Literature DB >> 16552191

Bringing order to the chaos: developing a matching process for minimally invasive and gastrointestinal postgraduate fellowships.

Lee L Swanstrom1, Adrian Park, Marty Arregui, Morris Franklin, C Daniel Smith, Christina Blaney.   

Abstract

BACKGROUND: Since 1993, there has been an increase in the number of postgraduate fellowships in minimally invasive and gastrointestinal (GI) surgery; from 9 in 1993 to more than 80 in 2004. Early on, there was no supervision or accreditation of these fellowships, and they varied widely in content, structure, and quality. This was widely recognized as being a bad situation for fellow applicants and reflected poorly on the specialties of minimally invasive (MI) and GI surgery. In an effort to bring order to this chaotic situation, the Minimally Invasive Surgery Fellowship Council (MISFC) was founded in 1997.
METHOD: In 2003, the MISFC was incorporated with 77 founding member programs. The goal of the MISFC was to develop guidelines for high-quality fellowship training, to provide a forum for the directors of MI and GI fellowships to exchange ideas, formulate training curricula; to establish uniform application and selection dates; and to create an equitable computerized match system for applicants.
RESULTS: In 2004, the MISFC has increased to 95 members representing 154 postgraduate fellowship positions. The majority of these positions are primarily laparoscopic in focus, but other aspects of GI surgery including bariatric, general GI, flexible endoscopy, and hepatopancreatobiliary are also represented. Uniform application and selection dates were agreed on in 2001; and in 2003, the Council established a computerized Match, administered by the National Resident Match Program, which was used for the 2004 fellowship selection. A total of 113 positions were open for the match. A total of 248 applicants formally applied to MISFC programs and 130 participated in the match. Ninety-nine positions matched on the December 10th match day, and the remaining 14 programs successfully filled on the following scramble day. Seventeen applicants did not match to a program. Post match polling of program directors and applicants documented a high degree of compliance, usability, and satisfaction with the process.
CONCLUSION: The MISFC has been successful at realizing its goals of bringing order to the past chaos of the MIS and GI fellowship situation. Its current iteration, the Fellowship Council, is in the process of introducing an accreditation process to further ensure the highest quality of postgraduate training in the fields of GI and endoscopic surgery.

Entities:  

Mesh:

Year:  2006        PMID: 16552191      PMCID: PMC1448963          DOI: 10.1097/01.sla.0000205217.45477.25

Source DB:  PubMed          Journal:  Ann Surg        ISSN: 0003-4932            Impact factor:   12.969


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2.  Ongoing deficits in resident training for minimally invasive surgery.

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3.  The laparoscopic experience of surgical graduates in the United States.

Authors:  R Chung; Q Pham; L Wojtasik; V Chari; P Chen
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4.  Surgical education in the United States: portents for change.

Authors:  Murray F Brennan; Haile T Debas
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  4 in total
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1.  Matching training to practice: the next step.

Authors:  Barbara Lee Bass
Journal:  Ann Surg       Date:  2006-04       Impact factor: 12.969

2.  Impact of a full-time preceptor on the institutional outcome of laparoscopic colectomy.

Authors:  Alessio Pigazzi; Casandra Anderson; Pablo Mojica-Manosa; David Smith; Kathrina Hernandez; I Benjamin Paz; Joshua D I Ellenhorn
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3.  Minimally invasive surgery fellows would perform a wider variety of cases in their "ideal" fellowship.

Authors:  D S Tichansky; R J Taddeucci; J Harper; A K Madan
Journal:  Surg Endosc       Date:  2008-03       Impact factor: 4.584

4.  The Fellowship Council: a decade of impact on surgical training.

Authors:  Dennis L Fowler; Nancy J Hogle
Journal:  Surg Endosc       Date:  2013-05-25       Impact factor: 4.584

5.  MIS training in Canada: a national survey of general surgery residents.

Authors:  Alia Qureshi; Ashley Vergis; Carolina Jimenez; Jessica Green; Aurora Pryor; Christopher M Schlachta; Allan Okrainec
Journal:  Surg Endosc       Date:  2011-04-22       Impact factor: 4.584

6.  Providing complex GI surgical care with minimally invasive approaches: a survey of the practice patterns of Fellowship Council alumni.

Authors:  Joshua J Weis; Adnan A Alseidi; D Rohan Jeyarajah; Michael A Schweitzer; Yumi Hori; Vanessa Cheung; Daniel J Scott
Journal:  Surg Endosc       Date:  2019-06-17       Impact factor: 4.584

7.  Laparoscopic Appendectomy: Minimally Invasive Surgery Training Improves Outcomes in Basic Laparoscopic Procedures.

Authors:  Katherine D Gray; Joshua G Burshtein; Lama Obeid; Maureen D Moore; Gregory Dakin; Alfons Pomp; Cheguevara Afaneh
Journal:  World J Surg       Date:  2018-06       Impact factor: 3.352

8.  SAGES's advanced GI/MIS fellowship curriculum pilot project.

Authors:  Joshua J Weis; Matthew Goldblatt; Aurora Pryor; Brian J Dunkin; L Michael Brunt; Daniel B Jones; Daniel J Scott
Journal:  Surg Endosc       Date:  2018-01-17       Impact factor: 4.584

9.  Perception versus reality: elucidating motivation and expectations of current fellowship council minimally invasive surgery fellows.

Authors:  Jeffrey R Watkins; Aurora D Pryor; Michael S Truitt; D Rohan Jeyarajah
Journal:  Surg Endosc       Date:  2018-04-17       Impact factor: 4.584

10.  SAGES Advanced GI/MIS fellowship redesign: pilot results and adoption of new standards.

Authors:  Joshua J Weis; Matthew Goldblatt; Aurora Pryor; Linda Schultz; Daniel J Scott
Journal:  Surg Endosc       Date:  2019-06-12       Impact factor: 4.584

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