Experience with surgical resident training in a combined program in plastic surgery

D. J. Scholten, Kimberly D Schenarts, J. Beernink, W. D. Passinault, T. P. Wade, W. Turner

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Healthcare reform may impact graduate medical education (GME) to reduce both specialty training positions and the length of training in these programs. General Surgery residencies often provide prerequisite training for surgery specialty training and will be affected by these changes. The purpose of this study is to identify the quality, outcome, and differences between PGYI-PGYIII categorical general surgery residents (GS) and matched prerequisite plastic surgery residents (PS). Concurrent comparisons analyzed American Board of Surgery Inservice Training Examinations (ABSITE) data from 1980-1992 as well as the surgery operative logs (SOL) and the curriculum of matched residents from 1989-1992. Outcome was assessed by board performance and from a piloted questionnaire to all PS graduates of the combined (3-year GS and 2-year PS) program. ABSITE analysis demonstrated satisfactory performance for both PS and GS at each PGY level, with significant increases each year for GS, but only between PGYI and PGYII for PS; there was a significant difference between PS and GS at all PGY levels. SOL analysis paralleled the curriculum and demonstrated more plastic surgery for PS compared to GS, with no difference in general surgery or hand surgery. PS program graduate respondents (32/44-72.7%) identified that the GS training/PS training was appropriate (71.9%/93.8%), effective (90.7%/93.8%) and of appropriate duration (87.5%/75.1%). 87.5 per cent of PS graduates completed ABPS certification. Combined PS training in all PS programs would reduce GME payments by over $20 million. Combined PS training is effective, appropriate, resource-efficient, and has an excellent outcome, but it requires a specific curriculum and close coordination between General Surgery and Plastic Surgery programs.

Original languageEnglish (US)
Pages (from-to)594-602
Number of pages9
JournalAmerican Surgeon
Volume61
Issue number7
StatePublished - Jan 1 1995

Fingerprint

Plastic Surgery
Curriculum
Inservice Training
Graduate Medical Education
Health Care Reform
Certification
Internship and Residency

ASJC Scopus subject areas

  • Surgery

Cite this

Scholten, D. J., Schenarts, K. D., Beernink, J., Passinault, W. D., Wade, T. P., & Turner, W. (1995). Experience with surgical resident training in a combined program in plastic surgery. American Surgeon, 61(7), 594-602.

Experience with surgical resident training in a combined program in plastic surgery. / Scholten, D. J.; Schenarts, Kimberly D; Beernink, J.; Passinault, W. D.; Wade, T. P.; Turner, W.

In: American Surgeon, Vol. 61, No. 7, 01.01.1995, p. 594-602.

Research output: Contribution to journalArticle

Scholten, DJ, Schenarts, KD, Beernink, J, Passinault, WD, Wade, TP & Turner, W 1995, 'Experience with surgical resident training in a combined program in plastic surgery', American Surgeon, vol. 61, no. 7, pp. 594-602.
Scholten DJ, Schenarts KD, Beernink J, Passinault WD, Wade TP, Turner W. Experience with surgical resident training in a combined program in plastic surgery. American Surgeon. 1995 Jan 1;61(7):594-602.
Scholten, D. J. ; Schenarts, Kimberly D ; Beernink, J. ; Passinault, W. D. ; Wade, T. P. ; Turner, W. / Experience with surgical resident training in a combined program in plastic surgery. In: American Surgeon. 1995 ; Vol. 61, No. 7. pp. 594-602.
@article{9c6eb433f5ff46b991c8dfa5b04c0cd5,
title = "Experience with surgical resident training in a combined program in plastic surgery",
abstract = "Healthcare reform may impact graduate medical education (GME) to reduce both specialty training positions and the length of training in these programs. General Surgery residencies often provide prerequisite training for surgery specialty training and will be affected by these changes. The purpose of this study is to identify the quality, outcome, and differences between PGYI-PGYIII categorical general surgery residents (GS) and matched prerequisite plastic surgery residents (PS). Concurrent comparisons analyzed American Board of Surgery Inservice Training Examinations (ABSITE) data from 1980-1992 as well as the surgery operative logs (SOL) and the curriculum of matched residents from 1989-1992. Outcome was assessed by board performance and from a piloted questionnaire to all PS graduates of the combined (3-year GS and 2-year PS) program. ABSITE analysis demonstrated satisfactory performance for both PS and GS at each PGY level, with significant increases each year for GS, but only between PGYI and PGYII for PS; there was a significant difference between PS and GS at all PGY levels. SOL analysis paralleled the curriculum and demonstrated more plastic surgery for PS compared to GS, with no difference in general surgery or hand surgery. PS program graduate respondents (32/44-72.7{\%}) identified that the GS training/PS training was appropriate (71.9{\%}/93.8{\%}), effective (90.7{\%}/93.8{\%}) and of appropriate duration (87.5{\%}/75.1{\%}). 87.5 per cent of PS graduates completed ABPS certification. Combined PS training in all PS programs would reduce GME payments by over $20 million. Combined PS training is effective, appropriate, resource-efficient, and has an excellent outcome, but it requires a specific curriculum and close coordination between General Surgery and Plastic Surgery programs.",
author = "Scholten, {D. J.} and Schenarts, {Kimberly D} and J. Beernink and Passinault, {W. D.} and Wade, {T. P.} and W. Turner",
year = "1995",
month = "1",
day = "1",
language = "English (US)",
volume = "61",
pages = "594--602",
journal = "The American surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "7",

