October 1995

A Surgical Subspecialist Enhances General Surgical Operative Experience

Author Affiliations

From the Department of Surgery, the University of Louisville School of Medicine, Louisville, Ky.

Arch Surg. 1995;130(10):1136-1138. doi:10.1001/archsurg.1995.01430100114022

Objective:  To examine the impact of a surgical subspecialist on residents' operative experience in a mature general surgery training program.

Methods:  American Board of Surgery operative experience records were used to examine the impact of a surgical subspecialist on surgical training in a stable residency program. Operations performed as surgeon by residents in their chief and junior years were analyzed 4 years before and 4 years after the addition of this subspecialist to the faculty. Hospital admissions for Crohn's disease and ulcerative colitis during these periods were analyzed as well.

Results:  There was a statistically significant increase in the number of ileal pouch anal anastomoses, ileostomies, small-bowel resections, partial colectomies, and coloanal anastomoses performed by surgical residents after the addition of a colorectal surgical subspecialist.

Conclusions:  Subspecialty faculty may favorably influence general surgical training by increasing resident operative experience and patient management skills with procedures characteristic of the subspecialty.(Arch Surg. 1995;130:1136-1138)