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Updated: May 5, 2026

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General surgery residency training issues.

Mary E Klingensmith1, Frank R Lewis

  • 1Department of Surgery, Washington University School of Medicine, 4566 Scott Avenue, St Louis, MO, USA.

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|December 5, 2013
PubMed
Summary
This summary is machine-generated.

General surgery residency training faces challenges due to practice evolution. Solutions require updated teaching, resident responsibility, and revised curricula for improved surgeon performance.

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Area of Science:

  • Medical Education
  • Surgical Training
  • General Surgery Practice

Background:

  • The practice of general surgery has significantly evolved over the last two decades.
  • These changes have disrupted residency training and led to inadequate compensation.
  • Emerging evidence indicates performance issues among recent general surgery graduates.

Purpose of the Study:

  • To highlight the inadequately recognized evolution in general surgery practice.
  • To address the performance concerns of recent general surgery graduates.
  • To propose solutions for improving surgical residency training.

Main Methods:

  • Analysis of external evaluations of recent graduates.
  • Review of resident self-opinions.
  • Examination of graduate performance on the American Board of Surgery oral examination over eight years.

Main Results:

  • Significant issues identified in the overall performance of recent general surgery graduates.
  • External agents, residents, and board examinations indicate performance gaps.
  • Current training models may not adequately prepare graduates for contemporary practice.

Conclusions:

  • Environmental and technological advancements in patient care are irreversible.
  • Solutions must focus on improving teaching efficiency and resident responsibility.
  • Recommendations include defined standards, online self-assessment, updated curricula, and modified residency structures.