Department of Surgery, University of Virginia, Charlottesville, VA.
Accreditation Council of Graduate Medical Education, Chicago, IL.
Surgery. 2021 Jan;169(1):185-190. doi: 10.1016/j.surg.2020.05.043. Epub 2020 Aug 6.
New pediatric and vascular surgical fellowship programs decrease resident operative experience in those subspecialties in co-located general surgery programs.After 2 decades of increases, the mean number of endocrine surgery cases performed by general surgery residents nationally has decreased since 2010 to 2011. We hypothesized that new endocrine surgery fellowship programs lead to a decrease in the number of endocrine surgery cases performed by co-located general surgery residents and may be a contributing factor in the recent national decline in endocrine surgery cases performed by general surgery residents.
Endocrine surgery fellowship programs associated with a single, Accreditation Council of Graduate Medical Education-accredited general surgery program that have completed training of 1 fellow by the 2014-2015 academic year were identified. Endocrine surgery cases performed by general surgery residents who completed co-located general surgery programs from 2002 to 2003 through 2017 to 2018 were recorded. Descriptive statistics are shown as mean ± standard deviation. Statistical significance was calculated using the Mann-Whitney U Test.
In the 13 general surgery programs with 5 years of case log data after the matriculation of the first fellow, the mean number of total endocrine surgery cases/resident increased from 47 ± 23 in year 0 to 57 ± 25 in year 5 (z-score = 2.53; P < .05).
New endocrine surgery fellowship programs do not decrease the endocrine surgery cases performed by general surgery residents and have not contributed to the national decline in endocrine surgery cases by general surgery residents.
在位于同一地点的普通外科项目中，新的儿科和血管外科研究员项目减少了居民在这些亚专业中的手术经验。自 2010 年至 2011 年以来，全国普通外科住院医师进行的内分泌手术病例数量在 20 多年来持续增加后有所减少。我们假设新的内分泌外科研究员项目导致与普通外科位于同一地点的外科住院医师进行的内分泌外科手术数量减少，并且可能是近年来普通外科住院医师进行的内分泌外科手术数量下降的一个因素。
确定了与单个经研究生医学教育认证委员会（Accreditation Council of Graduate Medical Education）认可的普通外科项目相关联的内分泌外科研究员项目，该项目在 2014-2015 学年完成了 1 名研究员的培训。记录了 2002 年至 2003 年至 2017 年至 2018 年期间完成联合普通外科项目的普通外科住院医师进行的内分泌手术病例。显示描述性统计数据为平均值±标准偏差。使用 Mann-Whitney U 检验计算统计学意义。
在 13 个普通外科项目中，在第一位研究员入学后的 5 年病例记录数据中，每位住院医师的总内分泌手术病例数从 0 年的 47±23 增加到第 5 年的 57±25（z 分数= 2.53；P <.05）。
新的内分泌外科研究员项目并未减少普通外科住院医师进行的内分泌外科手术数量，也没有导致普通外科住院医师进行的内分泌外科手术数量下降。
