title: 1990-2001 US general surgery chief resident gastric surgery operative experience: analysis of paradigm shift.
abstract: The almost complete disappearance of benign gastric ulcer disease has led to the perception that there may be an insufficient gastric surgery experience for surgery residents. This study analyzed resident-reported gastric procedure experience by chief residents from U.S. programs. The Resident Statistic Summaries (Report C) for 1990-2001 were compiled and analyzed. Results are expressed as the average number of operations performed per resident, standard deviation (SD), and the percentage (%) of total gastric operative cases. For all gastric-related surgery, the average reported cases per chief resident ranged from 9.8-12.4 with a peak in 1990 and a nadir in 1999; in 2001 the reported case average was 11.3 (SD ranged from 6-8). Over the same interval, vagotomy decreased from 24% in 1990 to 7% in 2001, whereas gastric-reduction operations increased from 5%-34%. Total gastrectomy remained a constant less than 1.0 per chief resident (range 0.6-0.8), whereas partial gastric resection (PGR) was unchanged. The percentage of all types of gastric resections slightly diminished from 34% in 1990 to 29% in 2001. U.S. surgical chief residents report a widely variable experience in gastric surgery over the period analyzed. However, their overall experience has not significantly diminished since 1990 although specific procedural volume has varied.
authors.affiliation: Department of Surgery, University of Illinois at Chicago, Chicago, Illinois 60612, USA.
authors.forename: N Joseph
authors.initials: NJ
authors.lastname: Espat
authors.forename: Evan S
authors.initials: ES
authors.lastname: Ong
authors.forename: W Scott
authors.initials: WS
authors.lastname: Helton
authors.forename: Lloyd M
authors.initials: LM
authors.lastname: Nyhus
mesh_terms: D013505:Digestive System Surgical Procedures / Q000193:education / Q000706:statistics & numerical data; D013502:General Surgery / Q000193:education* / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency; D013270:Stomach / Q000601:surgery*; D014481:United States