| Should oesophagectomies be performed by trainees? The experience from a single teaching centre under the supervision of one surgeon. | |
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MedLine Citation:
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PMID: 18492394 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Surgical training is threatened by anxieties about trainees performing major procedures. We have analysed the outcome of oesophagectomies performed by a consultant surgeon and compared these to the performance of trainees (years 4-6) operating under direct supervision. PATIENTS AND METHODS: Data were collected retrospectively in a computerised database on all patients who underwent oesophagectomy at a teaching tertiary centre between December 1997 and April 2004 with a minimum 15 months' follow-up. Analysis of outcome was according to measures of technical adequacy, postoperative course, histological analysis, recurrence and survival. RESULTS: During the study period, 241 oesophagectomies were carried out; 157 (65.1%) of these procedures were performed by the consultant and 84 (34.9%) were performed by surgeons-in-training under direct consultant supervision. Pre-operative, technical adequacy, postoperative course, histological analysis, recurrence and survival were comparable in both groups. CONCLUSIONS: These data demonstrate comparable patient outcome when suitably experienced trainees are supervised in performing oesophagectomies and support its continued use in operative training. |
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Authors:
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Ryan Baron; Vijay Sujendran; Nicholas Maynard |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 90 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-05-21 Completed Date: 2008-07-22 Revised Date: 2010-09-22 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 305-9 Citation Subset: IM |
Affiliation:
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Oxford OesophagoGastric Unit, The John Radcliffe Hospital, Oxford, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence
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standards* Consultants Education, Medical, Graduate / methods* England Esophageal Neoplasms / surgery* Esophagectomy / standards* Female Humans Male Medical Staff, Hospital / education Middle Aged Retrospective Studies Teaching / methods* |
| Comments/Corrections | |
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