scholarly journals Are we producing general surgeons who are ready for community or rural practice?

2021 ◽  
Vol 64 (5) ◽  
pp. E467-E472
Author(s):  
Jake Hiebert ◽  
Leo Chen ◽  
Hamish Hwang

General surgery remains a broad and unclearly defined specialty in small and medium-sized communities, where general surgeons perform more subspecialty and non-core procedures than their urban counterparts. It is unclear what specific procedures are being performed or whether today’s residents are being trained to meet community needs. We surveyed the members of the British Columbia (BC) Surgical Society and found that only 3% of BC’s surgeons believe today’s graduates are “definitely prepared” for a broad-based community practice. We also identified several non-core procedures performed more frequently by general surgeons in small and medium-sized communities. General surgery residency is narrowing its focus despite the fact that community general surgeons are maintaining a broad-based practice. To meet the needs of smaller communities, residency programs need to address the discrepancies that exist between the emphasis within the current training structure and the practice of our community surgeons.

Author(s):  
Antoninho José Tonatto Filho ◽  
Felipe Melloto Gallotti ◽  
Alberto Treiguer ◽  
José Gustavo Olijnyk ◽  
Thiago Kreutz Grossmann ◽  
...  

Abstract: Introduction: In recent years, there has been an increase in the number of medical residency programs in all regions of Brazil, only in the last 4 years, from 2014 to 2018, there was an increase from 18,953 general spots offered for the first year of medical residency to 26,094, 37% more, this was also observed in General Surgery Residencies around Brazil. As a result, the number of general surgeons has increased substantially, from 12,430 in 2008 to 34,065 in 2018, an absolute percentage increase of 174%. These new surgeons are bringing with them their theoretical and practical knowledge already updated, regarding new techniques and surgical modalities. In this context, in the last 2 decades, video-assisted surgery has become the choice for numerous procedures in Brazil and in the World, considering its benefits for patients, such as less postoperative hospital stay and less metabolic response to surgical trauma, for example. The current study correlates the data between the increase in the number of spots in medical residency programs, related to the graduation of new surgeons in Brazil, to the increase of videolaparoscopic surgeries in the public health system. Methodology: Review and online analysis of the national electronic public health registry database - DATASUS. The most performed Surgeries in Brazil were chosen for our data analysis. Results: The results were divided into five geographically distributed areas in Brazil. At the end of the current study, the number of video-assisted surgeries increased by 233%, accompanied by a 63% increase in the number of medical residency openings and a 174% absolute increase in the number of new surgeons in Brazil at the same period. Conclusion: The current study showed that the increase in the number of video-assisted surgeries in the country is related to the exponential increase in the number of medical residency spots and, consequently, to the number of new graduated general surgeons. This increase occurs more and more in a context of videolaparoscopic techniques, revealing multiple benefits already recognized for patients. We could conclude, therefore, that the increase in the number of medical residencies in general surgery - which are increasingly teaching videolaparoscopic techniques - has contributed as a complementary factor to the increase in the number of video-assisted surgeries observed in all regions of Brazil.


2016 ◽  
Vol 91 (6) ◽  
pp. 833-838 ◽  
Author(s):  
Ashley D. Meagher ◽  
Christopher A. Beadles ◽  
George F. Sheldon ◽  
Anthony G. Charles

2021 ◽  
pp. 000313482110604
Author(s):  
James Shell Cox ◽  
Chase J. Wehrle ◽  
Christopher Mejias ◽  
Aditya K. Devarakonda ◽  
Jonathan Andrew McKenzie ◽  
...  

Background The COVID-19 pandemic has disrupted traditional resident recruitment practices, requiring virtual interviews and new forms of outreach. Social media, such as Twitter, is one tool programs can use to connect with applicants. This study sought to assess changes in Twitter use during the COVID-19 pandemic among general surgery programs. Methods Twitter and residency program websites were queried for public Twitter accounts related to general surgery residency programs. Publicly available tweets for available accounts were reviewed for all posts for the period March 15, 2019-November 25, 2020. Thematic analysis of each tweet was performed, and engagement was determined by likes and retweets on each tweet. Results The number of programs with active Twitter accounts increased after the onset of COVID-19 pandemic, as did the number of tweets, likes-, and retweets-per-tweet. There was a significant increase in the number of tweets regarding resident promotion, program promotion, and virtual event promotion. Tweets received more likes-per-tweet if the subject was program promotion and resident promotion than tweets regarding virtual events. All results were statistically significant ( P < .05). Discussion Twitter use and engagement with residency programs have increased significantly since pandemic onset. Engagement is highest for tweets regarding program and resident promotion as measured by likes-per-tweet and highest for program promotion and virtual events as measured by retweets-per-tweet. Given the nearly nationwide increase in Twitter engagement after pandemic onset, programs should consider the impact of Twitter as a means of communication with applicants and program branding.


2020 ◽  
Vol 86 (1) ◽  
pp. 10-13
Author(s):  
Robert J. Conrad ◽  
Benjamin C. Clark ◽  
Dylan M. Russell ◽  
John S. Mayo ◽  
Fadi M. Balla ◽  
...  

2019 ◽  
Vol 229 (4) ◽  
pp. e109
Author(s):  
Susanna S. Hill ◽  
Steven T. Em ◽  
Robert J. McLoughlin ◽  
David C. Meyer ◽  
Cristina R. Harnsberger ◽  
...  

2021 ◽  
Vol 78 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Susanna S. Hill ◽  
Fiona J. Dore ◽  
Steven T. Em ◽  
Robert J. McLoughlin ◽  
Allison S. Crawford ◽  
...  

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