General surgery residency inadequately prepares trainees for fellowship

Results of a survey of fellowship program directors

Samer G. Mattar, Adnan A. Alseidi, Daniel B. Jones, D. Rohan Jeyarajah, Lee L. Swanstrom, Ralph W. Aye, Steven D. Wexner, José M. Martinez, Sharona B. Ross, Michael M. Awad, Morris E. Franklin, Maurice E. Arregui, Bruce D. Schirmer, Rebecca M. Minter

Research output: Contribution to journalArticle

Abstract

Objective: To assess readiness of general surgery graduate trainees entering accredited surgical subspecialty fellowships in North America. Methods: A multidomain, global assessment survey designed by the Fellowship Council research committee was electronically sent to all subspecialty program directors. Respondents spannedminimally invasive surgery, bariatric, colorectal, hepatobiliary, and thoracic specialties. There were 46 quantitative questions distributed across 5 domains and 1 or more reflective qualitative questions/domains. Results: There was a 63% response rate (n=91/145). Of respondent program directors, 21% felt that newfellows arrived unprepared for the operating room, 38% demonstrated lack of patient ownership, 30% could not independently perform a laparoscopic cholecystectomy, and 66% were deemed unable to operate for 30 unsupervised minutes of a major procedure. With regard to laparoscopic skills, 30% could not atraumatically manipulate tissue, 26% could not recognize anatomical planes, and 56% could not suture. Furthermore, 28% of fellows were not familiar with therapeutic options and 24% were unable to recognize early signs of complications. Finally, it was felt that the majority of new fellows were unable to conceive, design, and conduct research/academic projects. Thematic clustering of qualitative data revealed deficits in domains of operative autonomy, progressive responsibility, longitudinal follow-up, and scholarly focus after general surgery education.

Original languageEnglish
Pages (from-to)440-447
Number of pages8
JournalAnnals of Surgery
Volume258
Issue number3
DOIs
StatePublished - Sep 2013

Fingerprint

Internship and Residency
Colorectal Surgery
Bariatric Surgery
Ownership
Laparoscopic Cholecystectomy
Operating Rooms
North America
Sutures
Cluster Analysis
Research Design
Thorax
Education
Research
Surveys and Questionnaires
Therapeutics

Keywords

  • Electronic survey
  • Fellowship training
  • Residency training
  • Surgical education

ASJC Scopus subject areas

  • Surgery

Cite this

Mattar, S. G., Alseidi, A. A., Jones, D. B., Jeyarajah, D. R., Swanstrom, L. L., Aye, R. W., ... Minter, R. M. (2013). General surgery residency inadequately prepares trainees for fellowship: Results of a survey of fellowship program directors. Annals of Surgery, 258(3), 440-447. https://doi.org/10.1097/SLA.0b013e3182a191ca

General surgery residency inadequately prepares trainees for fellowship : Results of a survey of fellowship program directors. / Mattar, Samer G.; Alseidi, Adnan A.; Jones, Daniel B.; Jeyarajah, D. Rohan; Swanstrom, Lee L.; Aye, Ralph W.; Wexner, Steven D.; Martinez, José M.; Ross, Sharona B.; Awad, Michael M.; Franklin, Morris E.; Arregui, Maurice E.; Schirmer, Bruce D.; Minter, Rebecca M.

In: Annals of Surgery, Vol. 258, No. 3, 09.2013, p. 440-447.

Research output: Contribution to journalArticle

Mattar, SG, Alseidi, AA, Jones, DB, Jeyarajah, DR, Swanstrom, LL, Aye, RW, Wexner, SD, Martinez, JM, Ross, SB, Awad, MM, Franklin, ME, Arregui, ME, Schirmer, BD & Minter, RM 2013, 'General surgery residency inadequately prepares trainees for fellowship: Results of a survey of fellowship program directors', Annals of Surgery, vol. 258, no. 3, pp. 440-447. https://doi.org/10.1097/SLA.0b013e3182a191ca
Mattar, Samer G. ; Alseidi, Adnan A. ; Jones, Daniel B. ; Jeyarajah, D. Rohan ; Swanstrom, Lee L. ; Aye, Ralph W. ; Wexner, Steven D. ; Martinez, José M. ; Ross, Sharona B. ; Awad, Michael M. ; Franklin, Morris E. ; Arregui, Maurice E. ; Schirmer, Bruce D. ; Minter, Rebecca M. / General surgery residency inadequately prepares trainees for fellowship : Results of a survey of fellowship program directors. In: Annals of Surgery. 2013 ; Vol. 258, No. 3. pp. 440-447.
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