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Colorectal operative experience in general surgical training
1Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.
International Journal of Colorectal Disease
|April 20, 1999
Summary
Surgical trainees performed slightly more colorectal operations than consultants, including more emergency and anorectal procedures, with lower complication rates. However, definitive conclusions on training adequacy require comprehensive auditing and clear criteria.
Area of Science:
- Colorectal Surgery
- Surgical Education
- Operative Workload Analysis
Background:
- Surgical trainees frequently report inadequate operative training, contrasting with their trainers' perceptions.
- Understanding the distribution of surgical workloads is crucial for assessing training effectiveness.
Purpose of the Study:
- To analyze the distribution of colorectal operative surgical workloads between consultants and trainees over a 15-year period.
- To evaluate the types of procedures and patient demographics managed by surgical trainees.
Main Methods:
- A 15-year retrospective audit of colorectal operations performed by consultants and trainees.
- Analysis of patient age, procedure type, and disease prevalence for each group.
Main Results:
- Trainees performed 1012 operations, slightly more than consultants (947).
- Trainees managed younger patients, performed more emergency and anorectal surgeries, and had lower postoperative morbidity and mortality rates.
- Trainees operated on 24% of colorectal cancer and 25% of diverticular disease patients.
Conclusions:
- This audit offers insights into trainee operative experience but is limited by its scope.
- Accurate auditing of all trainee procedures and defined adequacy criteria are necessary to determine the effectiveness of surgical training programs.