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The State of General Surgery: A Different Perspective

The State of General Surgery: A Different Perspective. Foley PJ, Roses RE, Pray LA, Kelz RR, Resnick AS, Williams NN, Mullen JL, Kaiser LR, Morris JB. Changing Learning Climate in Surgical Training. ACGME-mandated duty-hour restrictions (2003) Physician extenders

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The State of General Surgery: A Different Perspective

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  1. The State of General Surgery:A Different Perspective Foley PJ, Roses RE, Pray LA, Kelz RR, Resnick AS, Williams NN, Mullen JL, Kaiser LR, Morris JB

  2. Changing Learning Climate in Surgical Training • ACGME-mandated duty-hour restrictions (2003) • Physician extenders • Training paradigms for subspecialties • Fellowship training • Traditional instruction threatened

  3. What Do The Residents Think?

  4. Methods • 38-Question Web-Based Survey • Sent via E-mail to PD’s at all ACGME-Accredited General Surgery Training Programs • Voluntary Responses Collected March – June, 2007 • Responses Graded on a 7-Point Scale • 1 = Strongly Disagree • 4 = Neutral • 7 = Strongly Agree

  5. National Resident Survey

  6. Results • 997 Responses (14% of Categorical Surgery Residents) • 40 States • Mean Program Size: 6 Chief Residents (range 2-11) • 79% University-Based Residency Programs • 30% Female • All Clinical Years Well-Represented • PGY-5: 15.6% • PGY-4: 16% • PGY-3: 25.5% • PGY-2: 22% • PGY-1: 20.9%

  7. Surgical Resident Diversity 67% 14.1% 3.4% 4.9% 4.8% 5.6%

  8. Fellowship Intentions(Chief Residents) 18% 13% 13%

  9. Perceptions of Surgical Training 85% 85% 86% 84% 71% 63%

  10. Perceptions of Quality of Life 74% 70% 62% 36%

  11. Perceptions of ACGME Duty-Hour Restrictions 82% 80% 70% 47% 47%

  12. Perceptions of ACGME-Duty Hour Restrictions

  13. Perceptions of Surgery as a Profession 88% 87% 77% 70%

  14. Conclusions • Surgical Residents are positive about their training. • Most feel poorly compensated. • Majority intend to pursue fellowship training. • Residents are less certain about the effects of ACGME duty-hour restrictions on their training and patient care. • Survey may be a useful tool for assessment and comparison.

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