Specific training in coloproctology: cross-sectional cohort study through the Young Group of the Spanish Association of Coloproctology

Tamara Fernández-Miguel , Óscar Cano-Valderrama , Marta Paniagua García-Señorans , Alba Correa Bonito , Emilio Peña Ros , María Luisa Reyes-Díaz , Carlos Cerdán-Santacruz
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Abstract

Introduction

Specific training at surgical super-specialities and its objective evaluation is a challenge nowadays in order to measure the potential benefits that it might add.

Material and methods

An online survey addressed by the “Grupo Joven de la Asociación Española de Coloproctología” has been performed in order to evaluate the level of formation achieved specifically at colorectal surgery.

Results

128 surgeons participated, representing 81 colorectal surgery units. Mean satisfaction after the period of formation was moderate to high in 84% of the ones polled. The main points of improvement were the realization of advanced surgical techniques (52%) and academic questions (45%). The big part of the respondents has performed simple proctologic procedures (98%) and oncological open colic resections (100%) during their training period, observing the scarcity of related pelvic floor procedures (20%) and diagnosis techniques (10–45%). Scientific production (31,5%) and presentation of studies at congresses (82,8%) have been moderated. No differences between accredited units and non-accredited units have been observed.

Conclusions

Specific formation in colorectal surgery is appropriate, with a high level of simple procedures and open surgery performed by personal at formation. In view of these results, it seems logical to think that even though is necessary a progress in the formation of minimal invasive and diagnosis techniques.

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结肠直肠专科培训:通过西班牙结肠直肠协会青年组进行的横断面队列研究。
导言:外科超级专科的特殊培训及其客观评估是当今的一项挑战,以衡量其可能带来的潜在益处:材料和方法:"西班牙结直肠外科协会青少年小组 "进行了一项在线调查,以评估结直肠外科专项培训的水平:结果:128 名外科医生代表 81 个结直肠外科单位参加了此次活动。84%的受访者在培训期结束后的平均满意度为中高。改进的主要方面是实现先进的外科技术(52%)和学术问题(45%)。大部分受访者在培训期间进行过简单的直肠外科手术(98%)和肿瘤开放性结肠切除术(100%),但很少观察到相关的盆底手术(20%)和诊断技术(10-45%)。科研成果(31.5%)和在大会上发表研究报告(82.8%)均受到了控制。经认可的单位和未经认可的单位之间没有差异:结肠直肠外科的特殊培养是适当的,培养过程中由个人实施的简单手术和开腹手术水平较高。鉴于这些结果,我们似乎可以合乎逻辑地认为,即使在微创和诊断技术的培养方面取得进展是必要的。
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