title: Minimally invasive surgery training in Canada: a survey of general surgery.
abstract: BACKGROUND
  The purpose of this study was to assess the state of surgical training in minimally invasive surgery (MIS) within Canadian academic surgical departments.
  
  
  METHODS
  A pretested questionnaire was distributed to the general surgery residents of participating Canadian academic surgical departments.
  
  
  RESULTS
  Fourteen of 16 residency programs participated and 235 of 388 residents (60%) responded to the survey. Residents expect to perform both basic (217/235 [92%]) and advanced (123/234 [53%]) MIS procedures on completion of their residency. However, only 41 of 233 (18%) believed that their advanced MIS training would be adequate. On a Likert scale, the most important factors influencing their training included limited advanced case volume (median, 5), limited opportunity in the operating room (OR) (median, 5), lack of attending surgeon interest (median, 4), limited OR time (median, 4), and a lack of surgical department support (median, 4). Residents were concerned about their ability to acquire these skills once they finished their training (median, 4), and 231 of 234 (99%) thought that there was an important role for a MIS surgeon within the academic setting (median, 5).
  
  
  CONCLUSIONS
  The rapid development of MIS has generated complex issues for resident training within the present Canadian academic surgical environment.
authors.affiliation: Department of Surgery, University Medical Center, University of Arizona, Tucson, AZ 85724, USA. chiasson@email.arizona.edu
authors.forename: P M
authors.initials: PM
authors.lastname: Chiasson
authors.forename: D E
authors.initials: DE
authors.lastname: Pace
authors.forename: C M
authors.initials: CM
authors.lastname: Schlachta
authors.forename: J
authors.initials: J
authors.lastname: Mamazza
authors.forename: E C
authors.initials: EC
authors.lastname: Poulin
mesh_terms: D000328:Adult; D002170:Canada; D002983:Clinical Competence; D003625:Data Collection; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000193:education* / Q000706:statistics & numerical data