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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

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Achieving endoscopic competency in a general surgery residency.

Lindsey J Barnes¹, Mitchell Unruh¹, Rachel M Drake¹

¹Department of Surgery, The University of Kansas School of Medicine-Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA.

American Journal of Surgery

|December 3, 2014

Summary

General surgery residents achieve colonoscopy competency before completing 140 procedures. This supports surgical residencies as effective training grounds for endoscopy, meeting increased case requirements.

Keywords:

Colonoscopy Education Endoscopy Quality Resident

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Area of Science:

Medical Education
Surgical Training
Gastrointestinal Endoscopy

Background:

The Residency Review Committee for Surgery mandated more endoscopy cases for graduating residents in 2006.
Evaluating general surgery resident competency in endoscopy, focusing on quality metrics, is crucial.

Purpose of the Study:

To assess general surgery resident competency in endoscopy, specifically focusing on quality indicators.
To determine if current training volumes meet competency standards for graduating residents.

Main Methods:

A 9-year retrospective review analyzed data from 29 general surgery residents.
The total number of endoscopies performed during residency was recorded.
Quality measures of procedures performed by fifth-year residents under indirect supervision were evaluated.

Main Results:

Residents performed an average of 76 esophagogastroduodenoscopies and 147 colonoscopies in their first 4 years.
Chief residents averaged 16 esophagogastroduodenoscopies and 22 colonoscopies.
During fifth-year unsupervised colonoscopies (n=191), cecal intubation was 90.6%, polyp identification averaged 0.48, and withdrawal time was 13.4 ± 7.1 minutes.

Conclusions:

General surgery residents attain colonoscopy competency prior to performing 140 cases.
Surgical residency programs can effectively train residents in endoscopy.
Current training structures support the development of endoscopic proficiency.