Are general surgery residents ready to practice? A survey of the American College of Surgeons Board of Governors and Young Fellows Association.

Autor:	Napolitano LM; Department of Surgery, University of Michigan Health System, Ann Arbor, MI. Electronic address: lenan@umich.edu., Savarise M; University of Utah, South Jordan, UT., Paramo JC; Mount Sinai Medical Center, Miami Beach, FL., Soot LC; The Oregon Clinic, Portland, OR., Todd SR; New York University, New York, NY., Gregory J; Muskogee Regional Medical Center, Muskogee, OK., Timmerman GL; Sanford School of Medicine, University of South Dakota, Sioux Falls, SD., Cioffi WG; Brown University School of Medicine, Providence, RI., Davis E; American College of Surgeons, Chicago, IL., Sachdeva AK; American College of Surgeons, Chicago, IL.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Surgeons [J Am Coll Surg] 2014 May; Vol. 218 (5), pp. 1063-1072.e31. Date of Electronic Publication: 2014 Feb 06.
DOI:	10.1016/j.jamcollsurg.2014.02.001
Abstrakt:	Background: General surgery residency training has changed with adoption of the 80-hour work week, patient expectations, and the malpractice environment, resulting in decreased resident autonomy during the chief resident year. There is considerable concern that graduating residents are not prepared for independent surgical practice. Study Design: Two online surveys were developed, one for "young surgeons" (American College of Surgeons [ACS] Fellows 45 years of age and younger) and one for "older surgeons" (ACS Fellows older than 45 years of age). The surveys were distributed by email to 2,939 young and 9,800 older surgeons. The last question was open-ended with a request to provide comments. A qualitative and quantitative analysis of all comments was performed. Results: The response rate was 9.6% (282 of 2,939) of young and 10% (978 of 9,800) of older surgeons. The majority of young surgeons (94% [58.7% strongly agree, 34.9% agree]) stated they had adequate surgical training and were prepared for transition to the surgery attending role (91% [49.6% strongly agree, 41.1% agree]). In contrast, considerably fewer older surgeons believed that there was adequate surgical training (59% [18.7% strongly agree, 40.2% agree]) or adequate preparation for transition to the surgery attending role (53% [16.93% strongly agree, 36.13% agree]). The 2 groups' responses were significantly different, chi-square test of association (3) = 15.73, p = 0.0012. Older surgeons focused considerably more on residency issues (60% vs 42%, respectively), and young surgeons focused considerably more on business and practice issues (30% vs 14%, respectively). Conclusions: Young and older surgeons' perceptions of general surgery residents' readiness to practice independently after completion of general surgery residency differ significantly. Future work should focus on determination of specific efforts to improve the transition to independent surgery practice for the general surgery resident. (Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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