Intestinal Surgery in Gynecologic Oncology: Are We Training for the Future?

OBJECTIVEThe objective of this study was to assess the scope of intestinal surgery training across gynecologic oncology fellowships in the United States and identify factors associated with perceived preparedness to perform intestinal surgery independently. MATERIALS/METHODSAn institutional review b...

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Veröffentlicht in:International journal of gynecological cancer 2018-06, Vol.28 (5), p.983-988
Hauptverfasser: Connor, Elizabeth V, Moulton, Laura J, Costales, Anthony B, Vargas, Roberto, Michener, Chad M, AlHilli, Mariam M
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container_end_page 988
container_issue 5
container_start_page 983
container_title International journal of gynecological cancer
container_volume 28
creator Connor, Elizabeth V
Moulton, Laura J
Costales, Anthony B
Vargas, Roberto
Michener, Chad M
AlHilli, Mariam M
description OBJECTIVEThe objective of this study was to assess the scope of intestinal surgery training across gynecologic oncology fellowships in the United States and identify factors associated with perceived preparedness to perform intestinal surgery independently. MATERIALS/METHODSAn institutional review board–approved survey was distributed to Society of Gynecologic Oncology fellows and candidate members within the first 3 years of practice. Questions addressed demographics, operative experience, preparedness and plans for performing intestinal surgery, and attitudes toward gynecologic oncologists (GOs) performing intestinal surgery. Responses were analyzed using descriptive statistics as well as univariate and multivariate analyses. RESULTSOf 374 Society of Gynecologic Oncology members invited, 108 (29%) responded, including 38 fellows (35%) and 53 recent graduates (49%). Fifteen (14%) reported more than 3 years of practice and were excluded. Most participants (96%) received intestinal surgery training from GOs, and 64% reported that all faculty routinely performed intestinal surgery. Most participants (81%) believed GOs should perform intestinal procedures, whereas only 58% felt prepared and 59% planned to perform intestinal procedures independently. Fellows who performed more than 10 intestinal diversion procedures, participated directed in intestine-related intraoperative consultations, or reported that all faculty performed intestinal surgery were more likely to feel prepared to perform intestinal surgery independently. Sex, training region, intended practice environment, and fellowship curriculum were not associated with preparedness to perform intestinal surgery. CONCLUSIONSAlmost half of gynecologic oncology fellows and recent graduates in the United States do not feel prepared to perform intestinal procedures independently after fellowship. Increased volume and direct involvement of fellows in intestinal surgery may improve preparedness for performing intestinal surgery after fellowship.
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MATERIALS/METHODSAn institutional review board–approved survey was distributed to Society of Gynecologic Oncology fellows and candidate members within the first 3 years of practice. Questions addressed demographics, operative experience, preparedness and plans for performing intestinal surgery, and attitudes toward gynecologic oncologists (GOs) performing intestinal surgery. Responses were analyzed using descriptive statistics as well as univariate and multivariate analyses. RESULTSOf 374 Society of Gynecologic Oncology members invited, 108 (29%) responded, including 38 fellows (35%) and 53 recent graduates (49%). Fifteen (14%) reported more than 3 years of practice and were excluded. Most participants (96%) received intestinal surgery training from GOs, and 64% reported that all faculty routinely performed intestinal surgery. Most participants (81%) believed GOs should perform intestinal procedures, whereas only 58% felt prepared and 59% planned to perform intestinal procedures independently. Fellows who performed more than 10 intestinal diversion procedures, participated directed in intestine-related intraoperative consultations, or reported that all faculty performed intestinal surgery were more likely to feel prepared to perform intestinal surgery independently. Sex, training region, intended practice environment, and fellowship curriculum were not associated with preparedness to perform intestinal surgery. CONCLUSIONSAlmost half of gynecologic oncology fellows and recent graduates in the United States do not feel prepared to perform intestinal procedures independently after fellowship. Increased volume and direct involvement of fellows in intestinal surgery may improve preparedness for performing intestinal surgery after fellowship.</description><identifier>ISSN: 1048-891X</identifier><identifier>EISSN: 1525-1438</identifier><identifier>DOI: 10.1097/IGC.0000000000001250</identifier><identifier>PMID: 29595760</identifier><language>eng</language><publisher>England: by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology</publisher><subject>Attitude of Health Personnel ; Digestive System Surgical Procedures - education ; Female ; Gynecology - education ; Humans ; Intestines - surgery ; Male ; Oncology ; Scholarships &amp; fellowships ; Surgery ; Surgical Oncology - education ; Surveys and Questionnaires</subject><ispartof>International journal of gynecological cancer, 2018-06, Vol.28 (5), p.983-988</ispartof><rights>2018 by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology.