Can the Surgery-to-Resident Ratio be Used to Determine the Ideal Number of Residents in a General Surgery Training Clinic? Single Center Experience

IF 2.6 3区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Çağrı Büyükkasap MD, Ahmet Can Koyuncuoğlu MD, Aydın Yavuz MD, Hüseyin Göbüt MD, Kürşat Dikmen MD
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引用次数: 0

Abstract

OBJECTIVE

General surgery is a fundamental medical discipline that requires extensive training to develop competent surgeons. This study examines the impact of the number of residents on surgical training quality in a general surgery clinic and evaluates the usability of the Surgery-to-Resident Ratio (SRR) in determining the ideal number of residents.

DESIGN

Retrospective analysis.

SETTING

General Surgery Department, Gazi University Faculty of Medicine Hospital, Ankara, Turkey.

PARTICIPANTS

Data from surgical residents at the General Surgery Department, collected from 2012 to 2023.

METHODS

The study analyzed the number of surgeries performed and the total number of residents in 3-month periods. The Surgery-Resident Ratio (SRR) was calculated by dividing the total number of surgical procedures by the total number of residents. The educational impact of the SRR was assessed to identify the optimal number of residents.

RESULTS

In the 48 periods analyzed, the number of residents in our clinic varied between 12 and 26, with an average of 18.69. An increase in the number of residents led to a decrease in the total number of surgical cases per resident, particularly during the COVID-19 pandemic, which caused a significant drop in elective surgeries. Excluding the COVID-19 periods, the SRR decreased significantly with more than 19 residents, suggesting that the ideal number of residents is 18 to maintain training quality.

DISCUSSION

The study indicates that an optimal number of residents is essential for ensuring adequate case exposure and workload distribution, which are crucial for developing surgical competence. The SRR can serve as a useful guide for clinics in determining the ideal number of residents to maintain high training standards. Our findings suggest that while the number 18 is specific to our clinic, the SRR method can be adapted to other settings to ensure effective surgical education.

CONCLUSION

The SRR method provides a systematic approach to determining the optimal number of residents in a surgical training program. Ensuring an adequate number of surgeries per resident is vital for their educational development and proficiency in surgical techniques.
手术与住院医师比例能否用于确定普通外科培训诊所的理想住院医师人数?单中心经验。
目的:普外科是一门基础医学学科,需要进行大量培训才能培养出合格的外科医生。本研究探讨了住院医师人数对普外科诊所外科培训质量的影响,并评估了手术与住院医师比例(SRR)在确定理想住院医师人数方面的可用性:设计:回顾性分析:地点:土耳其安卡拉加齐大学医学院附属医院普通外科:从 2012 年至 2023 年收集的普通外科住院医师数据:研究分析了3个月内进行的手术数量和住院医师总数。手术-住院医师比率(SRR)的计算方法是将手术总数除以住院医师总数。评估了 SRR 对教育的影响,以确定最佳住院医师人数:在分析的 48 个时期内,本诊所的住院医师人数在 12 到 26 人之间,平均为 18.69 人。住院医师人数的增加导致每位住院医师的手术病例总数减少,尤其是在 COVID-19 大流行期间,导致择期手术大幅减少。除去COVID-19期间,住院医师人数超过19人时,SRR显著下降,这表明理想的住院医师人数为18人,以保持培训质量:该研究表明,最佳的住院医师人数对于确保充分的病例接触和工作量分配至关重要,而这对于培养外科能力至关重要。SRR 可作为诊所确定住院医师理想人数的有用指南,以保持较高的培训标准。我们的研究结果表明,虽然 18 人这一数字是我们诊所特有的,但 SRR 方法可适用于其他环境,以确保有效的外科教育:SRR方法为确定外科培训项目中最佳住院医师人数提供了一种系统方法。确保每名住院医师有足够的手术数量对他们的教育发展和熟练掌握外科技术至关重要。
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来源期刊
Journal of Surgical Education
Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY
CiteScore
5.60
自引率
10.30%
发文量
261
审稿时长
48 days
期刊介绍: The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.
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