title: Laparoscopic Colorectal Training Gap in Colorectal and Surgical Residents.
abstract: OBJECTIVE
  Laparoscopic colorectal surgery is an established safe procedure with demonstrated benefits. Proficiency in this specialty correlates with the volume of cases. We examined training in this surgical field for both general surgery and colon and rectal surgery residents to determine whether the number of cases needed for proficiency is being realized.
  
  
  METHODS
  We examined the Accreditation Council for Graduate Medical Education (ACGME) and American Board of Colorectal Surgeons (ABCRS) operative statistics for graduating general surgery and colon and rectal surgery residents.
  
  
  RESULTS
  Although the number of advanced laparoscopy cases had increased for general surgery residents, there was still a significant gap in case volume between the average number of laparoscopic colorectal operations performed by graduating general surgery residents (21.6) and those performed by graduating colon and rectal surgery residents (81.9) in 2014.
  
  
  CONCLUSIONS
  There is a gap between general surgery and colon and rectal surgery residency training for laparoscopic colorectal surgery. General surgery residents are not meeting the volume of cases necessary for proficiency in colorectal surgery. This deficit represents a structural difference in training.
authors: Colon and Rectal Clinic of Orlando, Orlando, Florida, USA.
authors: Beth-Ann
authors: BA
authors: Shanker
authors: Colon and Rectal Clinic of Orlando, Orlando, Florida, USA.
authors: Mark
authors: M
authors: Soliman
authors: Colon and Rectal Clinic of Orlando, Orlando, Florida, USA.
authors: Paul
authors: P
authors: Williamson
authors: Colon and Rectal Clinic of Orlando, Orlando, Florida, USA.
authors: Andrea
authors: A
authors: Ferrara
mesh_terms: D002983:Clinical Competence; D003107:Colorectal Surgery / Q000193:education*; D013505:Digestive System Surgical Procedures / Q000193:education* / Q000706:statistics & numerical data; D004503:Education, Medical, Graduate / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000193:education* / Q000706:statistics & numerical data; D059032:Learning Curve; D014481:United States
keywords: Colorectal; Complex Laparoscopy; Residency; Training