Literature DB >> 22018766

National trends in minimally invasive and open operative experience of graduating general surgery residents: implications for surgical skills curricula development?

Jeffrey S Carson1, Lynette Smith, Madhuri Are, James Edney, Kenneth Azarow, David W Mercer, Jon S Thompson, Chandrakanth Are.   

Abstract

BACKGROUND: The aim of this study was to analyze national trends in minimally invasive and open cases of all graduating residents in general surgery.
METHODS: A retrospective analysis was performed on data obtained from Accreditation Council for Graduate Medical Education logs (1999-2008) of graduating residents from all US general surgery residency programs. Data were analyzed using Mantel-Haenszel χ(2) tests and the Bonferroni adjustment to detect trends in the number of minimally invasive and open cases.
RESULTS: Minimally invasive procedures accounted for an increasing proportion of cases performed (3.7% to 11.1%, P < .0001), with a proportional decrease in open cases. An increase in minimally invasive procedures with a proportional decrease in open procedures was noted in subcategories such as alimentary tract, abdominal, vascular, thoracic, and pediatric surgery (P < .0001).
CONCLUSIONS: The results of this study demonstrate that general surgery residents in the United States are performing a greater number of minimally invasive and fewer open procedures for common surgical conditions.
Copyright © 2011 Elsevier Inc. All rights reserved.

Mesh:

Year:  2011        PMID: 22018766     DOI: 10.1016/j.amjsurg.2011.06.045

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  6 in total

1.  Comparison of resident operative case logs during a surgical oncology rotation in the United States and an international rotation in India.

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

2.  Technique of last resort: characteristics of patients undergoing open surgery in the laparoscopic era.

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

3.  Impact of Residents on Safety Outcomes in Laparoscopic Cholecystectomy.

Authors:  Baongoc Nasri; Jonathan Saxe
Journal:  World J Surg       Date:  2019-12       Impact factor: 3.352

4.  Prior video game utilization is associated with improved performance on a robotic skills simulator.

Authors:  Andrew C Harbin; Kumar S Nadhan; James H Mooney; Daohai Yu; Joshua Kaplan; Nora McGinley-Hence; Andrew Kim; Yiming Gu; Daniel D Eun
Journal:  J Robot Surg       Date:  2016-11-16

5.  Resident involvement in laparoscopic procedures does not worsen clinical outcomes but may increase operative times and length of hospital stay.

Authors:  Jennifer Jolley; Daniel Lomelin; Anton Simorov; Carl Tadaki; Dmitry Oleynikov
Journal:  Surg Endosc       Date:  2015-11-19       Impact factor: 4.584

Review 6.  The reality of general surgery training and increased complexity of abdominal wall hernia surgery.

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

  6 in total

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