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Priorities in general surgical training

A T Martella¹, G H Santos

¹Department of Thoracic Surgery, Bronx Municipal Hospital Center, Albert Einstein College of Medicine, New York 10461.

American Journal of Surgery

|February 1, 1995

Summary

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Surgical judgment is prioritized in general surgery residency training, yet many programs lack structured curricula for surgical technique. Residents desire more technical skills training to meet evolving surgical demands.

Area of Science:

Medical Education
Surgical Training
Residency Programs

Background:

General surgery residency programs face evolving demands due to advancements like minimal access surgery.
Assessing the current priorities and methods in surgical resident training is crucial.

Purpose of the Study:

To determine the priority of surgical technique, judgment, and "book knowledge" in general surgery residency.
To investigate how residency programs teach these core components, with a focus on surgical technique.

Main Methods:

A questionnaire was distributed to program directors and chief residents in US general surgery programs.
Response rates were 50% for chief residents and 53% for program directors.

Main Results:

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Surgical judgment was deemed most important by 83% of program directors and 72% of chief residents.
Only 45% of residencies offered specific programs for surgical technique, and 64% of residents felt adequately trained.
86% of programs had curricula for "book knowledge."

Conclusions:

A more structured approach to early surgical skills education is recommended to address the evolving demands of modern surgery.
Preventing fragmentation of general surgery requires enhanced focus on foundational surgical technique training.