Author(s):  
Fuad Alkhoury ◽  
Jeremiah T. Martin ◽  
Jack Contessa ◽  
Randall Zuckerman ◽  
Geoffrey Nadzam
Keyword(s):  
General Surgery ◽  
Surgery Training ◽  
The Impact ◽  
General Surgery Training

General surgery training takes time: the impact of academic hospitals on time spent in the operating room

2015 ◽  
Vol 221 (4) ◽  
pp. e73
Author(s):  
Kelly N. Vogt ◽  
Luc Dubois ◽  
J. Andrew McClure ◽  
Jennifer Winnick-Ng ◽  
Blayne Welk ◽  
...  
Keyword(s):  
Operating Room ◽  
General Surgery ◽  
Surgery Training ◽  
Academic Hospitals ◽  
The Impact ◽  
General Surgery Training

scholarly journals General Surgery Training - During the COVID 19 Pandemic and Beyond Authors

2021 ◽  
pp. 155335062110080
Author(s):  
Ravin R. Patel ◽  
Daniel Nel ◽  
Anna Coccia ◽  
Shreya Rayamajhi
Keyword(s):  
General Surgery ◽  
Surgery Training ◽  
General Surgery Training

Pediatric Surgery: The Long Road to Recognition

PEDIATRICS ◽  
1993 ◽  
Vol 92 (4) ◽  
pp. 618-621
Author(s):  
C. Everett Koop
Keyword(s):  
General Surgery ◽  
Pediatric Surgery ◽  
Internship And Residency ◽  
The United States ◽  
University Of Pennsylvania ◽  
Surgery Training ◽  
Difficult Time ◽  
Adult World ◽  
The University ◽  
General Surgery Training

Before 1946, when I completed my training in general surgery, I knew very little about the field that eventually became known as pediatric surgery. I knew that children did not get a fair shake in surgery; that was amply proved during my internship and residency. Surgical patients came from the adult world, and children had a difficult time competing with them. Surgeons in general were frightened of children, and they distrusted the ability of anesthetists to wake children up after putting them to sleep, a position not far from that of many anesthetists. The younger and smaller the patient, the more significant the hazard. I knew, also, that in the United States and in Europe, where some surgery of children was more successfully carried out, it fell usually into one of the specialties, especially orthopedics. In those days there was a need for such specialization in the treatment of diseases that are no longer problems: tuberculosis of the bone, osteomyelitis, and polio. I wish I could say that my knowledge of the sad state of child surgery as I saw it in Philadelphia made me determined to bring about changes for the better. Actually, during the last year of my general surgery training at the Hospital of the University of Pennsylvania, I was invited to become surgeon in chief of the Children's Hospital of Philadelphia. Pediatric surgery was thrust upon me. Nevertheless, I was excited about the chance to make surgery safer for children, and I entered my career with that goal.

scholarly journals TP8.2.10 Impact of COVID-19 on General Surgery Training in a University Hospital with Ring Fenced Elective Centre

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Tanzeela Gala ◽  
Quratul Ain ◽  
Chekwas Obasi ◽  
Hajar Rashid ◽  
Sarkhell Radha ◽  
...  
Keyword(s):  
General Surgery ◽  
Normal Activity ◽  
University Hospital ◽  
Surgical Trainees ◽  
Higher Surgical Training ◽  
Theatre Utilisation ◽  
The Impact ◽  
Second Wave ◽  
Training Opportunities ◽  
General Surgery Training

Abstract Aim Higher Surgical training was decimated by the COVID-19 pandemic with cessation of elective care. Trainees raised concerns that the elective restart and need for higher theatre activity to clear backlogs would impact on training opportunities. This study evaluated the resumption of training associated with a ring-fenced elective centre (EC). Methods The EC was established in July 2020 and three time periods were determined: pre-COVID (10/19-2/20), 1st wave of COVID (3/20-7/20) and post EC go-live (8/20-12/20). Data was collated from the E-Logbooks of General Surgery Registrars. Results The normal all-speciality pre COVID theatre-activity averaged 1052 cases/month. During the first wave elective activity decreased to 254 cases/month (24% of normal activity). Within 5 weeks of establishment of the EC, theatre activity was near normal despite a reduced number of theatres (with higher theatre utilisation). Pre COVID, trainees accessed 22.9 cases per month which then dropped to 7.7 cases during the first wave of COVID. Post the go live of the EC, trainees were able to operate on 20 cases per month almost back to normal training levels. Prior to the impact of the second wave, each trainee had developed a deficit of 90 cases during the 5 months pause. Conclusion The ring-fenced elective centre has protected training opportunities for higher surgical trainees. However, the pause in training requires a targeted training recovery plan to overcome the deficit secondary to the first and subsequent waves of COVID to ensure that the JCST target of 1200 cases can be met for CCT.

National Selection into General Surgery: A Pilot Study

2011 ◽  
Vol 93 (9) ◽  
pp. 1-10 ◽  
Author(s):  
PM Lamont ◽  
G Griffiths ◽  
L Cochrane
Keyword(s):  
General Surgery ◽  
Selection Process ◽  
Personal Communication ◽  
Medical Specialty ◽  
Specialty Training ◽  
Surgery Training ◽  
Medical Careers ◽  
Surgical Trainees ◽  
National Selection ◽  
General Surgery Training

General surgery training in England ceased to run through to completion of training from specialty training level one (ST1) as of August 2010. Instead, a second competitive interview to enter ST3 has been introduced. As a result, up to 180 ST3 vacancies in general surgery should become available for recruitment each year in England, according to figures obtained from Medical Specialty Training (England), the successor to Modernising Medical Careers (MMC) (personal communication). The general surgery specialist advisory committee (SAC) was asked in 2008 by MMC to consider how best to appoint to these ST3 posts. Experience from other surgical specialties has shown that a national selection process offers the potential to recruit the best core surgical trainees.

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