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Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching.
Engels, Paul T; Shi, Qian; Coates, Angela; Allen, Laura; Priestap, Fran; Moffat, Bradley S; Vogt, Kelly N; Joos, Emily; Minor, Samuel; Marchand, Mylene; Williams, Erin; Evans, Chris; Mador, Brett; Widder, Sandy; Ziessman, Markus; Lampron, Jacinthe; Ball, Chad G; Rice, Timothy J.
Afiliación
  • Engels PT; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Shi Q; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Coates A; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Allen L; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Priestap F; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Moffat BS; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Vogt KN; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Joos E; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Minor S; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Marchand M; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Williams E; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Evans C; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Mador B; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Widder S; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Ziessman M; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Lampron J; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Ball CG; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
  • Rice TJ; From the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery,
Can J Surg ; 67(2): E99-E107, 2024.
Article en En | MEDLINE | ID: mdl-38453348
ABSTRACT

BACKGROUND:

General surgeons play an important role in the provision of trauma care in Canada and the current extent of their trauma experience during training is unknown. We sought to quantify the operative and nonoperative educational experiences among Canadian general surgery trainees.

METHODS:

We conducted a multicentre retrospective study of major operative exposures experienced by general surgery residents, as identified using institutional trauma registries and subsequent chart-level review, for 2008-2018. We also conducted a site survey on trauma education and structure.

RESULTS:

We collected data on operative exposure for general surgery residents from 7 programs and survey data from 10 programs. Operations predominantly occurred after hours (73% after 1700 or on weekends) and general surgery residents were absent from a substantial proportion (25%) of relevant trauma operations. The structure of trauma education was heterogeneous among programs, with considerable site-specific variability in the involvement of surgical specialties in trauma care. During their training, graduating general surgery residents each experienced around 4 index trauma laparotomies, 1 splenectomy, 1 thoracotomy, and 0 neck explorations for trauma.

CONCLUSION:

General surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cirugía General / Internado y Residencia Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Can J Surg Año: 2024 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cirugía General / Internado y Residencia Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Can J Surg Año: 2024 Tipo del documento: Article