Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching.
Autor: | Engels PT; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball) engelsp@mcmaster.ca., Shi Q; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Coates A; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Allen L; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Priestap F; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Moffat BS; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Vogt KN; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Joos E; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Minor S; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Marchand M; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Williams E; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Evans C; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Mador B; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Widder S; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Ziessman M; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Lampron J; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Ball CG; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball)., Rice TJ; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball). |
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Jazyk: | angličtina |
Zdroj: | Canadian journal of surgery. Journal canadien de chirurgie [Can J Surg] 2024 Mar 07; Vol. 67 (2), pp. E99-E107. Date of Electronic Publication: 2024 Mar 07 (Print Publication: 2024). |
DOI: | 10.1503/cjs.000223 |
Abstrakt: | Background: General surgeons play an important role in the provision of trauma care in Canada and the current extent of their trauma experience during training is unknown. We sought to quantify the operative and nonoperative educational experiences among Canadian general surgery trainees. Methods: We conducted a multicentre retrospective study of major operative exposures experienced by general surgery residents, as identified using institutional trauma registries and subsequent chart-level review, for 2008-2018. We also conducted a site survey on trauma education and structure. Results: We collected data on operative exposure for general surgery residents from 7 programs and survey data from 10 programs. Operations predominantly occurred after hours (73% after 1700 or on weekends) and general surgery residents were absent from a substantial proportion (25%) of relevant trauma operations. The structure of trauma education was heterogeneous among programs, with considerable site-specific variability in the involvement of surgical specialties in trauma care. During their training, graduating general surgery residents each experienced around 4 index trauma laparotomies, 1 splenectomy, 1 thoracotomy, and 0 neck explorations for trauma. Conclusion: General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada. Competing Interests: Competing interests:: Paul Engels and Kelly Vogt sit on the board of the Trauma Association of Canada. Markus Ziessman reports honoraria from the American College of Surgeons. No other competing interests were declared. (© 2024 CMA Impact Inc. or its licensors.) |
Databáze: | MEDLINE |
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