Rossella Reddavid1, William Allum2, Karol Polom3, Aridai Resendiz1, Woo Jin Hyung4, Paolo Kassab5, Daniela Molena6, Enrique Lanzarini7, Masanori Terashima8, Alberto Biondi9, Richard Van Hilegersberg10, Domenico D'Ugo9, Uberto Fumagalli11, Stefano Santi12, Giovanni De Manzoni13, Franco Roviello14, Maurizio Degiuli15. 1. University of Turin, Department of Oncology, San Luigi University Hospital, Surgical Oncology and Digestive Surgery Unit, Regione Gonzole 10, Orbassano, 10043, Turin, Italy. 2. Department of Academic Surgery, Royal Marsden NHS Foundation Trust London, London, UK. 3. Department of Surgical Oncology, Medical University of Gdansk, Gdańsk, Poland. 4. Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea. 5. Department of Surgery, School of Medicine, University of Santa Casa, São Paulo, Brasil. 6. Division of Thoracic Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. 7. Department of Surgery, University Hospital, University of Chile, Santos Dumont #999, Santiago, Chile. 8. Division of Gastric Surgery, Shizuoka Cancer Center, Nagaizumi, Shizuoka, 411-8777, Japan. 9. Division of General Surgery, Department of Surgical Sciences, Catholic University, Rome, Italy. 10. Department of Surgical Oncology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. 11. Digestive Surgery, European Institute of Oncology IRCCS, Milan, Italy. 12. Unit of Esophageal Surgery, Department of Surgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Via Paradisa 2, 56124, Pisa, Italy. 13. Unit of General and Upper GI Surgery, University of Verona, Verona, Italy. 14. Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy. 15. University of Turin, Department of Oncology, San Luigi University Hospital, Surgical Oncology and Digestive Surgery Unit, Regione Gonzole 10, Orbassano, 10043, Turin, Italy. maurizio.degiuli@unito.it.
Abstract
OBJECTIVE: Anecdotal evidence suggests that the training of young surgeons in Upper GI is not homogeneous across the world. This survey aimed to investigate the different training programs and the level of satisfaction of young surgeons with their surgical and scientific education pathway. DESIGN: A multiple-choice and single best answer format questionnaire was sent to 36 Upper GI chairs from international referral centres and then forwarded to young surgeons (attending physician less than 40 years old). The same questionnaire containing 5 main topics (demographics, residency, fellowship, academic research and activities, manual skill improvement) was posted online on a Surveymonkey website. SETTING: San Luigi University Hospital, Orbassano (Turin), Italy; Tertiary University Hospital. RESULTS: Fourteen replies were received from colleagues in 36 referral centres (39% response rate) and 65 voluntary answers from the survey monkey platform. During residency training, only 43% of residents had a specific training in upper GI tract surgery, which was characterized by a small number of interventions performed both with trainer scrubbed and unscrubbed. Fellowship programmes were undertaken by 49% of participants and 64% spent this training period abroad. Operative experience was reported by nearly all respondents with only 27% performing > 10 gastrectomies and only 11% performing > 10 oesophagectomies with the trainer scrubbed. The majority attended less than 10 meetings (58%), and 70% of them published less than 5 papers. CONCLUSIONS: The present survey reveals that the young surgeons of the twenty-first century face many hurdles during their surgical training. Overall, the surgical education settings are limited for both practical and scientific training for upper GI trainees. As a result, it is not possible to train in upper GI surgery to a level of competent independent practice.
OBJECTIVE: Anecdotal evidence suggests that the training of young surgeons in Upper GI is not homogeneous across the world. This survey aimed to investigate the different training programs and the level of satisfaction of young surgeons with their surgical and scientific education pathway. DESIGN: A multiple-choice and single best answer format questionnaire was sent to 36 Upper GI chairs from international referral centres and then forwarded to young surgeons (attending physician less than 40 years old). The same questionnaire containing 5 main topics (demographics, residency, fellowship, academic research and activities, manual skill improvement) was posted online on a Surveymonkey website. SETTING: San Luigi University Hospital, Orbassano (Turin), Italy; Tertiary University Hospital. RESULTS: Fourteen replies were received from colleagues in 36 referral centres (39% response rate) and 65 voluntary answers from the survey monkey platform. During residency training, only 43% of residents had a specific training in upper GI tract surgery, which was characterized by a small number of interventions performed both with trainer scrubbed and unscrubbed. Fellowship programmes were undertaken by 49% of participants and 64% spent this training period abroad. Operative experience was reported by nearly all respondents with only 27% performing > 10 gastrectomies and only 11% performing > 10 oesophagectomies with the trainer scrubbed. The majority attended less than 10 meetings (58%), and 70% of them published less than 5 papers. CONCLUSIONS: The present survey reveals that the young surgeons of the twenty-first century face many hurdles during their surgical training. Overall, the surgical education settings are limited for both practical and scientific training for upper GI trainees. As a result, it is not possible to train in upper GI surgery to a level of competent independent practice.
Entities:
Keywords:
Fellowship; Residency; Scientific training; Surgical education; Upper GI training
Authors: Frans van Workum; Marianne H B C Stenstra; Gijs H K Berkelmans; Annelijn E Slaman; Mark I van Berge Henegouwen; Suzanne S Gisbertz; Frits J H van den Wildenberg; Fatih Polat; Tomoyuki Irino; Magnus Nilsson; Grard A P Nieuwenhuijzen; Misha D Luyer; Eddy M Adang; Gerjon Hannink; Maroeska M Rovers; Camiel Rosman Journal: Ann Surg Date: 2019-01 Impact factor: 12.969