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What do Young Colorectal Surgeons Value From Their CRS Residency Training?

Julia T Saraidaridis1, Thomas E Read1, Peter W Marcello1

  • 1Division of Colon and Rectal Surgery, Lahey Clinic, Burlington, Massachusetts.

Journal of Surgical Education
|October 22, 2018
PubMed
Summary

Recent colorectal surgery (CRS) graduates highly value their training and suggest adding more robotic, anorectal, pelvic floor, and practice management components. They believe the current curriculum is comprehensive and should not be reduced.

Keywords:
Interpersonal and Communication SkillsMedical KnowledgePatient CareSystems-Based Practicecolorectal surgery curriculumcolorectal surgery education needs assessmentcolorectal surgery residency

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Area of Science:

  • Colorectal Surgery Training
  • Surgical Education Research

Background:

  • Colorectal surgery (CRS) residency training has undergone significant evolution.
  • Evaluating the perceived value of current training by recent graduates is crucial for curriculum improvement.

Purpose of the Study:

  • To identify the most valued aspects of colorectal surgery residency training among recent graduates.
  • To determine potential improvements and additions to the CRS residency curriculum.

Main Methods:

  • Semistructured interviews were conducted with 20 board-certified colorectal surgeons 2-7 years post-residency.
  • Qualitative analysis of interview responses was performed to identify key themes and data points.
  • Snowball sampling was used for participant recruitment across various US and Canadian practices.

Main Results:

  • Surgeons highly valued case volume (65%), case variety (55%), technical skill development (40%), and disease-specific management (35%).
  • Key areas for enhanced training included robotic surgery (35%), anorectal disease (30%), pelvic floor disorders (25%), and practice management/billing (35%).
  • A majority (65%) felt no substantial curriculum elements should be eliminated.

Conclusions:

  • Recent colorectal surgery graduates perceive their training positively and do not advocate for curriculum reduction.
  • There is a clear demand for increased exposure to robotic procedures, anorectal and pelvic floor conditions, and practice management skills within CRS residency programs.