medigraphic.com

2011, Number 1

<< Back Next >>

Cir Cir 2011; 79 (1)

Matching training to practice: reworking the training paradigm

Stain SC

Language: Spanish
References: 14
Page: 36-39
PDF size: 229.18 Kb.


ABSTRACT

Due to the increasing complexity of surgical diseases and continuous technological advances, qualifications for general surgeons require an integral practice in order to obtain better results. General surgeons in practice must be capable of making the initial diagnosis and management of a diverse set of surgical conditions and prompt referral to a subspecialist when appropriate. Redesigning surgical training should take into account the needs of training future general surgeons while still preserving some training in the basic aspects of general surgery.


REFERENCES

  1. Halsted WS. The training of the surgeon. Bull Johns Hopkins Hospital 1904;15:266-275.

  2. Cameron JL. William Stewart Halsted. Our surgical heritage. Ann Surg 1997;225:445-458.

  3. Grillo HC. Edward D. Churchill and the rectangular surgical residency. Surgery 2004;136:947-952.

  4. Institute of Medicine. Resident duty hours: enhancing sleep, supervision, and safety: Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Washington, DC: National Academies Press; 2008.

  5. Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med 2003;349:2117-2127.

  6. Schrag D, Panageas KS, Riedel E, Hsieh L, Bach PB, Guillem JG, et al. Surgeon volume compared to hospital volume as a predictor of outcome following primary colon cancer resection. J Surg Oncol 2003;83:68-78.

  7. Boudourakis LD, Wang TS, Roman SA, Desai R, Sosa JA. Evolution of the surgeon-volume, patient-outcome relationship. Ann Surg 2009;250:159-165.

  8. Fischer JE. The impending disappearance of the general surgeon. JAMA 2007;298:2191-2193.

  9. Stabile BE. The surgeon: a changing profile. Arch Surg 2008;143:827-831.

  10. Williams TE, Ellison EC. Population analysis predicts a future critical shortage of general surgeons. Surgery 2008;144:548-554.

  11. The American Board of Surgery [sitio web]. Surgical Council on Resident Education General Surgery Residency Patient Care Curriculum Outline 2009-2010. [Accessed March 27, 2010.] Disponible en http://home.absurgery.org/xfer/patientcareoutline09-10.pdf

  12. Bell RH. Surgical council on resident education: a new organization devoted to graduate surgical education. J Am Coll Surg 2007;204:341-346.

  13. Mills JL. Vascular surgery training in the United States: a half-century of evolution. J Vasc Surg 2008;48:90S-97S.

  14. Crawford FA. Thoracic surgery education. Past, present, and future. Ann Thorac Surg 2005;79:S2232-S2237.




2020     |     www.medigraphic.com