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Related Concept Videos

Endocrine Signaling01:45

Endocrine Signaling

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Endocrine cells produce hormones to communicate with remote target cells found in other organs. The hormone reaches these distant areas using the circulatory system. This exposes the whole organism to the hormone but only those cells expressing hormone receptors or target cells are affected. Thus, endocrine signaling induces slow responses from its target cells but these effects also last longer.
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What is the Endocrine System?00:46

What is the Endocrine System?

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The endocrine system sends hormones—chemical signals—through the bloodstream to target cells—the cells the hormones selectively affect. These signals are produced in endocrine cells, secreted into the extracellular fluid, and then diffuse into the blood. Eventually, they diffuse out of the blood and bind to target cells which have specialized receptors to recognize the hormones.
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New endocrine fellowship programs do not decrease the endocrine surgery experience of residents in co-located

Anna Z Fashandi1, John B Hanks1, Adriana G Ramirez1

  • 1Department of Surgery, University of Virginia, Charlottesville, VA.

Surgery
|August 11, 2020
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Summary
This summary is machine-generated.

New endocrine surgery fellowship programs do not reduce resident operative experience. This study found no evidence that these programs contribute to the national decline in endocrine surgery cases performed by general surgery residents.

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Area of Science:

  • Surgical Education
  • Endocrine Surgery
  • General Surgery Residency

Background:

  • National trends show a decrease in endocrine surgery cases performed by general surgery residents since 2010-2011.
  • It was hypothesized that new endocrine surgery fellowship programs might be a contributing factor to this decline by reducing resident operative experience.

Purpose of the Study:

  • To investigate the impact of endocrine surgery fellowship programs on the number of endocrine surgery cases performed by co-located general surgery residents.
  • To determine if these fellowship programs contribute to the national decrease in resident endocrine surgery case volume.

Main Methods:

  • Identified Accreditation Council of Graduate Medical Education-accredited general surgery programs with endocrine surgery fellowships.
  • Recorded endocrine surgery cases performed by residents in co-located general surgery programs from 2002-2003 to 2017-2018.
  • Utilized descriptive statistics and the Mann-Whitney U Test for analysis.

Main Results:

  • In 13 programs with 5 years of data post-fellowship matriculation, the mean number of endocrine surgery cases per resident increased.
  • The mean number of cases rose from 47 ± 23 in year 0 to 57 ± 25 in year 5 (P < .05).

Conclusions:

  • New endocrine surgery fellowship programs do not decrease the operative experience of general surgery residents in endocrine surgery.
  • These fellowship programs are not a contributing factor to the national decline in endocrine surgery cases performed by general surgery residents.