Are General Surgery Residencies Preparing Graduates for the Practice of Today's General Surgeon? An Analysis of American Board of Surgery Data from Applicants and Re-certifying Surgeons

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alexander R. Cortez ◽  
Beatriz Ibáñez ◽  
Leah K. Winer ◽  
Andrew Jones ◽  
Ralph C. Quillin ◽  
...  
Author(s):  
Corinne Owers ◽  
Roger Ackroyd

The upper gastrointestinal (UGI) tract comprises of the oesophagus, stomach, and duodenum. Although some emergency management of UGI pathology may fall to the remit of the gastroenterologists, this chapter focuses specifically on surgical management of both benign and malignant pathology of these organs. UGI pathology contributes a significant amount to the on-call emergency workload for the general surgeon, as well as the UGI specialist. Subjects covered include the diagnosis and management of common pathologies in the upper gastrointestinal tract that are clinically relevant to those working in general surgery, including: gastro-oesophageal reflux (GORD) and ulcer disease, UGI bleeding, oesophagogastric cancer and bariatric surgery.


2017 ◽  
Vol 217 ◽  
pp. 217-225 ◽  
Author(s):  
Matthew R. Smeds ◽  
Carol R. Thrush ◽  
Faith K. McDaniel ◽  
Roop Gill ◽  
Mary K. Kimbrough ◽  
...  

2011 ◽  
Vol 77 (2) ◽  
pp. 133-138 ◽  
Author(s):  
Anthony Charles ◽  
Katie Gaul ◽  
Stephanie Poley

There exists a geographic maldistribution of surgeons with significant regional characteristics, which is associated with surgical access differentials that may be contributing to existing health disparities in the United States. We sought to evaluate the trends in the surgical workforce in southern states of the United States from 1981 to 2006 using the American Medical Association Masterfile data. Our study revealed that the general surgery workforce growth peaked in 1986 and has had negative growth per capita as a result of the consistent population growth, unlike other regions in the country. Furthermore, the change in the geographic distribution of general surgeons in the South was slightly greater than for surgical specialists between 1981 and 2006. Twenty-nine per cent of all southern counties with a collective population of 7.4 million people had no general surgeon in 2006. The failure of the general surgery workforce to grow with population expansion has resulted in a significant number of counties that do not meet the recommended standards of geographic access to surgical care. An adequate solution to surgical workforce demand is imperative for viable and successful implementation of healthcare reform, particularly in geographic regions with large healthcare access disparities.


2021 ◽  
Vol 78 (1) ◽  
pp. 43-49
Author(s):  
Alison Pletch ◽  
Wendy Craig ◽  
Joseph Rappold ◽  
James Whiting ◽  
Christopher Turner

2014 ◽  
Vol 18 (7) ◽  
pp. 1334-1342 ◽  
Author(s):  
Richard Smith ◽  
◽  
Steven C. Stain ◽  
David W. McFadden ◽  
Samuel R. G. Finlayson ◽  
...  

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 36
Author(s):  
Jonathan L. Ajah

Surgical postgraduate examiners and examinees in Nigeria complain of the low pass rate at all levels of the postgraduate surgical training examinations to which several factors are contributing. For several years there has been being a persistently low surgeon workforce in the country despite having two surgeon producing institutions been for at least 37 years. A review of the probable causes was carried out to shed more light on the matter. At the time of writing there are 52 National Postgraduate Medical College of Nigeria (NPMCN) and 46 West African College of Surgeons (WACS) accredited post graduate surgery training programs in Nigeria compared with 99 in the United Kingdom (UK) and 1056 in the United States (US). Based on available data Nigeria has approximately 572 surgery residency training slots yearly compared with approximately 646 in the UK and 4225 in the US. Examination pass rate was less than 40% for primary WACS compared with 98% pass rate in USMLE (United States Medical Licensing Examination) 3, pass rate at part I was 28.8% for WACS compared with 37% at MRCS (Membership Royal College of Surgeons) part A and 57% for MRCS part B. For the exit examination or part II WACS pass rate was 31.5% (general surgery) while it was 64% for Fellowship Royal College of Surgeons (FRCS) cumulative and 70% in the American board of surgery (ABS). Surgeon per 100 000 population was 0.69 for Nigeria compared with 11.7 and 25.6 for the UK and US respectively. In the last 35 years WACS has produced 1638 surgeons (2.8 times more than NPMCN) in surgery and NPMCN has produced 572. The frequency of examination were twice per year for both WACS and NPMCN examinations, 3 times per year for the USMLE step 3, MRCS (A & B) and Fellowship Royal College of Surgeons (FRCS) general surgery. The American Board of Surgery (ABS) is once per year for Qualifying Examination (QE) and 5 times per year for Certifying Examination (CE).


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