General surgery resident experience with anorectal surgery |
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| Affiliation: | 1. Department of Surgery, Womack Army Medical Center, USA;2. Department of Surgery, Madigan Army Medical Center, USA;3. Department of Orthopaedic Surgery, Blanchfield Army Community Hospital, USA;4. Department of Surgery, Tripler Army Medical Center, USA;5. Department of Pediatric Surgery, Vanderbilt University Medical Center, USA;2. Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, California;1. Stanford School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA;2. Stanford Surgery ACS Education Institute/Goodman Surgical Education Center, Stanford Department of Surgery, 300 Pasteur Drive, Stanford, CA, 94305, USA;3. Stanford-Surgery Policy Improvement Research and Education Center (S-SPIRE), Stanford Department of Surgery, 1070 Arastradero Road, Palo Alto, CA, 94304, USA;1. Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, and Section of Dentistry/Oral and Maxillofacial Surgery, Children''s Healthcare of Atlanta, Atlanta, GA, USA;2. Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA, USA;3. Previously, Clinic Operations, the Emory Clinic, Atlanta, GA. Currently, Director, Orthopedics and Spine Service, DeKalb Medical Center, Decatur, GA |
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| Abstract: | BackgroundPrevious studies have suggested that general surgery residents graduate with suboptimal anorectal experience. However, competence in anorectal procedures is an important part of general surgery training.MethodsACGME general surgery resident case logs from 1999 to 2017 were reviewed. Mean number of anorectal procedures were evaluated, comparing Period 1 (1999–2008) and Period 2 (2009–2017).ResultsBetween 1999 and 2017, the mean number of all anorectal procedures performed by each general surgery resident has increased from 25.9 to 32.4 (by 25%). Between Period 1 and 2, mean numbers of total anorectal procedures, abscess drainage, fistula repair, hemorrhoidectomy, prolapse repair, other anorectal procedures all increased (p ≤ 0.01). Mean numbers of sphincterotomy/sphincteroplasty and other procedures for fecal incontinence significantly decreased (p ≤ 0.01).ConclusionsGeneral surgery residents have gained more experience in some anorectal procedures over time. The required number of procedures to establish competence is not well defined and should be formally evaluated. |
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| Keywords: | Anorectal disease Resident competency Case numbers General surgery resident training Colorectal surgery ACGME case logs |
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