title: How to improve training in bowel surgery for gynecological oncologists-experience from a single center in the United kingdom.
abstract: BACKGROUND
  There is now a growing realization of the lack of experience of gynecological oncology trainees in gastrointestinal surgery. Advanced fellowship programs in gastrointestinal surgery have been suggested as a potential solution to this problem.
  
  
  METHODS
  We present data relating to gastrointestinal procedures performed by the gynecological oncology trainee during a fellowship program over a 3-year period in a single gynecological oncology center in the United Kingdom.
  
  
  RESULTS
  Over a 36-month period, 369 cases of invasive ovarian cancer were diagnosed in our institute, of which 278 (75.3%) were stage III/IV disease. Bowel surgery was performed in 86 patients (30.9%) with stage III/IV ovarian cancer. A total of 121 gastrointestinal procedures were performed during the study period, as some patients had more than one procedure. We present the procedures the gynecological oncology fellow performed and assisted during this period.
  
  
  CONCLUSIONS
  To improve competencies in performing bowel surgery among gynecological oncology trainees, we suggest sustained exposure in bowel surgery over the entire duration of the training program.
authors.affiliation: Departments of Obstetrics and Gynaecology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, UK. nikolaos.burbos@nnuh.nhs.uk
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Burbos
authors.forename: Mazen
authors.initials: M
authors.lastname: Abu-Freij
authors.forename: Sandeep
authors.initials: S
authors.lastname: Kapur
authors.forename: Simon G
authors.initials: SG
authors.lastname: Crocker
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Duncan
authors.forename: Joaquin J
authors.initials: JJ
authors.lastname: Nieto
mesh_terms: D013505:Digestive System Surgical Procedures / Q000193:education* / Q000379:methods / Q000592:standards; D004503:Education, Medical, Graduate; D005257:Fellowships and Scholarships; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000193:education* / Q000379:methods / Q000592:standards; D006801:Humans; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D006113:United Kingdom