Paula Ferrada1, Rao R Ivatury, David A Spain, Kimberly A Davis, Michel Aboutanos, John J Fildes, Thomas M Scalea. 1. From the Department of Surgery, Virginia Commonwealth University, Richmond, Virginia (P.F., R.R., M.A.); Department of Surgery, Stanford University Medical Center, Stanford, California D.A.S.); Department of Surgery, Yale School of Medicine, New Haven, Connecticut (K.A.D.); Department of Surgery, University of Nevada, Reno, Nevada (J.J.F.); Department of Surgery, Shock Trauma Center, Baltimore, Maryland (T.M.S.); and Department of Surgery, University of Maryland, Baltimore, Maryland.
Abstract
BACKGROUND: Acute-care surgery (ACS), trauma, and surgical critical care (SCC) fellowships graduate fellows deemed qualified to perform complex cases immediately upon graduation. We hypothesize international fellow rotations can be a resource to supplement operative case exposure. METHODS: A survey was sent to all program directors (PDs) of ACS and SCC fellowships via e-mail. Data were captured and analyzed using the REDCap (Research Electronic Data Capture) tool. RESULTS: The survey was sent to 113 PDs, with a response rate of 42%. Most fellows performed less than 150 operative cases (59.5%). The majority of PDs thought the operative exposure either could be improved or was not enough to ensure expertise in trauma and emergent general surgery. Only a minority of the PDs found their case load exceptional (can be improved: 43%, not enough: 30% exceptional: 27%). Most PDs thought an international experience could supplement the breadth of cases, provide research opportunities, and improve understanding of trauma systems (70%). Ten sites offered international rotations (70%). Most fellowships would be willing to provide reciprocity to the host institution (90%). CONCLUSIONS: The majority of PDs for ACS, trauma, and SCC programs perceive a need for increased quality and quantity of operative cases. The majority recognize international fellow rotations as a valuable tool to supplement fellows' education.
BACKGROUND: Acute-care surgery (ACS), trauma, and surgical critical care (SCC) fellowships graduate fellows deemed qualified to perform complex cases immediately upon graduation. We hypothesize international fellow rotations can be a resource to supplement operative case exposure. METHODS: A survey was sent to all program directors (PDs) of ACS and SCC fellowships via e-mail. Data were captured and analyzed using the REDCap (Research Electronic Data Capture) tool. RESULTS: The survey was sent to 113 PDs, with a response rate of 42%. Most fellows performed less than 150 operative cases (59.5%). The majority of PDs thought the operative exposure either could be improved or was not enough to ensure expertise in trauma and emergent general surgery. Only a minority of the PDs found their case load exceptional (can be improved: 43%, not enough: 30% exceptional: 27%). Most PDs thought an international experience could supplement the breadth of cases, provide research opportunities, and improve understanding of trauma systems (70%). Ten sites offered international rotations (70%). Most fellowships would be willing to provide reciprocity to the host institution (90%). CONCLUSIONS: The majority of PDs for ACS, trauma, and SCC programs perceive a need for increased quality and quantity of operative cases. The majority recognize international fellow rotations as a valuable tool to supplement fellows' education.
Authors: Galinos Barmparas; Pradeep H Navsaria; Navpreet K Dhillon; Sorin Edu; Daniel R Margulies; Eric J Ley; Bruce L Gewertz; Andrew J Nicol Journal: Surg Open Sci Date: 2019-10-25
Authors: Gregory L Peck; Manish Garg; Bonnie Arquilla; Vicente H Gracias; Harry L Anderson Iii; Andrew C Miller; Bhakti Hansoti; Paula Ferrada; Michael S Firstenberg; Sagar C Galwankar; Ramon E Gist; Donald Jeanmonod; Rebecca Jeanmonod; Elizabeth Krebs; Marian P McDonald; Benedict Nwomeh; James P Orlando; Lorenzo Paladino; Thomas J Papadimos; Robert L Ricca; Joseph V Sakran; Richard P Sharpe; Mamta Swaroop; Stanislaw P Stawicki Journal: Int J Crit Illn Inj Sci Date: 2017 Oct-Dec