Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre

Background: The ability to provide competent operative trauma care is a core objective of general surgery training but recent publications question the ability of graduates to meet this standard. To assess the adequacy of operative trauma exposure during residency, we constructed and analyzed a ret...

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Autores principales:	Paul Engels, Andrew Versolatto, Qian Shi, Angela Coates, Timothy Rice
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2020
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0cbf9ffd3bb5427f85363c6cc89ba9a6
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spelling	oai:doaj.org-article:0cbf9ffd3bb5427f85363c6cc89ba9a62021-12-01T22:38:43ZCause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre10.36834/cmej.693231923-1202https://doaj.org/article/0cbf9ffd3bb5427f85363c6cc89ba9a62020-08-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/69323https://doaj.org/toc/1923-1202 Background: The ability to provide competent operative trauma care is a core objective of general surgery training but recent publications question the ability of graduates to meet this standard. To assess the adequacy of operative trauma exposure during residency, we constructed and analyzed a retrospective trauma operative case log for general surgery residents at a Canadian trauma centre. Methods: The Hamilton General Hospital Trauma Registry was used to identify all patients from July 2008 to June 2018 who underwent a trauma operation on the neck, chest, or abdomen. Medical records were reviewed to determine procedure type and resident presence. Results: In our study, 417 patients underwent 570 operations (422 abdominal, 103 thoracic, and 45 neck). For the 35 residents that completed their general surgery residency during the study, the median number of trauma laparotomies was 5, with only 14/35 (40%) present for ≥10 trauma operations. Only 10 residents (29%) were exposed to a neck exploration and 18 (51%) exposed to a thoracic operation for trauma. Conclusions: Operative trauma exposure amongst general surgery residents at an academic Canadian trauma centre was limited. Cumulative operative trauma surgery exposure of a typical graduating resident was inadequate when compared to Canadian and American accrediting-body standards. Paul EngelsAndrew VersolattoQian ShiAngela CoatesTimothy RiceCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 6 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Paul Engels Andrew Versolatto Qian Shi Angela Coates Timothy Rice Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre
description	Background: The ability to provide competent operative trauma care is a core objective of general surgery training but recent publications question the ability of graduates to meet this standard. To assess the adequacy of operative trauma exposure during residency, we constructed and analyzed a retrospective trauma operative case log for general surgery residents at a Canadian trauma centre. Methods: The Hamilton General Hospital Trauma Registry was used to identify all patients from July 2008 to June 2018 who underwent a trauma operation on the neck, chest, or abdomen. Medical records were reviewed to determine procedure type and resident presence. Results: In our study, 417 patients underwent 570 operations (422 abdominal, 103 thoracic, and 45 neck). For the 35 residents that completed their general surgery residency during the study, the median number of trauma laparotomies was 5, with only 14/35 (40%) present for ≥10 trauma operations. Only 10 residents (29%) were exposed to a neck exploration and 18 (51%) exposed to a thoracic operation for trauma. Conclusions: Operative trauma exposure amongst general surgery residents at an academic Canadian trauma centre was limited. Cumulative operative trauma surgery exposure of a typical graduating resident was inadequate when compared to Canadian and American accrediting-body standards.
format	article
author	Paul Engels Andrew Versolatto Qian Shi Angela Coates Timothy Rice
author_facet	Paul Engels Andrew Versolatto Qian Shi Angela Coates Timothy Rice
author_sort	Paul Engels
title	Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre
title_short	Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre
title_full	Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre
title_fullStr	Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre
title_full_unstemmed	Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre
title_sort	cause for concern: resident experience in operative trauma during general surgery residency at a canadian centre
publisher	Canadian Medical Education Journal
publishDate	2020
url	https://doaj.org/article/0cbf9ffd3bb5427f85363c6cc89ba9a6
work_keys_str_mv	AT paulengels causeforconcernresidentexperienceinoperativetraumaduringgeneralsurgeryresidencyatacanadiancentre AT andrewversolatto causeforconcernresidentexperienceinoperativetraumaduringgeneralsurgeryresidencyatacanadiancentre AT qianshi causeforconcernresidentexperienceinoperativetraumaduringgeneralsurgeryresidencyatacanadiancentre AT angelacoates causeforconcernresidentexperienceinoperativetraumaduringgeneralsurgeryresidencyatacanadiancentre AT timothyrice causeforconcernresidentexperienceinoperativetraumaduringgeneralsurgeryresidencyatacanadiancentre
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Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre

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