Twenty-year surgical trends in a gynecologic oncology fellowship training program: Implications for practice

被引:11
|
作者
Hoffman, Mitchel S. [1 ]
Xiong, Yin [2 ]
Apte, Sachin [1 ]
Roberts, William [1 ]
Wenham, Robert M. [1 ]
机构
[1] H Lee Moffitt Canc Ctr & Res Inst, Dept Gynecol Oncol, 12902 USF Magnolia Dr, Tampa, FL 33612 USA
[2] H Lee Moffitt Canc Ctr & Res Inst, Dept Biostat, Tampa, FL 33612 USA
关键词
Gynecologic oncology; Fellowship; Surgical education; NEOADJUVANT CHEMOTHERAPY; PRIMARY SURGERY; DISSECTION; CANCER;
D O I
10.1016/j.ygyno.2019.09.013
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To assess whether there were any significant changes in surgical training volume over the past 20 years that might have ramifications toward preparedness for practice. Methods: We used deidentified annual summaries of fellow case numbers for the academic years 1999 through 2018. Unpaired t-tests with Welch's correction were performed on all surgical categories for 10-year and 5-year periods. Results: The total number of hysterectomies performed each year did not change significantly. The percent of hysterectomies performed by minimally invasive surgery increased significantly starting in 2008. There was a significant decline in the number of radical hysterectomies conducted starting after 2004, which then remained stable. There was also a significant decline in the number of bowel resections/anastomoses performed by fellows on the gynecologic oncology services that occurred and stabilized during the same time frame. There were other significant trends associated with the introduction of minimally invasive techniques. Conclusion: The results of this study suggest the need to reevaluate fellowship training and/or the scope of surgical practice in gynecologic oncology. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:359 / 364
页数:6
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