What is wrong with the training of general surgery?

Advances in Surgery

Volumn 48, Issue 1, 2014, Pages 201-210

  McKenna, Daniel T ^a   Mattar, Samer G ^b  

^a INDIANA UNIVERSITY   (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

80 hour work week; General surgery training; Residency changes

Indexed keywords

AMBULATORY SURGERY; CLINICAL COMPETENCE; CURRICULUM; EDUCATION; GENERAL SURGERY; HUMAN; INJURY; MEDICAL EDUCATION; MINIMALLY INVASIVE SURGERY; PROFESSIONAL PRACTICE; REVIEW; TEACHER; UNITED STATES; WORKLOAD;

AMBULATORY SURGICAL PROCEDURES; CLINICAL COMPETENCE; CURRICULUM; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; MENTORS; PROFESSIONAL AUTONOMY; SURGICAL PROCEDURES, MINIMALLY INVASIVE; UNITED STATES; WORKLOAD; WOUNDS AND INJURIES;

EID: 84906330736     PISSN: 00653411     EISSN: None     Source Type: Book Series    
DOI: 10.1016/j.yasu.2014.05.010     Document Type: Review

References (20)

1. Mattar S.G., Alseidi A.A., Jones D.B., et al. General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship program directors. Ann Surg 2013, 258:440-449.
2. Chung R.S., Wojtasik L., Pham Q., et al. The decline of training in open biliary surgery: effect on the residents' attitude toward bile duct surgery. Surg Endosc 2003, 17:338-340.
3. Carson J.S., Smith L., Are M., et al. National trends in minimally invasive and open operative experience of graduating general surgery residents: implications for surgical skills curricula development?. Am J Surg 2011, 202:720-726.
4. Alkhoury F., Martin J.T., Contessa J., et al. The impact of laparoscopy on the volume of open cases in general surgery training. JSurg Educ 2010, 67:316-319.
5. Hedrick T., Turrentine F., Sanfey H., et al. Implications of laparoscopy on surgery residency training. Am J Surg 2009, 197:73-75.
6. Joels C.S., Langan E.M., Cull D.L., et al. Effects of increased vascular surgical specialization on general surgery trainees, practicing surgeons, and the provision of vascular surgical care. JAm Coll Surg 2009, 208:692-697.
7. Gow K.W., Drake F.T., Aarabi S., et al. The ACGME case log: general surgery resident experience in pediatric surgery. JPediatr Surg 2013, 48:1643-1649.
8. Patel M.B., Guillamondegui O.D., May A.K., et al. Twenty-year analysis of surgical resident operative trauma experiences. JSurg Res 2013, 180:191-195.
9. Kairys J.C., McGuire K., Crawford A.G., et al. Cumulative operative experience is decreasing during general surgery residency: a worrisome trend for surgical trainees?. JAm Coll Surg 2008, 206:804-811.
10. Picarella E.A., Simmons J.D., Borman K.R., et al. "Do one, teach one" the new paradigm in general surgery residency training. JSurg Educ 2011, 68:126-129.
11. Antiel R.M., Van Arendonk K.J., Reed D.A., et al. Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Arch Surg 2012, 147:536-541.
12. Schwartz S.I., Galante J., Kaji A., et al. Effect of the 16-hour work limit on general surgery intern operative case volume: a multi-institutional study. JAMA Surg 2013, 148:829-833.
13. Antiel R.M., Reed D.A., Van Arendonck K.J., et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. JAMA Surgery 2013, 148(5):448-455.
14. Jamal M.H., Doi S.A., Rousseau M., et al. Systematic review and meta-analysis of the effect of North American working hours restrictions on mortality and morbidity in surgical patients. Br J Surg 2012, 99(3):336-344.
15. Everett C.B., Helmer S.D., Osland J.S., et al. General surgery resident attrition and the 80-hour workweek. Am J Surg 2007, 194(6):751-756.
16. Twenge J.M. Generation me: why today's young Americans are more confident, assertive, entitled-and more miserable than ever before 2006, Simon and Schuster, New York, NY.
17. Sachdeva A.K., Buyske J., Dunnington G.L., et al. Anew paradigm for surgical procedural training. Curr Probl Surg 2011, 48(12):854-968.
18. Gumbs A.A., Hogle N.J., Fowler D.L. Evaluation of resident laparoscopic performance using global assessment of laparoscopic skills. JAm Coll Surg 2007, 204(2):308-313.
19. Nasca T.J., Philibert I., Brigham T., et al. The next GME accreditation system-rationale and benefits. NEngl J Med 2012, 366(11):1051-1056.
20. Richardson J.D. ACS transition to practice program offers surgical residents additional opportunities to hone skills. Bull Am Coll Surg 2013, 98(9):23-27. Available at:, Accessed November 17, 2013. http://www.facs.org/fellows_info/bulletin/bullet.html.