OBJECTIVE: The purpose of this study was to evaluate the impact of laparoscopy on the volume of open cases in general surgery residency training over the past 10 years. DESIGN: The Accreditation Council for Graduate Medical Education (ACGME) database (1999-2008), which records all cases (by Current Procedural Terminology code) performed by graduating general surgery trainees, was retrospectively analyzed. SETTING: ACGME database (1999-2008). MAIN OUTCOME MEASURES: Trends were compared regarding the average number of the most common laparoscopic and open procedures (colectomy, hernia, and appendectomy) performed by graduating general surgery trainees during the reporting period. RESULTS: Across all procedures, an increase was noted in laparoscopic approaches with a reciprocal decrease in open cases. The number of open appendectomies decreased by 29% (30.7 to 21.7), whereas the number of laparoscopic appendectomies increased by 278% (8.5 to 32.1). Similarly, open inguinal hernia cases decreased by 12.5% (51.9 to 45.4) and open colectomy cases decreased by 10.4% (48 to 43). Conversely, laparoscopic hernia repair and laparoscopic colectomy increased by 87.5% (7.6 to 15.8) and 550% (2 to 13), respectively. CONCLUSIONS: In addition to the limitations placed on residency training by other factors (including work hour restrictions), changing practice patterns within the field of general surgery have a significant impact on the exposure of residents to open surgery cases. This trend might have far-reaching implications with regard to the overall competency of graduating residents and raises concerns for the future direction of surgical education.
OBJECTIVE: The purpose of this study was to evaluate the impact of laparoscopy on the volume of open cases in general surgery residency training over the past 10 years. DESIGN: The Accreditation Council for Graduate Medical Education (ACGME) database (1999-2008), which records all cases (by Current Procedural Terminology code) performed by graduating general surgery trainees, was retrospectively analyzed. SETTING: ACGME database (1999-2008). MAIN OUTCOME MEASURES: Trends were compared regarding the average number of the most common laparoscopic and open procedures (colectomy, hernia, and appendectomy) performed by graduating general surgery trainees during the reporting period. RESULTS: Across all procedures, an increase was noted in laparoscopic approaches with a reciprocal decrease in open cases. The number of open appendectomies decreased by 29% (30.7 to 21.7), whereas the number of laparoscopic appendectomies increased by 278% (8.5 to 32.1). Similarly, open inguinal hernia cases decreased by 12.5% (51.9 to 45.4) and open colectomy cases decreased by 10.4% (48 to 43). Conversely, laparoscopic hernia repair and laparoscopic colectomy increased by 87.5% (7.6 to 15.8) and 550% (2 to 13), respectively. CONCLUSIONS: In addition to the limitations placed on residency training by other factors (including work hour restrictions), changing practice patterns within the field of general surgery have a significant impact on the exposure of residents to open surgery cases. This trend might have far-reaching implications with regard to the overall competency of graduating residents and raises concerns for the future direction of surgical education.
Authors: Paul Kolkman; Mohsin Soliman; Marcy Kolkman; Apollo Stack; T Subramanyeshwar Rao; Srinivasulu Mukta; Kendra Schmid; Jon Thompson; Chandrakanth Are Journal: Indian J Surg Oncol Date: 2015-03-18
Authors: Hamza Guend; David Y Lee; Elizabeth A Myers; Nipa D Gandhi; Vesna Cekic; Richard L Whelan Journal: Surg Endosc Date: 2014-12-06 Impact factor: 4.584
Authors: Anya L Greenberg; Mohammad M Karimzada; Riley Brian; Ava Yap; Hubert Y Luu; Saira Ahmed; Chiung-Yu Huang; Seth A Waits; Ryutaro Hirose; Adnan Alseidi; Joseph H Rapp; Patricia S O'Sullivan; Hueylan Chern; Shareef M Syed Journal: JAMA Netw Open Date: 2022-09-01
Authors: F Köckerling; A J Sheen; F Berrevoet; G Campanelli; D Cuccurullo; R Fortelny; H Friis-Andersen; J F Gillion; J Gorjanc; D Kopelman; M Lopez-Cano; S Morales-Conde; J Österberg; W Reinpold; R K J Simmermacher; M Smietanski; D Weyhe; M P Simons Journal: Hernia Date: 2019-11-21 Impact factor: 4.739