What Is the Best Method of Surgical Training?

Archives of SurgeryPublished 1 August 1998

Clifford Y. Ko, Edward E. Whang, Raffy L. Karamanoukian, William P. Longmire, David W. McFadden

DOI10.1001/archsurg.133.8.900

Citations58

TL;DR

Most leading senior surgeons in this country still believe that broad surgical training is superior and should be maintained, and it seems likely that specialty and career development would not have been hindered because "expertization" mostly occurred after training was completed.

Abstract

Most leading senior surgeons in this country still believe that broad surgical training is superior and should be maintained. Because career specialties in this surveyed group were generally chosen in early residency, a hypothetical application of the short tracking system would have still allowed for these important decisions to be made. Also, it seems likely that specialty and career development would not have been hindered because "expertization" mostly occurred after training was completed. Regardless of training method, a role model or mentor seems most important in career choices and developments.

Keywords

MedicineHealth Professions

The American Journal of SurgeryGeneral surgery in evolution: Technology and competence

31 Citations1996Lawrence W. Way

In light of the current difficulty in dealing with the stresses within General Surgery, the paper discusses how changes in residency training and an increased use of Fellowships will enable the specialty to handle such disruptive changes in the future.

Archives of SurgeryThe Next Generation of Surgical Residencies

30 Citations1990Robert W. Barnes

General surgical residencies are suggested to be restructured to facilitate training of surgical specialists and subspecialists and to pursue additional subspecialty training and research experience to qualify as academic surgical scientists.

Annals of SurgeryThe Surgical Scientist

29 Citations1996Samuel A. Wells

View PDF

The American Journal of SurgeryIs fellowship training in alimentary tract surgery necessary?

28 Citations1993John L. Cameron

The general surgeon is expected to have significant preoperative, operative, and postoperative experience in pediatric, plastic, general thoracic, and transplant surgery, and in many of the primary components that comprise general surgery, clinical fellowships are available.

Archives of SurgeryThe Surgical Residency

24 Citations1990Walter J. Pories

When the job description no longer fits the job, it is time to reexamine the task and its purpose.

Annals of SurgerySeed Corn

21 Citations1996J. C. Thompson

View PDF

Archives of SurgeryRestoration, Not Preservation, of General Surgery Residency

20 Citations1993Andrew L. Warshaw

My concern is that although the authors are successful in providing excellent general surgical training, they may need a new mechanism for providing further special training to general surgeons.

World Journal of SurgeryU.S. health care reform: Will it change postgraduate surgical education?

18 Citations1994Walter J. Pories, Jay C. Smout +2 more

The principal goals of the pending health care reform initiatives in the United States are improving access to health care and controlling its costs and postgraduate surgical education is likely to have significant implications for postgraduate medical education.

Archives of SurgeryResponsibilities of General Surgery: Training for the Future

15 Citations1990J. Bradley Aust

Surgical training is dependent on the training environment, practice pattern needs, the changing spectrum of surgical diseases, the competition, both within and outside general surgery, and the role forecast for surgeons in the future.

PubMedThe future of general surgery in Canada.

5 Citations1988Hinchey Ej

Programs designed to train the comprehensive community general surgeon are lacking in Canadian medical schools and reductions in residency training posts and other governmental constraints may worsen the anticipated shortage of general surgeons.