Authors: Joshua Tierney Rebeccah B Baucom Michael D Holzman Benjamin K Poulose Richard A Pierce
Publish Date: 2016/08/17
Volume: 31, Issue: 4, Pages: 1675-1679
Abstract
The diagnostic and therapeutic roles for endoscopic intervention are expanding To continue emphasis on endoscopy in surgical training The Society of American Gastrointestinal and Endoscopic Surgeons has developed the Fundamentals of Endoscopic Surgery FES course to standardize and assess endoscopy training However little demographic information exists about the current practice of endoscopy by general surgeons and how to best integrate endoscopic skills into surgical trainingA survey to collect data regarding the current practice patterns of endoscopy was sent to surgeons with a valid email address in the American Medical Association masterfile Information regarding the type of training academic vs community general surgery residency and current practice environment academic medical center vs community hospital was collected The respondents’ current practice volume of upper endoscopy and colonoscopy over the prior year was stratified into three groups rare 1 per month moderate 1–10 per month and frequent 10 per month Pearson’s Chisquared test was used to analyze the dataThe survey was sent to 9902 general surgeons There were 767 who provided answers regarding their current practice of endoscopy Mean time in practice was 18 ± 10 years 87 were male and 83 practiced in a metropolitan area Respondents who trained at academic general surgery programs were less likely than those at community programs to frequently perform colonoscopy 173 vs 279 p 005 and upper endoscopy 118 vs 171 p 005 Those who currently practice in academic medical centers were also less likely to be frequent performers of colonoscopy 56 vs 247 p 005 and upper endoscopy 98 vs 148 p 005 than those who practice at community hospitalsThe type of residency training and current practice setting of general surgeons has a significant influence on the volume of endoscopic procedures performed This study identifies areas where more emphasis on endoscopic skills training is needed such as FES
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