Association of Women SurgeonsGeneral surgery resident rotations in surgical critical care, trauma, and burns: what is optimal for residency training?
Section snippets
Methods
We analyzed de-identified data of the surgical rotations of applicants to the American Board of Surgery (ABS) Qualifying Examination (QE) over an 8-year period, from 2006 to 2013, inclusive. General surgery resident rotation data submitted through electronic applications were examined. We determined the number of months spent in SCC, trauma, and burn rotations and at what PGY level for general surgery residents using candidate rotation lists and analyzed by the ABS psychometrician (T.W.B.).
Data
Results
Table 2 reports residents' total months in all SCC, trauma, and burn rotations during general surgery residency. The mean number of months in SCC, trauma, and burn rotations for general surgery residents was 10.2 months (SD 3.9 months), representing approximately 16.7% (10 of 60 months) of residency training. However, there was wide variability reported, as reflected by the minimum to maximum range of 0 to 29 months. It should be noted that the mean total number of months has been constant over
Comments
In this study, we have identified that there is significant variability in the duration of rotations in SCC, trauma, and burn during general surgery residency. It is unclear whether the current rotations provide competency-based education to meet the Surgical Council on Resident Education (SCORE) Curriculum General Surgery requirements in these 3 areas (SCC, trauma, and burn). Almost all the SCORE modules in these 3 areas are delineated as “core” patient care topics.11
Since one of the goals of
Conclusions
There is significant variability in total duration of SCC, trauma, and burn rotations and PGY level in US general surgery residency programs, which may result in significant variability in the fund of knowledge and clinical experience of the trainee completing general surgery residency training. As acute care surgery programs have begun to integrate emergency general surgery with SCC, trauma, and burn rotations, it is an ideal time to determine the optimal curriculum and duration of these
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There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs.
The authors declare no conflicts of interest.
Members of the Trauma, Burns and Critical Care Board of the American Board of Surgery: Roxie M. Albrecht, M.D., F.A.C.S., Karen J. Brasel, M.D., F.A.C.S., Eileen M. Bulger, M.D., F.A.C.S., Martin A. Croce, M.D., F.A.C.S., David G. Greenhalgh, M.D., F.A.C.S., Pamela A. Lipsett, M.D., F.A.C.S., Frederick A. Luchette, M.D., F.A.C.S., Robert C. Mackersie, M.D., F.A.C.S., Anne G. Rizzo, M.D., F.A.C.S., Ronald M. Stewart, M.D., F.A.C.S., David A. Spain, M.D., F.A.C.S.