Original article
Specific training in coloproctology: cross-sectional cohort study through the Young Group of the Spanish Association of Coloproctology
Formación específica en Coloproctología: estudio de cohortes transversal a través del Grupo Joven de la Asociación Española de Coloproctología.
Tamara Fernández-Miguela,
, Óscar Cano-Valderramab, Marta Paniagua García-Señoransc, Alba Correa Bonitod, Emilio Peña Rose, María Luisa Reyes-Díazf, Carlos Cerdán-Santacruzg,
, Grupo Joven de la Asociación Española de Coloproctología (GJ-AECP): Grupo de trabajo sobre formación especializada
Corresponding author
Corresponding author
a Attendant Colorectal Surgeon, Colorectal Surgery Department at Galdakao Usansolo Hospital, Bilbao, Spain
b Attendant Colorectal Surgeon, Colorectal Surgery Department at Complejo Hospitalario Universitario de Vigo, Instituto de Investigación Sanitaria Galicia Sur, Vigo, Spain
c Attendant Surgeon, Colorectal Surgery Department at Hospital del Salnes, Villagarcía de Arousa, Pontevedra, Spain
d Attendant Colorectal Surgeon, Colorectal Surgery Department at Universitary Hospital de La Princesa, Madrid, Spain
e Attendant Colorectal Surgeon, Colorectal Surgery Department at Universitary Hospital Reina Sofía, Murcia, Spain
f Attendant Colorectal Surgeon, Colorectal Surgery Department at Universitary Hospital Virgen del Rocío, Sevilla, Spain
g Attendant Colorectal Surgeon, Colorectal Surgery Department at Hospital Universitario de la Princesa, Madrid. Spain
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"etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Attendant Colorectal Surgeon, Colorectal Surgery Department at Universitary Hospital de La Princesa, Madrid, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Attendant Colorectal Surgeon, Colorectal Surgery Department at Universitary Hospital Reina Sofía, Murcia, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Attendant Colorectal Surgeon, Colorectal Surgery Department at Universitary Hospital Virgen del Rocío, Sevilla, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Attendant Colorectal Surgeon, Colorectal Surgery Department at Hospital Universitario de la Princesa, