Abstract
Background: Surgical residency training is evolving, and trainees who wish to practice hepatopancreato-biliary (HPB) surgery in the future will be required to obtain advanced training. As this paradigm evolves, it is crucial that HPB fellowship incorporation into an established surgical residency programme does not diminish surgical residents' exposure to complex HPB procedures. We hypothesized that incorporation of a HPB fellowship in a high-volume clinical training programme would not detract from residents' HPB experience. Methods: Resident operative case logs and HPB fellow case logs were reviewed. Resident exposure to complex HPB procedures for 3 years prior to and 3 years after fellowship incorporation were compared. Results: No significant changes in surgical resident exposure to liver and pancreatic resection were seen between the two time periods. Surgical resident exposure to complex biliary procedures decreased in the 3 years after HPB fellowship incorporation (P = 0.003); however, exceeded the national average in each year except 2006. Graduating residents' overall HPB experience was unchanged in the 3 years prior to and after incorporating an HPB fellow. Expansion of HPB volume was a critical part of successful HPB fellowship implementation. Discussion: An HPB fellowship programme can be incorporated into a high-volume clinical training programme without detracting from resident HPB experience. Individual training programmes should carefully assess their capability to provide an adequate clinical experience for fellows without diminishing resident exposure to complex HPB procedures.
| Original language | English |
|---|---|
| Pages (from-to) | 123-128 |
| Number of pages | 6 |
| Journal | HPB |
| Volume | 12 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 2010 |
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Keywords
- Fellowship training
- Hepato-pancreato-biliary
- Hepato-pancreato-biliary surgery
- Hepato-pancreato-biliary surgery fellowship
- Resident education
ASJC Scopus subject areas
- Gastroenterology
- Hepatology
Cite this
Incorporating an HPB fellowship does not diminish surgical residents' HPB experience in a high-volume training centre. / Zyromski, Nicholas; Torbeck, Laura; Canal, David F.; Lillemoe, Keith D.; Pitt, Henry A.
In: HPB, Vol. 12, No. 2, 03.2010, p. 123-128.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Incorporating an HPB fellowship does not diminish surgical residents' HPB experience in a high-volume training centre
AU - Zyromski, Nicholas
AU - Torbeck, Laura
AU - Canal, David F.
AU - Lillemoe, Keith D.
AU - Pitt, Henry A.
PY - 2010/3
Y1 - 2010/3
N2 - Background: Surgical residency training is evolving, and trainees who wish to practice hepatopancreato-biliary (HPB) surgery in the future will be required to obtain advanced training. As this paradigm evolves, it is crucial that HPB fellowship incorporation into an established surgical residency programme does not diminish surgical residents' exposure to complex HPB procedures. We hypothesized that incorporation of a HPB fellowship in a high-volume clinical training programme would not detract from residents' HPB experience. Methods: Resident operative case logs and HPB fellow case logs were reviewed. Resident exposure to complex HPB procedures for 3 years prior to and 3 years after fellowship incorporation were compared. Results: No significant changes in surgical resident exposure to liver and pancreatic resection were seen between the two time periods. Surgical resident exposure to complex biliary procedures decreased in the 3 years after HPB fellowship incorporation (P = 0.003); however, exceeded the national average in each year except 2006. Graduating residents' overall HPB experience was unchanged in the 3 years prior to and after incorporating an HPB fellow. Expansion of HPB volume was a critical part of successful HPB fellowship implementation. Discussion: An HPB fellowship programme can be incorporated into a high-volume clinical training programme without detracting from resident HPB experience. Individual training programmes should carefully assess their capability to provide an adequate clinical experience for fellows without diminishing resident exposure to complex HPB procedures.
AB - Background: Surgical residency training is evolving, and trainees who wish to practice hepatopancreato-biliary (HPB) surgery in the future will be required to obtain advanced training. As this paradigm evolves, it is crucial that HPB fellowship incorporation into an established surgical residency programme does not diminish surgical residents' exposure to complex HPB procedures. We hypothesized that incorporation of a HPB fellowship in a high-volume clinical training programme would not detract from residents' HPB experience. Methods: Resident operative case logs and HPB fellow case logs were reviewed. Resident exposure to complex HPB procedures for 3 years prior to and 3 years after fellowship incorporation were compared. Results: No significant changes in surgical resident exposure to liver and pancreatic resection were seen between the two time periods. Surgical resident exposure to complex biliary procedures decreased in the 3 years after HPB fellowship incorporation (P = 0.003); however, exceeded the national average in each year except 2006. Graduating residents' overall HPB experience was unchanged in the 3 years prior to and after incorporating an HPB fellow. Expansion of HPB volume was a critical part of successful HPB fellowship implementation. Discussion: An HPB fellowship programme can be incorporated into a high-volume clinical training programme without detracting from resident HPB experience. Individual training programmes should carefully assess their capability to provide an adequate clinical experience for fellows without diminishing resident exposure to complex HPB procedures.
KW - Fellowship training
KW - Hepato-pancreato-biliary
KW - Hepato-pancreato-biliary surgery
KW - Hepato-pancreato-biliary surgery fellowship
KW - Resident education
UR - http://www.scopus.com/inward/record.url?scp=77449102302&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77449102302&partnerID=8YFLogxK
U2 - 10.1111/j.1477-2574.2009.00146.x
DO - 10.1111/j.1477-2574.2009.00146.x
M3 - Article
C2 - 20495656
AN - SCOPUS:77449102302
VL - 12
SP - 123
EP - 128
JO - HPB
JF - HPB
SN - 1365-182X
IS - 2
ER -