More of less: General Surgery Resident Experience in Biliary Surgery.
Journal
Journal of the American College of Surgeons
ISSN: 1879-1190
Titre abrégé: J Am Coll Surg
Pays: United States
ID NLM: 9431305
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
06
01
2020
revised:
25
02
2020
accepted:
25
02
2020
pubmed:
27
4
2020
medline:
16
3
2021
entrez:
27
4
2020
Statut:
ppublish
Résumé
The scope of operations performed by surgery residents has progressively narrowed. This analysis was undertaken to determine the degree to which that narrowing has occurred in one particular operative domain-biliary surgery. The total numbers of major cases and biliary cases by resident role were abstracted from annual ACGME national case log reports from 1989 to 1990 through 2017 to 2018, as were the number of total operations performed by residents in each biliary case category. Trends were analyzed. The total numbers of major cases and biliary cases performed throughout residency have increased considerably. For chief residents, the total number of major cases has declined, but the total number of biliary cases has increased slightly. The increase in the total number of biliary cases performed is due entirely to laparoscopic cholecystectomy. All other types of biliary operations have decreased substantially in number and are now performed rarely. For 2018 graduates, laparoscopic cholecystectomy accounted for 11.2% of all major operations throughout residency and 11.7% of chief resident operations. Resident operative experience in biliary surgery has increased considerably both in absolute numbers and as a proportion of overall operative experience, but is increasingly limited to laparoscopic cholecystectomy.
Sections du résumé
BACKGROUND
The scope of operations performed by surgery residents has progressively narrowed. This analysis was undertaken to determine the degree to which that narrowing has occurred in one particular operative domain-biliary surgery.
STUDY DESIGN
The total numbers of major cases and biliary cases by resident role were abstracted from annual ACGME national case log reports from 1989 to 1990 through 2017 to 2018, as were the number of total operations performed by residents in each biliary case category. Trends were analyzed.
RESULTS
The total numbers of major cases and biliary cases performed throughout residency have increased considerably. For chief residents, the total number of major cases has declined, but the total number of biliary cases has increased slightly. The increase in the total number of biliary cases performed is due entirely to laparoscopic cholecystectomy. All other types of biliary operations have decreased substantially in number and are now performed rarely. For 2018 graduates, laparoscopic cholecystectomy accounted for 11.2% of all major operations throughout residency and 11.7% of chief resident operations.
CONCLUSIONS
Resident operative experience in biliary surgery has increased considerably both in absolute numbers and as a proportion of overall operative experience, but is increasingly limited to laparoscopic cholecystectomy.
Identifiants
pubmed: 32335322
pii: S1072-7515(20)30338-0
doi: 10.1016/j.jamcollsurg.2020.02.050
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
33-42Commentaires et corrections
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Informations de copyright
Copyright © 2020 American College of Surgeons. Published by Elsevier Inc. All rights reserved.