Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Tytuł pozycji:

Curriculum Change Needed: A Decline in Antireflux Surgery in the Pediatric Surgery Fellowship.

Tytuł:
Curriculum Change Needed: A Decline in Antireflux Surgery in the Pediatric Surgery Fellowship.
Autorzy:
Esparaz JR; Division of Pediatric Surgery, Children's of Alabama, Birmingham, Alabama; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: .
Mathis MS; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Russell RT; Division of Pediatric Surgery, Children's of Alabama, Birmingham, Alabama; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Źródło:
The Journal of surgical research [J Surg Res] 2020 Nov; Vol. 255, pp. 9-12. Date of Electronic Publication: 2020 Jun 12.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
MeSH Terms:
Curriculum*
Fundoplication/*education
Gastroesophageal Reflux/*surgery
Internship and Residency/*standards
Specialties, Surgical/*education
Accreditation/standards ; Child ; Clinical Competence ; Fundoplication/statistics & numerical data ; Humans ; Internship and Residency/statistics & numerical data ; Specialties, Surgical/standards ; Specialties, Surgical/statistics & numerical data
Contributed Indexing:
Keywords: Case volume; Curriculum; Fellowship; Pediatric surgery
Entry Date(s):
Date Created: 20200617 Date Completed: 20201126 Latest Revision: 20201126
Update Code:
20240105
DOI:
10.1016/j.jss.2020.05.020
PMID:
32540582
Czasopismo naukowe
Background: Case number requirements by the Accreditation Council for Graduate Medical Education (ACGME) have recently changed in general surgery residency and pediatric surgery fellowship. Overall, pediatric surgery fellowship case volumes remain high, but there may be limited exposure to many index cases. We hypothesize that pediatric antireflux surgery is decreasing nationally, and this trend is independent of the fluctuating number of pediatric surgery fellows.
Materials and Methods: A review of publicly available ACGME case reports from 2003 to 2018 was performed. Both open and laparoscopic antireflux surgery cases were evaluated. Analyzed data included average case number per fellow, minimum and maximum case numbers, and number of fellows each year. Simple and multiple linear regression analyses were performed.
Results: We identified a significant relationship (P < 0.001) between the total number of antireflux procedures and the years of operation. The slope coefficient was -1.45, meaning the number of operations decreased by an average of 1.45 per year from 2003 to 2018 . The number of fellows fluctuated during this time period (range: 24-45). With multiple linear regression analysis, we found that the number of fellows did not affect the decline of antireflux surgery seen over the years (P = 0.91).
Conclusions: Case numbers continue to be an important topic in ACGME discussions for surgical residency and subspecialty fellowships. Our review has shown a national decline in the number of pediatric antireflux surgeries performed in pediatric surgery fellowship. Identifying additional trends in surgical management of diseases may aid in the evolution of the pediatric surgery curriculum.
(Copyright © 2020 Elsevier Inc. All rights reserved.)

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies