Surgery resident participation in short-term humanitarian international surgical missions can supplement exposure where program case volumes are low.

Autor: Bale AG; Department of Surgery, Palisades Medical Center, 7600 River Road, North Bergen, NJ 07047, USA. Electronic address: Abale@palisadesmedical.org., Sifri ZC; Department of Surgery, Rutgers University New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07103, USA.
Jazyk: angličtina
Zdroj: American journal of surgery [Am J Surg] 2016 Jan; Vol. 211 (1), pp. 294-9. Date of Electronic Publication: 2015 Jul 17.
DOI: 10.1016/j.amjsurg.2015.05.017
Abstrakt: Background: General surgery training programs face declining case volume and diversity. We wanted to determine if resident participation in international surgical missions would increase exposure to cases underrepresented in our program case mix.
Methods: Accreditation Council for Graduate Medical Education program data from 2008 to 2011 (University of Medicine and Dentistry-New Jersey Medical School, Newark, NJ) were analyzed to identify categories where volume was below national average. This was compared with case logs from 3 missions conducted by International Surgical Health Initiatives between 2011 and 2012.
Results: All chief residents completed more than minimum required index cases. Categories head and neck, alimentary tract, abdomen, and endocrine showed percentile below national average. Seven residents participated in 3 missions to Philippines and Sierra Leone. Sixty-five percent of the operations performed were in the 4 low-volume categories.
Conclusions: International surgery missions expose residents to a high volume and variety of cases. Participation can be one way to increase case volume and diversity during training. Cases completed on missions with board certified surgeons should be considered for Accreditation Council for Graduate Medical Education credit.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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