The longitudinal study of surgical residents, 1994 to 1996.

Abstract:

BACKGROUND:The American College of Surgeons (ACS) has conducted a detailed annual survey of residents enrolled in surgical graduate medical education (GME) programs since 1982 and has regularly published the resulting data as the Longitudinal Study of Surgical Residents. This report documents surgical resident enrollment and graduation for the academic years 1994-95 and 1995-96. STUDY DESIGN:The Medical Education Research and Information Database of the American Medical Association was supplemented by the existing ACS Resident Masterfile and by personal contact with program directors and their staffs to verify accuracy and completeness of reporting. Each resident was tracked individually through surgical GME. RESULTS:The total number of surgical residents graduating from surgical GME in 1995 and 1996 has not changed since 1982. Most graduates of surgical residency programs are in obstetrics and gynecology, followed by general surgery; demographic analysis of the graduating cohort shows that most are Caucasian male graduates of US or Canadian medical schools, and that their age at graduation is 33 to 35 years. International medical graduates (IMG) make up 8.9% of entering surgical residents and 6% of graduates. Osteopathic medical school graduates account for 1.2% to 1.3% of entering and graduating surgical residents. Women represent 27% of entering and 23% to 24% of graduates of surgical GME. The largest number and proportion of women in surgical GME are enrolled in obstetrics and gynecology residency programs, where they make up the majority of entering and graduating classes. When all other surgical residency program enrollments are considered together, women make up 17% and 16% of entering residents in 1994 and 1995, respectively, and 13% and 14% of graduates in those years. CONCLUSIONS:Surgical GME enrollment and graduation is stable. Few women and ethnic minorities are enrolled in surgical residency programs. IMG enrollment and graduation in surgical GME is low.

journal_name

J Am Coll Surg

authors

Kwakwa F,Jonasson O

doi

10.1016/s1072-7515(99)00044-7

keywords:

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

575-85

issue

6

eissn

1072-7515

issn

1879-1190

pii

S1072751599000447

journal_volume

188

pub_type

杂志文章
  • Clinical outcomes and apomucin expression of intrahepatic cholangiocarcinoma according to gross morphology.

    abstract:BACKGROUND:The clinicopathologic characteristics and the expression of apomucin (MUC) in intrahepatic cholangiocarcinoma (ICC) with respect to gross morphology have not been comprehensively examined. STUDY DESIGN:We reviewed the clinical data of 98 patients with ICC who underwent resection at Seoul National University...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(02)01343-1

    authors: Suh KS,Chang SH,Lee HJ,Roh HR,Kim SH,Lee KU

    更新日期:2002-12-01 00:00:00

  • Comparative analysis of sentinel lymph node operation in male and female breast cancer patients.

    abstract:BACKGROUND:Male breast cancer accounts for < 1% of breast cancers. Sentinel lymph node (SLN) operation is commonly used in the evaluation of female breast cancer patients. The purpose of this study was to determine whether SLN operation is as feasible and accurate in male patients compared with female patients. STUDY ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.06.014

    authors: Boughey JC,Bedrosian I,Meric-Bernstam F,Ross MI,Kuerer HM,Akins JS,Giordano SH,Babiera GV,Ames FC,Hunt KK

    更新日期:2006-10-01 00:00:00

  • Comparative analysis of vagotomy and drainage versus vagotomy and resection procedures for bleeding peptic ulcer disease: results of 907 patients from the Department of Veterans Affairs National Surgical Quality Improvement Program database.

    abstract:BACKGROUND:The purpose of this study was to determine postoperative outcomes and risk factors for morbidity and mortality in patients requiring surgery for bleeding peptic ulcer disease (PUD). Vagotomy and drainage procedures are technically simpler but are usually associated with higher ulcer recurrence rates. In cont...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2005.09.001

    authors: de la Fuente SG,Khuri SF,Schifftner T,Henderson WG,Mantyh CR,Pappas TN

    更新日期:2006-01-01 00:00:00

  • Appendicitis in children treated by pediatric versus general surgeons.

