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ANZ J Surg. 2019 Sep 3. doi: 10.1111/ans.15388. [Epub ahead of print]

Acute surgical experience of Australian general surgical trainees.

Author information

1
Department of General Surgery, Westmead Hospital, Sydney, New South Wales, Australia.
2
Department of General Surgery, Blacktown Hospital, Sydney, New South Wales, Australia.
3
Department of Colorectal Surgery, Auckland City Hospital, Auckland, New Zealand.

Abstract

BACKGROUND:

A principle of Australian general surgical training is exposure to a variety of operative and clinical experiences. These are potentially being impacted upon by expanding post-fellowship training positions, mandatory reduced working hours, and advances in non-operative care. This study aims to report the recent acute surgical experience of Australian general surgical trainees.

METHODS:

A de-identified summary of general surgical trainee logbook data was obtained from General Surgeons Australia, over a 6-year period (2009-2014). Case volumes in operative and non-operative acute surgical cases were analysed, encompassing 5307 individual logbooks from 12 consecutive training terms.

RESULTS:

There was a mean of 112.2 ± 6.8 total major operative cases per trainee per term. There was an increase in case volumes reported from terms 1-8 (from 102.1 to 122.9), with the most recent reported volume being 117.8 cases per trainee in term 12. The total major operative primary operator rate increased from 35.5% in term 1 to 40.6% in term 8, with the most recent reported rate being 41.8% in term 12. Open and laparoscopic colorectal case volumes have remained stable. Operative trauma case volumes have increased.

CONCLUSION:

The acute surgical operative case experience of general surgical trainees has not declined. However, it should continue to be monitored in view of the changing scope of surgical practice.

KEYWORDS:

colorectal surgery; education; general surgery; surgical training; trauma surgery

PMID:
31480094
DOI:
10.1111/ans.15388

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