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Resident Training in Bariatric Surgery-A National Survey in the Netherlands.
- Source :
-
Obesity surgery [Obes Surg] 2017 Nov; Vol. 27 (11), pp. 2974-2980. - Publication Year :
- 2017
-
Abstract
- Purpose: Surgical procedures for morbid obesity, including laparoscopic Roux-en-Y gastric bypass (LRYGB), are considered standardized laparoscopic procedures. Our goal was to determine how bariatric surgery is trained in the Netherlands.<br />Materials and Methods: Questionnaires were sent to lead surgeons from all 19 bariatric centers in the Netherlands. At least two residents or fellows were surveyed for each center. Dutch residents are required to collect at least 20 electronic Objective Standard Assessment of Technical Skills (OSATS) observations per year, which include the level of supervision needed for specific procedures. Centers without resident accreditation were excluded.<br />Results: All 19 surgeons responded (100%). Answers from respondents who worked at teaching hospitals with residency accreditation (12/19, 63%) were analyzed. The average number of trained residents or fellows was 14 (range 3-33). Preferred procedures were LRYGB (n = 10), laparoscopic gastric sleeve (LGS) resection (n = 1), or no preference (n = 1). Three groups could be discerned for the order in which procedural steps were trained: unstructured, in order of increasing difficulty, or in order of chronology. Questionnaire response was 79% (19/24) for residents and 73% (8/11) for fellows. On average, residents started training in bariatric surgery in postgraduate year (PGY) 4 (range 0-5). The median number of bariatric procedures performed was 40 for residents (range 0-148) and 220 during fellowships (range 5-306).<br />Conclusions: Training in bariatric surgery differs considerably among centers. A structured program incorporating background knowledge, step-wise technical skills training, and life-long learning should enhance efficient training in bariatric teaching centers without affecting quality or patient safety.
- Subjects :
- Adult
Bariatric Surgery statistics & numerical data
Clinical Competence standards
Clinical Competence statistics & numerical data
Female
Gastrectomy education
Gastric Bypass education
Gastric Bypass statistics & numerical data
Humans
Internship and Residency standards
Laparoscopy education
Laparoscopy statistics & numerical data
Male
Middle Aged
Netherlands epidemiology
Physicians standards
Physicians statistics & numerical data
Surveys and Questionnaires
Bariatric Surgery education
Education, Medical methods
Education, Medical standards
Internship and Residency statistics & numerical data
Obesity, Morbid surgery
Students, Medical statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1708-0428
- Volume :
- 27
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Obesity surgery
- Publication Type :
- Academic Journal
- Accession number :
- 28560526
- Full Text :
- https://doi.org/10.1007/s11695-017-2729-z