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A comparative study of contrasting surgical residency programs.

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US surgical residents receive more supervised operating time and teaching, while UK residents gain more independent experience and endoscopy training. This highlights key differences in postgraduate surgical education between the USA and UK.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Comparative Studies

Background:

  • Postgraduate surgical training duration differs significantly between the USA (5 years) and the UK (10 years).
  • National bodies in both regions have established quality indicators for surgical training.
  • This study explores differences in postgraduate surgical training based on US and UK national programs.

Purpose of the Study:

  • To compare postgraduate surgical training experiences between residents in the USA (University of Pennsylvania) and the UK (London).
  • To identify variations in supervised operating opportunities, teaching, and specialized training between the two regions.

Main Methods:

  • A questionnaire based on UK Joint Committee on Surgical Training (JCST) quality indicators was electronically distributed.
  • The survey targeted general surgical residents at the University of Pennsylvania (UPenn) and registrars in London.
  • Data were collected from 76 self-reported responses (31% completion rate).

Main Results:

  • UPenn residents had significantly more attending supervision during elective (83% vs 57%) and emergency (98% vs 40%) surgeries.
  • Residents in UPenn had more weekly operating sessions (5.0 vs 3.6) and teaching hours (2.3 vs 0.7).
  • London residents reported more regular gastrointestinal endoscopy sessions (68% vs 39%).

Conclusions:

  • University of Pennsylvania residents benefit from greater supervised operating experience and structured teaching.
  • London residents gain more opportunities for independent operating and gastrointestinal endoscopy training.
  • Findings suggest distinct approaches to surgical resident education in the US and UK training programs.