Minimally invasive surgery: The evolution of fellowship

被引:46
作者
Park, Adrian
Kavic, Stephen M.
Lee, Tommy H.
Heniford, B. Todd
机构
[1] Univ Maryland, Med Ctr, Div Gen Surg, Dept Surg, Baltimore, MD 21201 USA
[2] Carolinas Med Ctr, Charlotte, NC 28203 USA
关键词
D O I
10.1016/j.surg.2007.07.009
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background. The field of postgraduate minimally invasive surgery/gastrointestinal surgery (MIS/GIS) training has undergone substantial growth and change. To determine whether fellowships are meeting a strategic need in training, we conducted a survey to assess the current status and trends of change in MIS/GIS fellowships. Methods. A survey was distributed to fellows currently in MIS/GIS programs in the United States and. Canada in 2003 and 2006. Fellows were asked to describe demographics as well as their experience both during fellowship and residency. We compared this with aggregate data of resident experience through the Accreditation Council for Graduate Medical Education (ACGME) case logs, data tracked by industry, and program data from the Fellowship Council (FC) web site. Results. There were 54 responses to the 75 surveys distributed in 2006 (72 % response rate). MIS fellows performed more laparoscopic cases during their residency than the average graduating chief resident, but did not feel competent to perform advanced laparoscopic surgery. However, combining fellowship numbers with residency numbers does suggest that the total experience provides competency in a wide variety of procedures. Conclusions. It seems that the MIS/GIS Fellowship is meeting a real need, among graduating surgical residents; fellows felt unprepared for clinical practice at the completion of residency. It is encouraging to note the improvements in fellowship structure, standards, and overall experience, brought by the efforts of the FC. It is hoped that this report of the state of MIS fellowship with a comprehensive review of current data will aid in further evaluation and improvement.
引用
收藏
页码:505 / 511
页数:7
相关论文
共 12 条
[1]  
*ACCR COUNC GRAD M, 2005, GEN SURG NAT RES REP
[2]   American Surgical Association Blue Ribbon Committee report on surgical education: 2004 [J].
Debas, HT ;
Bass, BL ;
Brennan, MF ;
Flynn, TC ;
Folse, JR ;
Freischlag, JA ;
Friedmann, P ;
Greenfield, LJ ;
Jones, RS ;
Lewis, FR ;
Malangoni, MA ;
Pellegrini, CA ;
Rose, EA ;
Sachdeva, AK ;
Sheldon, GF ;
Turner, PL ;
Warshaw, AL ;
Welling, RE ;
Zinner, MJ .
ANNALS OF SURGERY, 2005, 241 (01) :1-8
[3]   Does a minimally invasive surgery fellowship impact surgical experience among gynecology residents? [J].
Einarsson, JI ;
Timmins, A ;
Young, AE ;
Zurawin, RK .
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 2004, 11 (04) :464-466
[4]   Survey of minimally invasive surgery fellowship programs [J].
Madan, AK ;
Frantzides, CT ;
Deziel, DJ .
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2006, 16 (02) :99-104
[5]   Evaluation of endoscopic and laparoscopic training practices in surgical residency programs [J].
Marks, JM ;
Nussbaum, MS ;
Pritts, TA ;
Scheeres, DE .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2001, 15 (09) :1011-1015
[6]   Impact of fellowship training on the learning curve for laparoscopic gastric bypass [J].
Oliak, D ;
Owens, M ;
Schmidt, HJ .
OBESITY SURGERY, 2004, 14 (02) :197-200
[7]   Ongoing deficits in resident training for minimally invasive surgery [J].
Park, A ;
Witzke, D ;
Donnelly, M .
JOURNAL OF GASTROINTESTINAL SURGERY, 2002, 6 (03) :501-507
[8]   The need for training opportunities in advanced laparoscopic surgery - The residents' perspective [J].
Rattner, DW ;
Apelgren, KN ;
Eubanks, WS .
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 2001, 15 (10) :1066-1070
[9]   Predicting conversion in laparoscopic colorectal surgery -: Fellowship training may be an advantage [J].
Schlachta, CM ;
Mamazza, J ;
Grégoire, R ;
Burpee, SE ;
Pace, KT ;
Poulin, EC .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2003, 17 (08) :1288-1291
[10]   Progressive specialization within general surgery: Adding to the complexity of workforce planning [J].
Stitzenberg, KB ;
Sheldon, GF .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2005, 201 (06) :925-932