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A recent report from the University of Toledo discusses the management of massive upper gastrointestinal hemorrhage secondary to gastrosplenic fistula (GSF). GSF is commonly seen in patients with diffuse B-cell lymphoma and can lead to symptoms such as abdominal pain and weight loss. Prompt identification and intervention are crucial in cases of upper gastrointestinal bleed secondary to GSF to prevent catastrophic outcomes. The report highlights a case of a 64-year-old female with GSF who underwent partial gastrectomy, splenectomy, and distal pancreatectomy with favorable outcomes. [Extracted from the article]

A study conducted by the University of Cincinnati examined factors associated with the endocrine surgery exposure of general surgery residents. The researchers analyzed case log data from 18 general surgery residency programs over an 11-year period and found that residents who matched into endocrine surgery fellowships treated more endocrine cases than those who did not. Factors associated with increased endocrine volume included endocrine-specific rotations, endocrine-trained faculty, and program co-location with otolaryngology residency or endocrine surgery fellowship. The study suggests that optimizing the recruitment of dedicated endocrine surgeons and including endocrine surgery rotations in general surgery residency can enhance the endocrine experience for residents. [Extracted from the article]

A recent study conducted at Massachusetts General Hospital examined the relationship between race/ethnicity and case volume among graduating surgical residents. The study found that Black residents performed fewer total cases and surgeon junior cases compared to White residents. These disparities persisted over the study period, indicating that reduced operative learning opportunities may negatively impact the professional advancement of Black residents. The researchers concluded that systemic interventions are needed to promote equitable operative experience and positive culture change. [Extracted from the article]