    abstract:BACKGROUND:Pediatric appendicitis is treated by both pediatric and general surgeons. We investigated whether specialty-dependent differences existed in patients' characteristics and outcomes. STUDY DESIGN:A retrospective chart review of 465 consecutive children treated for appendicitis at a university-affiliated child...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.10.006

    authors: Emil SG,Taylor MB

    更新日期:2007-01-01 00:00:00

  • Quality of care along the cancer continuum: does receiving adequate lymph node evaluation for colon cancer lead to comprehensive postsurgical care?

    abstract:BACKGROUND:Among surgically treated patients with colon cancer, lower long-term mortality has been demonstrated in those with 12 or more lymph nodes evaluated. We examined whether patients receiving adequate lymph node evaluation were also more likely to receive comprehensive postsurgical care, leading to lower mortali...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2012.05.014

    authors: Parsons HM,Tuttle TM,Kuntz KM,Begun JW,McGovern PM,Virnig BA

    更新日期:2012-09-01 00:00:00

  • Hepatic resection for metastatic colorectal adenocarcinoma: a proposal of a prognostic scoring system.

    abstract:BACKGROUND:Hepatic resection for metastatic colorectal cancer provides excellent longterm results in a substantial proportion of patients. Although various prognostic risk factors have been identified, there has been no dependable staging or prognostic scoring system for metastatic hepatic tumors. STUDY DESIGN:Various...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00089-7

    authors: Iwatsuki S,Dvorchik I,Madariaga JR,Marsh JW,Dodson F,Bonham AC,Geller DA,Gayowski TJ,Fung JJ,Starzl TE

    更新日期:1999-09-01 00:00:00

  • Immediate reconstruction after complete skin-sparing mastectomy with autologous tissue.

    abstract:BACKGROUND:Immediate breast reconstruction with autologous tissue can re-create a breast mound that closely resembles the native breast in shape and consistency. Results are limited by scarring and color differences between flap and native breast skin. This study reviews all patients undergoing complete skin-sparing ma...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(98)00131-8

    authors: Hidalgo DA,Borgen PJ,Petrek JA,Heerdt AH,Cody HS,Disa JJ

    更新日期:1998-07-01 00:00:00

  • Comparison of mortality risk adjustment using a clinical data algorithm (American College of Surgeons National Surgical Quality Improvement Program) and an administrative data algorithm (Solucient) at the case level within a single institution.

    abstract:BACKGROUND:There is great interest in efficiently evaluating health care quality, but there is controversy over the use of administrative versus clinical data methods. We sought to compare actual mortality with risk-adjusted expected mortality in a sample population calculated by two different methods; one based on pre...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.08.013

    authors: Hall BL,Hirbe M,Waterman B,Boslaugh S,Dunagan WC

    更新日期:2007-12-01 00:00:00

  • Transperineal repair of symptomatic rectocele with Marlex mesh: a clinical, physiological and radiologic assessment of treatment.

    abstract:BACKGROUND:The aim of this study was to evaluate the operative repair of rectoceles in a defined group of women by a technique designed to deal with the cause (failure of the rectovaginal septum) rather than the effect (rectal and vaginal wall bulging). STUDY DESIGN:Only women whose defecation was aided by vaginal dig...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Watson SJ,Loder PB,Halligan S,Bartram CI,Kamm MA,Phillips RK

    更新日期:1996-09-01 00:00:00

  • Hilar lobar vascular occlusion for hepatic resection.

    abstract::Limited resection can be a therapeutic approach in patients with cirrhosis with very low remnant hepatic function after resection. In this study, two hilar vascular clamping methods (hilar selective clamping [n = 13] and hilar lobar clamping method [n = 8]), which were used for resection of hepatocellular carcinoma in...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Gotoh M,Monden M,Sakon M,Kanai T,Umeshita K,Nagano H,Mori T

