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 |
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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. |
doi_str_mv | 10.1097/IGC.0000000000001250 |
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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 & 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 & 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 ; Moulton, Laura J ; Costales, Anthony B ; Vargas, Roberto ; Michener, Chad M ; AlHilli, Mariam M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3390-e791bd8c0617dd3add774db4074550c7b414a5ee4d69f069e7d91aa3c43f2e6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Attitude of Health Personnel</topic><topic>Digestive System Surgical Procedures - education</topic><topic>Female</topic><topic>Gynecology - education</topic><topic>Humans</topic><topic>Intestines - surgery</topic><topic>Male</topic><topic>Oncology</topic><topic>Scholarships & fellowships</topic><topic>Surgery</topic><topic>Surgical Oncology - education</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecological cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Connor, Elizabeth V</au><au>Moulton, Laura J</au><au>Costales, Anthony B</au><au>Vargas, Roberto</au><au>Michener, Chad M</au><au>AlHilli, Mariam M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal Surgery in Gynecologic Oncology: Are We Training for the Future?</atitle><jtitle>International journal of gynecological cancer</jtitle><addtitle>Int J Gynecol Cancer</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>28</volume><issue>5</issue><spage>983</spage><epage>988</epage><pages>983-988</pages><issn>1048-891X</issn><eissn>1525-1438</eissn><abstract>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.</abstract><cop>England</cop><pub>by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology</pub><pmid>29595760</pmid><doi>10.1097/IGC.0000000000001250</doi><tpages>6</tpages></addata></record> |
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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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