Swanstrom Lee L, Park Adrian, Arregui Marty, Franklin Morris, Smith C Daniel, Blaney Christina
Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR 97210, USA.
Ann Surg. 2006 Apr;243(4):431-5. doi: 10.1097/01.sla.0000205217.45477.25.
Since 1993, there has been an increase in the number of postgraduate fellowships in minimally invasive and gastrointestinal (GI) surgery; from 9 in 1993 to more than 80 in 2004. Early on, there was no supervision or accreditation of these fellowships, and they varied widely in content, structure, and quality. This was widely recognized as being a bad situation for fellow applicants and reflected poorly on the specialties of minimally invasive (MI) and GI surgery. In an effort to bring order to this chaotic situation, the Minimally Invasive Surgery Fellowship Council (MISFC) was founded in 1997.
In 2003, the MISFC was incorporated with 77 founding member programs. The goal of the MISFC was to develop guidelines for high-quality fellowship training, to provide a forum for the directors of MI and GI fellowships to exchange ideas, formulate training curricula; to establish uniform application and selection dates; and to create an equitable computerized match system for applicants.
In 2004, the MISFC has increased to 95 members representing 154 postgraduate fellowship positions. The majority of these positions are primarily laparoscopic in focus, but other aspects of GI surgery including bariatric, general GI, flexible endoscopy, and hepatopancreatobiliary are also represented. Uniform application and selection dates were agreed on in 2001; and in 2003, the Council established a computerized Match, administered by the National Resident Match Program, which was used for the 2004 fellowship selection. A total of 113 positions were open for the match. A total of 248 applicants formally applied to MISFC programs and 130 participated in the match. Ninety-nine positions matched on the December 10th match day, and the remaining 14 programs successfully filled on the following scramble day. Seventeen applicants did not match to a program. Post match polling of program directors and applicants documented a high degree of compliance, usability, and satisfaction with the process.
The MISFC has been successful at realizing its goals of bringing order to the past chaos of the MIS and GI fellowship situation. Its current iteration, the Fellowship Council, is in the process of introducing an accreditation process to further ensure the highest quality of postgraduate training in the fields of GI and endoscopic surgery.
自1993年以来，微创和胃肠（GI）外科的研究生奖学金数量有所增加；从1993年的9个增加到2004年的80多个。早期，这些奖学金没有监督或认证，其内容、结构和质量差异很大。这被广泛认为对奖学金申请者来说是糟糕的情况，也给微创（MI）和胃肠外科专业带来了不良影响。为了使这种混乱局面变得有序，微创外科奖学金委员会（MISFC）于1997年成立。
2003年，MISFC合并了77个创始成员项目。MISFC的目标是制定高质量奖学金培训的指导方针，为MI和GI奖学金项目主任提供一个交流想法、制定培训课程的论坛；确定统一的申请和选拔日期；并为申请者创建一个公平的计算机化匹配系统。
2004年，MISFC已增加到95个成员，代表154个研究生奖学金职位。这些职位大多主要侧重于腹腔镜手术，但胃肠外科的其他方面，包括减肥手术、普通胃肠手术、软性内镜检查和肝胰胆手术也有涉及。2001年确定了统一的申请和选拔日期；2003年，该委员会建立了一个由全国住院医师匹配计划管理的计算机化匹配系统，用于2004年的奖学金选拔。共有113个职位可供匹配。共有248名申请者正式申请了MISFC项目，130人参加了匹配。99个职位在12月10日的匹配日成功匹配，其余14个项目在随后的补录日成功填补。17名申请者未匹配到项目。对项目主任和申请者的匹配后调查表明，他们对该过程高度遵守、使用方便且满意。
MISFC成功实现了其目标，即让过去混乱的MIS和GI奖学金局面变得有序。其当前的版本，即奖学金委员会，正在引入认证程序，以进一步确保胃肠和内镜外科领域研究生培训的最高质量。