    更新日期:1994-01-01 00:00:00

  • A predictive model for identifying surgical patients at risk of methicillin-resistant Staphylococcus aureus carriage on admission.

    abstract:BACKGROUND:Legislative mandates and current guidelines for control of nosocomial transmission of methicillin-resistant Staphylococcus aureus (MRSA) recommend screening of patients at risk of MRSA carriage on hospital admission. Indiscriminate application of these guidelines can result in a large number of unnecessary s...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2008.05.023

    authors: Harbarth S,Sax H,Uckay I,Fankhauser C,Agostinho A,Christenson JT,Renzi G,Schrenzel J,Pittet D

    更新日期:2008-11-01 00:00:00

  • Association Between Burn Injury and Mental Illness among Burn Survivors: A Population-Based, Self-Matched, Longitudinal Cohort Study.

    abstract:BACKGROUND:Mental health disorders are prevalent before and after burn injury. However, the impact of burn injury on risk of subsequent mental health disorders is unknown. STUDY DESIGN:We conducted a population-based, self-matched longitudinal cohort study using administrative data in Ontario, Canada between 2003 and ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2017.06.004

    authors: Mason SA,Nathens AB,Byrne JP,Ellis J,Fowler RA,Gonzalez A,Karanicolas PJ,Moineddin R,Jeschke MG

    更新日期:2017-10-01 00:00:00

  • Medical liability-the crisis, the reality, and the data: the University of Michigan story.

    abstract:BACKGROUND:This study describes, quantifies, and evaluates the University of Michigan Department of Surgery medical malpractice experience for the 1992 to 2002 period. The goal is to gain an understanding of what our claims experience has been, what services are highest risk, and where the financial exposure lies. STU...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.05.011

    authors: Taheri PA,Butz DA,Anderson S,Boothman R,Blanco OL,Greenfield LJ,Mulholland MM

    更新日期:2006-09-01 00:00:00

  • The impact of splenectomy on outcomes after resection of pancreatic adenocarcinoma.

    abstract:BACKGROUND:Splenectomy at the time of resection of esophageal, gastric, or colon cancer has been correlated with inferior longterm survival. No such effect has yet been demonstrated for pancreatic cancer. STUDY DESIGN:Patients undergoing resection of pancreatic adenocarcinoma with curative intent at Memorial Sloan-Ket...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(99)00041-1

    authors: Schwarz RE,Harrison LE,Conlon KC,Klimstra DS,Brennan MF

    更新日期:1999-05-01 00:00:00

  • Operating room efficiency and hospital capacity: factors affecting operating room use during maximum hospital census.

    abstract:BACKGROUND:Academic medical centers are faced with increasing volumes, higher acuity, and, as a consequence, capacity issues. These affect operating room (OR) use and patient throughput, with negative impact on finances and patient and physician satisfaction. We evaluated our experiences in dealing with OR efficiency a...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.01.052

    authors: McGowan JE,Truwit JD,Cipriano P,Howell RE,VanBree M,Garson A Jr,Hanks JB

    更新日期:2007-05-01 00:00:00

  • Intercostal Nerve Block with Liposomal Bupivacaine vs Epidural Analgesia for the Treatment of Traumatic Rib Fracture.

    abstract:BACKGROUND:Rib fractures are common among trauma patients and analgesia remains the cornerstone of treatment. Intercostal nerve blocks provide analgesia but are limited by the duration of the anesthetic. This study compares outcomes of epidural analgesia with intercostal nerve block using liposomal bupivacaine for the ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2019.12.044

    authors: Sheets NW,Davis JW,Dirks RC,Pang AW,Kwok AM,Wolfe MM,Sue LP

    更新日期:2020-07-01 00:00:00

  • Molecular Staging of Sentinel Lymph Nodes Identifies Melanoma Patients at Increased Risk of Nodal Recurrence.

