Trends in gastric surgery operative experience among general surgery residents in the United States: A nationwide retrospective analysis

Gastric surgery is a crucial component of general surgery training. However, there is a paucity of high-quality data on operative volume and the diversity of surgical procedures that general surgery residents are exposed to. We conducted a retrospective analysis of operative case logs of all general...

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Bibliographic Details
Published in:Surgery 2024-06, Vol.175 (6), p.1518-1523
Main Authors: Sohail, Amir Humza, Flesner, Samuel L., Martinez, Kevin A., Nguyen, Hoang, Martinez, Christian, Ye, Ivan B., Jreisat, Bshara H., Rohail, Amal, Quazi, Mohammed A., Pacheco, Tulio Brasileiro Silva, Williams, Caroline Elizabeth, Bhatti, Umar F., Sheikh, Abu Baker, Goyal, Aman
Format: Article
Language:English
Subjects:
Clinical Competence - statistics & numerical data
Female
Gastrectomy - education
Gastrectomy - statistics & numerical data
Gastrectomy - trends
General Surgery - education
General Surgery - trends
Humans
Internship and Residency - statistics & numerical data
Internship and Residency - trends
Laparoscopy - education
Laparoscopy - statistics & numerical data
Laparoscopy - trends
Male
Retrospective Studies
United States
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Summary:Gastric surgery is a crucial component of general surgery training. However, there is a paucity of high-quality data on operative volume and the diversity of surgical procedures that general surgery residents are exposed to. We conducted a retrospective analysis of operative case logs of all general surgery residents graduating from the American College of Graduate Medical Education–accredited program from 2009 to 2022. Data on the mean number of gastric procedures, including the mean in each subcategory, were retrieved. A Mann-Kendall trend test was used to investigate trends in operative volume. Between 2009 and 2022, the mean overall logged gastric procedures rose significantly (τ = 0.722, P < .001) from 36.2 in 2009 to 49.2 in 2022 (35.9% increase). The most substantial growth was seen in laparoscopic gastric reduction for morbid obesity (mean 1.9 in 2017 to 19 in 2022; τ = 0.670, P = .009). A statistically significant increase was also seen in laparoscopic partial gastric resections, repair of gastric perforation, and “other major stomach procedures” (P < .05 for all comparisons). Open gastrostomy, open partial gastric resections, and open vagotomy all significantly decreased (P < .05 for all comparisons). There was no significant change in the volume of laparoscopic gastrectomy, total gastric resections, and non-laparoscopic gastric reductions for morbid obesity (P > .05 for all comparisons). There has been a substantial increase in the volume of gastric surgery during residency over the past 14 years, driven mainly by an increase in laparoscopic gastric reduction. However, there may still be a need for further gastric surgical training to ensure well-rounded general surgeons.
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2024.02.012