}

TY - JOUR

T1 - Experience with surgical resident training in a combined program in plastic surgery

AU - Scholten, D. J.

AU - Schenarts, Kimberly D

AU - Beernink, J.

AU - Passinault, W. D.

AU - Wade, T. P.

AU - Turner, W.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Healthcare reform may impact graduate medical education (GME) to reduce both specialty training positions and the length of training in these programs. General Surgery residencies often provide prerequisite training for surgery specialty training and will be affected by these changes. The purpose of this study is to identify the quality, outcome, and differences between PGYI-PGYIII categorical general surgery residents (GS) and matched prerequisite plastic surgery residents (PS). Concurrent comparisons analyzed American Board of Surgery Inservice Training Examinations (ABSITE) data from 1980-1992 as well as the surgery operative logs (SOL) and the curriculum of matched residents from 1989-1992. Outcome was assessed by board performance and from a piloted questionnaire to all PS graduates of the combined (3-year GS and 2-year PS) program. ABSITE analysis demonstrated satisfactory performance for both PS and GS at each PGY level, with significant increases each year for GS, but only between PGYI and PGYII for PS; there was a significant difference between PS and GS at all PGY levels. SOL analysis paralleled the curriculum and demonstrated more plastic surgery for PS compared to GS, with no difference in general surgery or hand surgery. PS program graduate respondents (32/44-72.7%) identified that the GS training/PS training was appropriate (71.9%/93.8%), effective (90.7%/93.8%) and of appropriate duration (87.5%/75.1%). 87.5 per cent of PS graduates completed ABPS certification. Combined PS training in all PS programs would reduce GME payments by over $20 million. Combined PS training is effective, appropriate, resource-efficient, and has an excellent outcome, but it requires a specific curriculum and close coordination between General Surgery and Plastic Surgery programs.

AB - Healthcare reform may impact graduate medical education (GME) to reduce both specialty training positions and the length of training in these programs. General Surgery residencies often provide prerequisite training for surgery specialty training and will be affected by these changes. The purpose of this study is to identify the quality, outcome, and differences between PGYI-PGYIII categorical general surgery residents (GS) and matched prerequisite plastic surgery residents (PS). Concurrent comparisons analyzed American Board of Surgery Inservice Training Examinations (ABSITE) data from 1980-1992 as well as the surgery operative logs (SOL) and the curriculum of matched residents from 1989-1992. Outcome was assessed by board performance and from a piloted questionnaire to all PS graduates of the combined (3-year GS and 2-year PS) program. ABSITE analysis demonstrated satisfactory performance for both PS and GS at each PGY level, with significant increases each year for GS, but only between PGYI and PGYII for PS; there was a significant difference between PS and GS at all PGY levels. SOL analysis paralleled the curriculum and demonstrated more plastic surgery for PS compared to GS, with no difference in general surgery or hand surgery. PS program graduate respondents (32/44-72.7%) identified that the GS training/PS training was appropriate (71.9%/93.8%), effective (90.7%/93.8%) and of appropriate duration (87.5%/75.1%). 87.5 per cent of PS graduates completed ABPS certification. Combined PS training in all PS programs would reduce GME payments by over $20 million. Combined PS training is effective, appropriate, resource-efficient, and has an excellent outcome, but it requires a specific curriculum and close coordination between General Surgery and Plastic Surgery programs.

UR - http://www.scopus.com/inward/record.url?scp=0029019226&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029019226&partnerID=8YFLogxK

M3 - Article

VL - 61

SP - 594

EP - 602

JO - The American surgeon

JF - The American surgeon

SN - 0003-1348

IS - 7

ER -