    abstract:BACKGROUND:Molecular staging of sentinel lymph nodes (SLNs) may identify patients who are node-negative by standard microscopic staging but are at increased risk for regional nodal recurrence; such patients may benefit from completion lymph node dissection (CLND). STUDY DESIGN:In a multicenter, randomized clinical tri...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jamcollsurg.2015.12.042

    authors: Kimbrough CW,Egger ME,McMasters KM,Stromberg AJ,Martin RC,Philips P,Scoggins CR

    更新日期:2016-04-01 00:00:00

  • Does vaginal cuff closure decrease the infectious morbidity associated with abdominal hysterectomy?

    abstract:BACKGROUND:Infectious morbidity after total abdominal hysterectomy includes fever (31%) and antibiotic administration (45%). Whether vaginal cuff closure reduces postoperative infectious morbidity remains unresolved. STUDY DESIGN:We reviewed the records of 172 consecutive abdominal hysterectomies for nonmalignant dise...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Korn AP,Grullon K,Hessol N,Lin P,Siopak J

    更新日期:1997-10-01 00:00:00

  • Diagnosis and treatment of Mirizzi syndrome: 23-year Mayo Clinic experience.

    abstract:BACKGROUND:Mirizzi syndrome (MS) is characterized by extrinsic compression of the common hepatic duct by stones impacted in the cystic duct or gallbladder neck. Open cholecystectomy (OC) has been the standard treatment; however, laparoscopy has challenged this approach. STUDY DESIGN:The objective of this study was to ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2011.03.008

    authors: Erben Y,Benavente-Chenhalls LA,Donohue JM,Que FG,Kendrick ML,Reid-Lombardo KM,Farnell MB,Nagorney DM

    更新日期:2011-07-01 00:00:00

  • Survival factors in 186 patients younger than 40 years old with colorectal adenocarcinoma.

    abstract:BACKGROUND:We sought to determine the clinical factors and tumor characteristics associated with the reported poor prognosis in young patients with carcinoma of the colon and rectum. STUDY DESIGN:A retrospective review was performed of 186 patients younger than 40 years of age who were treated for primary colorectal a...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Cusack JC,Giacco GG,Cleary K,Davidson BS,Izzo F,Skibber J,Yen J,Curley SA

    更新日期:1996-08-01 00:00:00

  • Management of acute appendicitis by an acute care surgery service: is operative intervention timely?

    abstract:BACKGROUND:Trauma services are increasingly providing emergency surgery care by creating "acute care surgery" teams. We compared two periods at a Level I trauma center to determine if trauma service coverage would negatively impact timely management of acute appendicitis. STUDY DESIGN:All patients admitted through the...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2008.01.016

    authors: Ekeh AP,Monson B,Wozniak CJ,Armstrong M,McCarthy MC

    更新日期:2008-07-01 00:00:00

  • My Continuing Evolution as a Surgeon-Scientist: A Decade after the Jacobson Promising Investigator Award.

    abstract::THE SECOND JOAN L AND JULIUS H JACOBSON PROMISING INVESTIGATOR AWARDEE, EDITH TZENG MD, FACS: In 2005, the Surgical Research Committee of the American College of Surgeons was tasked with selecting the recipient of a newly established award, "The Joan L and Julius H Jacobson Promising Investigator Award." According to ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.jamcollsurg.2016.09.012

    authors: Tzeng E

    更新日期:2017-01-01 00:00:00

  • A cost-effectiveness analysis of intraoperative cholangiography in the prevention of bile duct injury during laparoscopic cholecystectomy.

    abstract:BACKGROUND:Recent population-based studies have demonstrated that the use of intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) is associated with a decrease in the rate of common bile duct (CBD) injury. The cost implications of a management strategy involving routine IOC use have not been ad...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/S1072-7515(02)01806-9

    authors: Flum DR,Flowers C,Veenstra DL

    更新日期:2003-03-01 00:00:00

  • Liver resection for metastatic colorectal cancer: assessing the risk of occult irresectable disease.

