Analysis and implications of changing hepatopancreatobiliary (HPB) case loads in general surgery residency training for HPB surgery accreditation

IntroductionGeneral surgery residency involves performing subspecialty procedures in addition to the core general procedures. However, the proportion of core general surgery versus subspecialty procedures during training is variable and its temporal changes are unknown. The goal of our study was to assess the current trends in core general surgery and subspecialty procedure distributions during general surgery residency training.MethodsData were collected from the ACGME core general surgery national resident available report case logs from 2007 to 2019. Descriptive and time series analyses were used to compare proportions of average procedures performed per resident in the core general surgery category versus the subspecialty category. F-tests were conducted to show whether the slopes of the trend lines were significantly non-zero.ResultsThe mean of total procedures completed for major credit by the average general surgery resident increased from 910.1 (SD=30.31) in 2007 to 1070.5 (SD=37.59) in 2019. Over that same period, the number of general, cardiothoracic, plastic and urology surgery procedures increased by 24.9%, 9.8%, 76.6% and 19.3%, respectively. Conversely, vascular and paediatric surgery procedures decreased by 7.6% and 30.7%, respectively. The neurological surgery procedures remain stable at 1.1 procedures per resident per year. A significant positive correlation in the trend reflecting total (p<0.0001), general (p<0.0001) and plastic (p<0.0016) surgery procedures and the negative correlation in the trend lines for vascular (p<0.0006) and paediatric (p<0.0001) surgery procedures were also noted.ConclusionsTrends in overall surgical case volume performed by general surgery residents over the last 12 years have shown a steady increase in operative training opportunity despite the increasing number of subspecialty training programmes and fellowships. Further research to identify areas for improvement and to study the diversity of operative procedures, and their outcomes is warranted in the years to come.

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Residents’ perspectives: Does the Saudi general surgery residency training program apply CanMEDS competencies and prepare future leaders?

Canadian Medical Education Journal ◽

10.36834/cmej.68488 ◽

2020 ◽

Author(s):

Deena Hadedeya ◽

Ghofran Ageely ◽

Nourah Alsaleh ◽

Hajar Aref ◽

Omar Al-Sharqi ◽

...

Keyword(s):

Training Program ◽

Residency Training ◽

General Surgery ◽

Leadership Skills ◽

Residency Training Program ◽

Clinical Leadership ◽

General Surgery Residency ◽

Healthcare Needs ◽

Health Advocate ◽

Personal Qualities

Background: This study investigates leadership skills and Canadian Medical Education Directives for Specialists (CanMEDS) competencies acquisition within the General Surgery Residency Training Program (GSRTP). The Saudi Commission for Health Specialties (SCFHS) incorporates the CanMEDS Competency Framework into its curriculum to prepare the resident for healthcare needs. Methods: This is a descriptive-analytical study. A questionnaire was used to collect data from 117 General Surgery residents (GS) at seven institutes in Jeddah, Saudi Arabia. Results: The GS residents reported an acceptable self-perceived level of Clinical Leadership Skills (mean ± standard deviation). The most dominant skill was working with others (1.98 ± 1.03), followed by demonstrating personal qualities (2.07 ± 0.88), the ability to manage services (2.21 ± 1.37), improving services (2.22 ± 1.84) and last, setting directions (2.39 ± 0.95). Regarding the CanMEDS competencies, the respondents showed a generally positive perception with an “agree” level (Mean = 1.83). Of the CanMEDS competency roles, Collaborator ranked first followed by Professional and then Communicator. Leader competency ranked fourth followed by Health Advocate, Medical Expert and last, Scholar. Conclusion: The GSRTP residents showed satisfactory self-assessed clinical leadership skills and acquirement of the CanMEDS competencies during their training, which will prepare them to lead in the future.

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Assessing the competencies in general surgery residency training

Current Surgery ◽

10.1016/j.cursur.2004.07.016 ◽

2005 ◽

Vol 62 (1) ◽

pp. 111-116 ◽

Cited By ~ 2

Author(s):

Cheryl I. Anderson ◽

Amy B. Jentz ◽

L. Rao Kareti ◽

James M. Harkema ◽

Keith N. Apelgren ◽

...

Keyword(s):

Residency Training ◽

General Surgery ◽

General Surgery Residency

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How to Change General Surgery Residency Training

Advances in Surgery ◽

10.1016/j.yasu.2011.03.012 ◽

2011 ◽

Vol 45 (1) ◽

pp. 275-284 ◽

Cited By ~ 4

Author(s):

Steven C. Stain

Keyword(s):

Residency Training ◽

General Surgery ◽

General Surgery Residency

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Residency Training in Robotic General Surgery: A Survey of Program Directors

Minimally Invasive Surgery ◽

10.1155/2018/8464298 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Lea C. George ◽

Rebecca O’Neill ◽

Aziz M. Merchant

Keyword(s):

Robotic Surgery ◽

Residency Training ◽

General Surgery ◽

Simulation Training ◽

Program Directors ◽

Current Approach ◽

General Surgery Residency ◽

Electronic Survey ◽

Surgery Training ◽

Robotic Surgery Training

Objective. Robotic surgery continues to expand in minimally invasive surgery; however, the literature is insufficient to understand the current training process for general surgery residents. Therefore, the objectives of this study were to identify the current approach to and perspectives on robotic surgery training. Methods. An electronic survey was distributed to general surgery program directors identified by the Accreditation Council for Graduate Medical Education website. Multiple choice and open-ended questions regarding current practices and opinions on robotic surgery training in general surgery residency programs were used. Results. 20 program directors were surveyed, a majority being from medium-sized programs (4–7 graduating residents per year). Most respondents (73.68%) had a formal robotic surgery curriculum at their institution, with 63.16% incorporating simulation training. Approximately half of the respondents believe that more time should be dedicated to robotic surgery training (52.63%), with simulation training prior to console use (84.21%). About two-thirds of the respondents (63.16%) believe that a formal robotic surgery curriculum should be established as a part of general surgery residency, with more than half believing that exposure should occur in postgraduate year one (55%). Conclusion. A formal robotics curriculum with simulation training and early surgical exposure for general surgery residents should be given consideration in surgical residency training.

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