General Surgery Residency Inadequately Prepares Trainees for Fellowship: Results of a Survey of Fellowship Program Directors

@article{Mattar2013GeneralSR,
  title={General Surgery Residency Inadequately Prepares Trainees for Fellowship: Results of a Survey of Fellowship Program Directors},
  author={Samer G. Mattar and Adnan A. Alseidi and Daniel B. Jones and Dhiresh Rohan Jeyarajah and Lee Swanstrom and Ralph W. Aye and Steven D. Wexner and Jose M. Martinez and Sharona Ross and Michael M. Awad and Morris E. Jr. Franklin and Maurice E. Arregui and Bruce David Schirmer and Rebecca M. Minter},
  journal={Annals of Surgery},
  year={2013},
  volume={258},
  pages={440–449}
}
Objective:To assess readiness of general surgery graduate trainees entering accredited surgical subspecialty fellowships in North America. Methods:A multidomain, global assessment survey designed by the Fellowship Council research committee was electronically sent to all subspecialty program directors. Respondents spanned minimally invasive surgery, bariatric, colorectal, hepatobiliary, and thoracic specialties. There were 46 quantitative questions distributed across 5 domains and 1 or more… 
Preparedness of Obstetrics and Gynecology Residents for Fellowship Training
TLDR
Graduating residents may be underprepared for advanced subspecialty training, necessitating an evaluation of the current structure of resident and fellow curriculum.
Canadian general surgery residents’ need formal curricula and objective performance assessments in gastrointestinal endoscopy training: a program director census
TLDR
Endoscopy training in RCPSC GS residency programs is highly variable, program directors’ perceptions of residents’ competency appear to be significantly correlated with procedure numbers and few have adopted formal curricula and performance assessments.
Preparedness of Ob/Gyn residents for fellowship training in gynecologic oncology
What do residents need to be competent laparoscopic and endoscopic surgeons?
TLDR
These data indicate that both residents and faculty perceive significant competency gaps for both laparoscopy and flexible endoscopy, with the most notable shortcomings for advanced and therapeutic cases, respectively.
Perceptions of Preparedness in Plastic Surgery Residency Training
TLDR
A majority of plastic surgery residents were found to feel prepared for practice after residency; however, preparedness gaps within training still exist in aesthetic and craniomaxillofacial surgery.
Advanced Gastrointestinal Surgery Fellowship Graduates Are Desirable to Current US General Surgery Practices: Results of a SSAT Sponsored Survey
TLDR
It was showed that the majority of surgery practices in the US prefer fellowship-trained candidates as potential hires, and a growing need for a AGI surgery fellowship is indicated.
...
...

References

SHOWING 1-10 OF 18 REFERENCES
Early subspecialization and perceived competence in surgical training: are residents ready?
Changing demographics of residents choosing fellowships: longterm data from the American Board of Surgery.
American Surgical Association Blue Ribbon Committee Report on Surgical Education: 2004.
TLDR
The Blue Ribbon Committee on Surgical Education was charged with examining the multitude of forces impacting health care and making recommendations regarding the changes needed in surgical education to enhance the training of surgeons to serve all the surgical needs of the nation, and to keep training and research in surgery at the cutting edge in the 21st Century.
Comprehensive training curricula for minimally invasive surgery.
  • V. Palter
  • Medicine
    Journal of graduate medical education
  • 2011
TLDR
This narrative review aims to synthesize the evidence and educational theories underlining curricula development for technical skills both in a broad context and specifically as it pertains to minimally invasive surgery.
The learning curve in laparoscopic major liver resection
TLDR
It is recommended that laparoscopic competencies be developed upon a foundation of open liver surgery and that Laparoscopic major hepatectomy should only be attempted after competency with less technically complex laparoscope resections.
Bariatric Surgery Training: Getting Your Ticket Punched
TLDR
The challenge is to ensure that those surgeons performing gastric bypass, gastric banding, and duodenal switch procedure are trained appropriately.
Overcoming the learning curve of laparoscopic Roux-en-Y gastric bypass: a 12-year experience.
Long-Term Outcomes of an Endoscopic Myotomy for Achalasia: The POEM Procedure
TLDR
There is significant though mild gastroesophageal reflux postoperatively in 46% of patients in 6-month pH studies, and the lower esophageAL sphincter shows normalized pressures and relaxation.
Surgery: a noble profession in a changing world.
TLDR
The greatest honor that can be bestowed on any surgeon is to be elected president of this, the oldest and most prestigious surgical association in the nation, and it is not only the greatest honor of his life, but also the most unexpected.
The next GME accreditation system--rationale and benefits.
The American Council of Graduate Medical Education is moving from accrediting residency programs every 5 years to a new system for the annual evaluation of trends in measures of performance.
...
...