Online citations, reference lists, and bibliographies.

The Impact Of Minimally Invasive Surgery On Residents' Open Operative Experience: Analysis Of Two Decades Of National Data

Raphael S. Chung, Naveed Ahmed
Published 2010 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Share
Summary:Over the past 2 decades, the operative experience of surgical residents has undergone major changes due to advances in the science and technology of surgery, treatment modality, growth of subspecialties, work hour regulations, and an emphasis on shorter hospitalization. Method:We performed a comprehensive statistical analysis of national data from ACGME (1998–2008), with a focus on changes in the component operations. Results:Since 1993, when minimally invasive surgery was first recorded in ACGME data base, the US residents' open operative experience began to register a continuing decline. Today, a quarter of the resident's operations are closed procedures. During the same period, trauma operative experience has decreased by 50%. If the decline in open operations continues at this rate, within 10 years it will drop to less than 60% of that in 1993. Gastrointestinal (especially biliary) operations are the most affected. Changes in ACGME data format of component operations made it difficult to determine the effect of work hour limit by looking at total operations alone. Conclusion:Training in open operative surgery, the foundation of the craft of surgery, is on the decline. Lack of operative trauma hurts intra-operative crisis management and decision making. These deficiencies deserve educational effort at a higher priority than accorded so far.
This paper references



This paper is referenced by
10.1007/s00464-018-6333-7
Bile duct injuries (BDI) in the advanced laparoscopic cholecystectomy era
Christopher W. Mangieri (2018)
10.1016/j.jvs.2017.02.059
Open abdominal surgical training differences experienced by integrated vascular and general surgery residents.
Adam Tanious (2017)
10.1016/J.JCHIRV.2016.05.009
Enseignement chirurgical par simulation : SimLife : un modèle cadavérique humain revascularisé pulsatile et ventilé
P.-O. Delpech (2017)
10.1016/j.jsurg.2013.09.002
Are open abdominal procedures a thing of the past? An analysis of graduating general surgery residents' case logs from 2000 to 2011.
Andrew C McCoy (2013)
10.1186/s12894-015-0051-4
Virtual reality suturing task as an objective test for robotic experience assessment
Michael A Liss (2015)
10.1007/s00464-011-1909-5
Laparoscopic cholecystectomy after a quarter century: why do we still convert?
Balazs I. Lengyel (2011)
10.21037/atm.2018.03.18
Minimally invasive spine surgery for degenerative spine disease and deformity correction: a literature review.
Marios G. Lykissas (2018)
10.1007/s00264-015-2747-1
Evaluation of transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation
Kun Wang (2015)
10.1016/j.amjsurg.2011.08.007
A preliminary review of a pilot curriculum to teach open surgical skills during general surgery residency with initial feedback.
Chandrakanth Are (2012)
10.1016/j.surg.2019.04.042
Gas off, room lights on: Shedding light on the surgical resident's experience in open and laparoscopic surgery.
Ralph Cutler Quillin (2019)
10.1016/j.jss.2012.04.061
Twenty-year analysis of surgical resident operative trauma experiences.
Mayur B. Patel (2013)
10.1016/j.amjsurg.2013.09.033
Operative confidence of graduating surgery residents: a training challenge in a changing environment.
Annabelle L. Fonseca (2014)
3 Gallbladder Surgery , Choice of Technique : An Overview
Elliot Nilsson (2019)
10.1007/s00701-011-1023-4
"Minimally invasive" lumbar spine surgery: a critical review
Michael Payer (2011)
10.5772/20647
Gallbladder Surgery, Choice of Technique: An Overview
Erik Nilsson (2011)
10.1016/j.suc.2013.12.002
Technical aspects of bile duct evaluation and exploration.
Sean B. Orenstein (2014)
10.1016/j.jchirv.2020.04.006
Élaboration d’un programme d’enseignement pratique par simulation en chirurgie viscérale et digestive
Charlotte Perrenot (2020)
10.33762/BSURG.2013.73612
FUNDAMENTALS OF GOOD MEDICAL PRACTICE: COMPETENCE AND PERFORMANCE
Majeed H. Alwan (2013)
10.1016/j.jsurg.2012.05.005
A solution to the decreased resident exposure to open operations in the era of minimally invasive surgery and restricted duty hours may be with organ procurement and transplantation surgery.
Joseph W Gunter (2012)
10.1053/j.semtcvs.2011.10.001
The case against superspecialization in surgery.
Jean E. Bachet (2011)
10.1111/j.1445-2197.2012.06239.x
Technical competence in surgeons.
Clare Faurie (2012)
10.1007/s00464-014-4007-7
Technique of last resort: characteristics of patients undergoing open surgery in the laparoscopic era
Hamza Guend (2014)
10.1007/s12262-013-0972-7
Surgical Management of Bile Duct Strictures
Moshim Kukar (2013)
10.1007/s13193-015-0389-9
Comparison of Resident Operative Case Logs During a Surgical Oncology Rotation in the United States and an International Rotation in India
Paul Kolkman (2015)
10.1016/j.surg.2012.02.016
Laparoscopic cholecystectomy: What is the price of conversion?
Balazs I. Lengyel (2012)
10.1016/j.ijsu.2015.04.072
Residents' performance in open versus laparoscopic bench-model cholecystectomy in a hands-on surgical course.
Christian A. Nebiker (2015)
10.1007/s00464-020-07759-2
Less is more in the difficult gallbladder: recent evolution of subtotal cholecystectomy in a single HPB unit
Michael Thomas LeCompte (2020)
10.1111/j.1463-1318.2010.02413.x
Laparoscopic versus transverse Incision right colectomy for colon carcinoma.
Alexander A. F. A. Veenhof (2011)
10.1007/s00268-012-1648-3
Treatment of Common Bile Duct Stones in Sweden 1989–2006: An Observational Nationwide Study of a Paradigm Shift
Birger Sandzén (2012)
Experience and Learning Curve of Laparoscopic Appendectomy and Cholecystectomy of General Surgery Residents in a Latin American Hospital
Liliana Cuevas López (2019)
10.1016/j.amjsurg.2017.08.015
The role of multiorgan procurement for abdominal transplant in general surgery resident education.
Johanna Bayer (2018)
10.1186/s12909-019-1646-3
New start of surgical residents training: the first survey of program directors in Korea
Sung Geun Kim (2019)
See more
Semantic Scholar Logo Some data provided by SemanticScholar