National trends in minimally invasive and open operative experience of graduating general surgery residents

Implications for surgical skills curricula development?

Jeffrey S. Carson, Lynette M Smith, Madhuri Are, James Edney, Kenneth Azarow, David W Mercer, Jon S Thompson, Chandrakanth Are

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: The aim of this study was to analyze national trends in minimally invasive and open cases of all graduating residents in general surgery. Methods: A retrospective analysis was performed on data obtained from Accreditation Council for Graduate Medical Education logs (19992008) of graduating residents from all US general surgery residency programs. Data were analyzed using Mantel-Haenszel χ 2 tests and the Bonferroni adjustment to detect trends in the number of minimally invasive and open cases. Results: Minimally invasive procedures accounted for an increasing proportion of cases performed (3.7% to 11.1%, P <.0001), with a proportional decrease in open cases. An increase in minimally invasive procedures with a proportional decrease in open procedures was noted in subcategories such as alimentary tract, abdominal, vascular, thoracic, and pediatric surgery (P <.0001). Conclusions: The results of this study demonstrate that general surgery residents in the United States are performing a greater number of minimally invasive and fewer open procedures for common surgical conditions.

Original languageEnglish (US)
Pages (from-to)720-726
Number of pages7
JournalAmerican journal of surgery
Volume202
Issue number6
DOIs
StatePublished - Dec 1 2011

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Curriculum
Graduate Medical Education
Accreditation
Internship and Residency
Thoracic Surgery
Blood Vessels
Pediatrics

Keywords

  • ACGME
  • General surgery residents
  • Minimally invasive cases
  • Open cases
  • Trends

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "National trends in minimally invasive and open operative experience of graduating general surgery residents: Implications for surgical skills curricula development?",
abstract = "Background: The aim of this study was to analyze national trends in minimally invasive and open cases of all graduating residents in general surgery. Methods: A retrospective analysis was performed on data obtained from Accreditation Council for Graduate Medical Education logs (19992008) of graduating residents from all US general surgery residency programs. Data were analyzed using Mantel-Haenszel χ 2 tests and the Bonferroni adjustment to detect trends in the number of minimally invasive and open cases. Results: Minimally invasive procedures accounted for an increasing proportion of cases performed (3.7{\%} to 11.1{\%}, P <.0001), with a proportional decrease in open cases. An increase in minimally invasive procedures with a proportional decrease in open procedures was noted in subcategories such as alimentary tract, abdominal, vascular, thoracic, and pediatric surgery (P <.0001). Conclusions: The results of this study demonstrate that general surgery residents in the United States are performing a greater number of minimally invasive and fewer open procedures for common surgical conditions.",
keywords = "ACGME, General surgery residents, Minimally invasive cases, Open cases, Trends",
author = "Carson, {Jeffrey S.} and Smith, {Lynette M} and Madhuri Are and James Edney and Kenneth Azarow and Mercer, {David W} and Thompson, {Jon S} and Chandrakanth Are",
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AU - Carson, Jeffrey S.

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AU - Are, Madhuri

AU - Edney, James

AU - Azarow, Kenneth

AU - Mercer, David W

AU - Thompson, Jon S

AU - Are, Chandrakanth

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