Most general surgery residents obtain scant exposure to anorectal disease during training.
The aim of this study was to determine whether adding a colon and rectal surgeon to the faculty of a general surgery training program improves the amount or quality of the anorectal surgical experience.
The surgical experience of all graduating residents from our university teaching program was reviewed during a ten-year period.
Complete case data were obtained from the Residency Review Committee for surgery.
The total small-intestine, colon and anorectal caseload was analyzed during the five-year period preceding the arrival of the colon and rectal surgeon and compared with the subsequent five-year period after the surgeon's arrival.
There was a substantial increase in small-intestine (470 vs. 306) and anorectal cases (462 vs. 338).
There was a particularly dramatic increase in anorectal cases performed during the chief resident year (159 vs. 36), which held true for all categories of anorectal cases.
The addition of a full-time colon and rectal surgeon to a university general surgery residency program was associated with an increase in small-intestine and especially anorectal cases.
However, most striking was the greater than fourfold increase in the number of anorectal cases performed during the chief resident year. (...)
Mots-clés Pascal : Formation professionnelle, Chirurgien, Acquisition connaissances, Expérience professionnelle, Influence, Spécialité médicale, Appareil digestif, Extrémité inférieure, Côlon, Rectum, Etude statistique, Homme
Mots-clés Pascal anglais : Occupational training, Surgeon, Knowledge acquisition, Professional experience, Influence, Medical specialty, Digestive system, Lower extremity, Colon, Rectum, Statistical study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0153365
Code Inist : 002B30A09. Création : 16/11/1999.