    abstract:BACKGROUND:Liver resection is standard therapy for selected patients with metastatic colorectal cancer. Extrahepatic metastases and inability to remove all hepatic disease usually preclude curative resection and are the most common contraindications. This study analyzes irresectability in patients considered to have re...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(98)00272-5

    authors: Jarnagin WR,Fong Y,Ky A,Schwartz LH,Paty PB,Cohen AM,Blumgart LH

    更新日期:1999-01-01 00:00:00

  • Advantages of the meso-Rex bypass compared with portosystemic shunts in the management of extrahepatic portal vein obstruction in children.

    abstract:BACKGROUND:Consequences of extrahepatic portal vein obstruction (EHPVO) include variceal bleeding and hypersplenism due to portal hypertension, as well as metabolic abnormalities secondary to impaired portal venous circulation. The purpose of this study was to compare the effectiveness of meso-Rex bypass and portosyste...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2012.09.013

    authors: Lautz TB,Keys LA,Melvin JC,Ito J,Superina RA

    更新日期:2013-01-01 00:00:00

  • Pathologic response to induction chemotherapy in locally advanced carcinoma of the breast: a determinant of outcome.

    abstract:BACKGROUND:The prognosis for patients with locally advanced carcinoma of the breast remains poor. This study examines the pathologic evidence of response of the mammary tumor and axillary nodes after preoperative chemotherapy. We sought to determine if there was a relationship between the histologic response and clinic...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Sataloff DM,Mason BA,Prestipino AJ,Seinige UL,Lieber CP,Baloch Z

    更新日期:1995-03-01 00:00:00

  • Who are our future surgeons? Characteristics of medical school graduates planning surgical careers: analysis of the 1997 to 2004 Association of American Medical Colleges' Graduation Questionnaire National Database.

    abstract:BACKGROUND:Identification of correlates of contemporary US medical graduates' surgical career plans can provide insights about the emerging surgical workforce composition and inform future recruitment efforts. STUDY DESIGN:We analyzed individualized records of 95,176 graduates who completed the 1997 to 2004 Associatio...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.04.026

    authors: Andriole DA,Klingensmith ME,Jeffe DB

    更新日期:2006-08-01 00:00:00

  • A technique for distal splenoadrenal shunting in pediatric portal hypertension.

    abstract::Technical modification of the DSRS by using the end-to-end splenoadrenal anastomosis allows for effective selective decompression of portal hypertension in children, can be accomplished with no perioperative mortality, and has demonstrated longterm patency and minimal morbidity. Clinical encephalopathy was seen in onl...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(98)00244-0

    authors: Mazariegos GV,Reyes J

    更新日期:1998-12-01 00:00:00

  • Discontinuous, staccato growth of abdominal aortic aneurysms.

    abstract:BACKGROUND:To evaluate whether abdominal aortic aneurysm (AAA) growth in individual patients can be characterized as continuous or discontinuous (staccato). STUDY DESIGN:From 1996 to 2002, 609 patients presented with unruptured AAAs. Of these, 278 underwent prompt repair and 331 were observed. In this study, we includ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2004.07.031

    authors: Kurvers H,Veith FJ,Lipsitz EC,Ohki T,Gargiulo NJ,Cayne NS,Suggs WD,Timaran CH,Kwon GY,Rhee SJ,Santiago C

    更新日期:2004-11-01 00:00:00

  • Impact of deceased organ donor demographics and critical care end points on liver transplantation and graft survival rates.

    abstract:BACKGROUND:The criteria for organ acceptance remain inconsistent, which limits the ability to standardize critical care practices. We sought to examine predictors of liver graft use and survival to better guide the selection and management of potential organ donors. STUDY DESIGN:A prospective observational study of al...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jamcollsurg.2014.09.020

    authors: Bloom MB,Raza S,Bhakta A,Ewing T,Patel M,Ley EJ,Margulies DR,Salim A,Malinoski D

    更新日期:2015-01-01 00:00:00