</rights><rights>2018 2018 by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3390-e791bd8c0617dd3add774db4074550c7b414a5ee4d69f069e7d91aa3c43f2e6e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29595760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Connor, Elizabeth V</creatorcontrib><creatorcontrib>Moulton, Laura J</creatorcontrib><creatorcontrib>Costales, Anthony B</creatorcontrib><creatorcontrib>Vargas, Roberto</creatorcontrib><creatorcontrib>Michener, Chad M</creatorcontrib><creatorcontrib>AlHilli, Mariam M</creatorcontrib><title>Intestinal Surgery in Gynecologic Oncology: Are We Training for the Future?</title><title>International journal of gynecological cancer</title><addtitle>Int J Gynecol Cancer</addtitle><description>OBJECTIVEThe objective of this study was to assess the scope of intestinal surgery training across gynecologic oncology fellowships in the United States and identify factors associated with perceived preparedness to perform intestinal surgery independently. MATERIALS/METHODSAn institutional review board–approved survey was distributed to Society of Gynecologic Oncology fellows and candidate members within the first 3 years of practice. Questions addressed demographics, operative experience, preparedness and plans for performing intestinal surgery, and attitudes toward gynecologic oncologists (GOs) performing intestinal surgery. Responses were analyzed using descriptive statistics as well as univariate and multivariate analyses. RESULTSOf 374 Society of Gynecologic Oncology members invited, 108 (29%) responded, including 38 fellows (35%) and 53 recent graduates (49%). Fifteen (14%) reported more than 3 years of practice and were excluded. Most participants (96%) received intestinal surgery training from GOs, and 64% reported that all faculty routinely performed intestinal surgery. Most participants (81%) believed GOs should perform intestinal procedures, whereas only 58% felt prepared and 59% planned to perform intestinal procedures independently. Fellows who performed more than 10 intestinal diversion procedures, participated directed in intestine-related intraoperative consultations, or reported that all faculty performed intestinal surgery were more likely to feel prepared to perform intestinal surgery independently. Sex, training region, intended practice environment, and fellowship curriculum were not associated with preparedness to perform intestinal surgery. CONCLUSIONSAlmost half of gynecologic oncology fellows and recent graduates in the United States do not feel prepared to perform intestinal procedures independently after fellowship. Increased volume and direct involvement of fellows in intestinal surgery may improve preparedness for performing intestinal surgery after fellowship.</description><subject>Attitude of Health Personnel</subject><subject>Digestive System Surgical Procedures - education</subject><subject>Female</subject><subject>Gynecology - education</subject><subject>Humans</subject><subject>Intestines - surgery</subject><subject>Male</subject><subject>Oncology</subject><subject>Scholarships &amp; fellowships</subject><subject>Surgery</subject><subject>Surgical Oncology - education</subject><subject>Surveys and Questionnaires</subject><issn>1048-891X</issn><issn>1525-1438</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0U9LwzAYBvAgivPfNxAJePFSfdMkTeNFxtA5HOygoreQNu-2zq7VtEX67Y1ugphLnsOPl-R9CDllcMlAq6vJeHQJfw6LJeyQAyZjGTHB092QQaRRqtnrgBw2zSogHYPeJ4NYSy1VAgfkYVK12LRFZUv62PkF-p4WFR33FeZ1WS-KnM6qn9Rf06FH-oL0yduiKqoFndeetkukd13bebw5JntzWzZ4sr2PyPPd7dPoPprOxpPRcBrlnGuIUGmWuTSHhCnnuHVOKeEyAUpICbnKBBNWIgqX6DkkGpXTzFqeCz6PMUF-RC42c999_dGF15t10eRYlrbCumtMDEynoKQUgZ7_o6u68-GzQUmlIY0Z8KDOtqrL1ujMuy_W1vfmd00BpBvwWZct-uat7D7RmyXasl0aBua7ERMaMf8b4V-fxXn6</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Connor, Elizabeth V</creator><creator>Moulton, Laura J</creator><creator>Costales, Anthony B</creator><creator>Vargas, Roberto</creator><creator>Michener, Chad M</creator><creator>AlHilli, Mariam M</creator><general>by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180601</creationdate><title>Intestinal Surgery in Gynecologic Oncology: Are We Training for the Future?</title><author>Connor, Elizabeth V ; 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MATERIALS/METHODSAn institutional review board–approved survey was distributed to Society of Gynecologic Oncology fellows and candidate members within the first 3 years of practice. Questions addressed demographics, operative experience, preparedness and plans for performing intestinal surgery, and attitudes toward gynecologic oncologists (GOs) performing intestinal surgery. Responses were analyzed using descriptive statistics as well as univariate and multivariate analyses. RESULTSOf 374 Society of Gynecologic Oncology members invited, 108 (29%) responded, including 38 fellows (35%) and 53 recent graduates (49%). Fifteen (14%) reported more than 3 years of practice and were excluded. Most participants (96%) received intestinal surgery training from GOs, and 64% reported that all faculty routinely performed intestinal surgery. 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ispartof International journal of gynecological cancer, 2018-06, Vol.28 (5), p.983-988
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source MEDLINE; Journals@Ovid Complete
subjects Attitude of Health Personnel
Digestive System Surgical Procedures - education
Female
Gynecology - education
Humans
Intestines - surgery
Male
Oncology
Scholarships & fellowships
Surgery
Surgical Oncology - education
Surveys and Questionnaires
title Intestinal Surgery in Gynecologic Oncology: Are We Training for the Future?
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