Training and practice of the next generation HPB surgeon: analysis of the 2014 AHPBA residents' and fellows' symposium survey.

Seshadri, RM ; Ali, N ; et al.

In: HPB : the official journal of the International Hepato Pancreato Biliary Association, Jg. 17 (2015-12-01), Heft 12, S. 1096-104

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Background: Hepato-pancreato-biliary (HPB) surgery is a complex subspecialty drawing from varied training pools, and the need for competency is rapidly growing. However, no board certification process or standardized training metrics in HPB surgery exist in the Americas. This study aims to assess the attitudes of current trainees and HPB surgeons regarding the state of training, surgical practice and the HPB surgical job market in the Americas.

Study Design: A 20-question survey was distributed to members of Americas Hepato-Pancreato-Biliary Association (AHPBA) with a valid e-mail address who attended the 2014 AHPBA. Descriptive statistics were generated for both the aggregate survey responses and by training category.

Results: There were 176 responses with evenly distributed training tracks; surgical oncology (44, 28%), transplant (39, 24.8%) and HPB (38, 24.2%). The remaining tracks were HPB/Complex gastrointestinal (GI) and HPB/minimally invasive surgery (MIS) (29, 16% and 7, 4%). 51.2% of respondents thought a dedicated HPB surgery fellowship would be the best way to train HPB surgeons, and 68.1% felt the optimal training period would be a 2-year clinical fellowship with research opportunities. This corresponded to the 67.5% of the practicing HPB surgeons who said they would prefer to attend an HPB fellowship for 2 years as well. Overall, most respondents indicated their ideal job description was clinical practice with the ability to engage in clinical and/or outcomes research (52.3%).

Conclusions: This survey has demonstrated that HPB surgery has many training routes and practice patterns in the Americas. It highlights the need for specialized HPB surgical training and career education. This survey shows that there are many ways to train in HPB. A 2-year HPB fellowship was felt to be the best way to train to prepare for a clinically active HPB practice with clinical and outcomes research focus.

Titel:	Training and practice of the next generation HPB surgeon: analysis of the 2014 AHPBA residents' and fellows' symposium survey.
Autor/in / Beteiligte Person:	Seshadri, RM ; Ali, N ; Warner, S ; Cochran, A ; Vrochides, D ; Iannitti, D ; Jeyarajah, DR
Link:	Full Text Finder (Volltext)
Zeitschrift:	HPB : the official journal of the International Hepato Pancreato Biliary Association, Jg. 17 (2015-12-01), Heft 12, S. 1096-104
Veröffentlichung:	2016- : Oxford, UK : Elsevier ; <i>Original Publication</i>: 1999-2001: Oxford, England : ISIS Medical Media, 2015
Medientyp:	academicJournal
ISSN:	1477-2574 (electronic)
DOI:	10.1111/hpb.12498
Schlagwort:	Adult Attitude of Health Personnel Biliary Tract Surgical Procedures education Career Choice Certification Curriculum Digestive System Surgical Procedures standards Education, Medical, Graduate standards Female Hepatectomy education Humans Job Description Male Middle Aged Pancreaticoduodenectomy education Specialization Surveys and Questionnaires Teaching standards Time Factors United States Clinical Competence standards Digestive System Surgical Procedures education Education, Medical, Graduate methods Fellowships and Scholarships standards Internship and Residency standards Teaching methods
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [HPB (Oxford)] 2015 Dec; Vol. 17 (12), pp. 1096-104. <i>Date of Electronic Publication: </i>2015 Sep 10. MeSH Terms: Clinical Competence* / standards ; Fellowships and Scholarships* / standards ; Internship and Residency* / standards ; Digestive System Surgical Procedures / education ; Education, Medical, Graduate / methods ; Teaching / *methods ; Adult ; Attitude of Health Personnel ; Biliary Tract Surgical Procedures / education ; Career Choice ; Certification ; Curriculum ; Digestive System Surgical Procedures / standards ; Education, Medical, Graduate / standards ; Female ; Hepatectomy / education ; Humans ; Job Description ; Male ; Middle Aged ; Pancreaticoduodenectomy / education ; Specialization ; Surveys and Questionnaires ; Teaching / standards ; Time Factors ; United States References: J Gastrointest Surg. 2008 Jan;12(1):153-8. (PMID: 17955309) ; Br J Surg. 2008 Mar;95(3):357-62. (PMID: 17933001) ; J Am Coll Surg. 2008 Apr;206(4):678-84. (PMID: 18387474) ; HPB (Oxford). 2015 Apr;17(4):352-6. (PMID: 25545141) ; Surg Oncol Clin N Am. 2011 Jul;20(3):487-500, viii. (PMID: 21640917) ; Surgery. 1999 Mar;125(3):250-6. (PMID: 10076608) ; J Gastrointest Surg. 2014 Mar;18(3):532-41. (PMID: 24430889) ; Surgery. 2014 Aug;156(2):385-93. (PMID: 24953270) ; HPB (Oxford). 2014 Dec;16(12):1127-32. (PMID: 24961380) ; J Gastrointest Surg. 2011 Jan;15(1):184-90. (PMID: 21061186) ; BMJ. 2002 Jan 19;324(7330):156-9. (PMID: 11799035) ; Br J Surg. 2012 Mar;99(3):404-10. (PMID: 22237731) Entry Date(s): Date Created: 20150911 Date Completed: 20160830 Latest Revision: 20181113 Update Code: 20240513 PubMed Central ID: PMC4644361

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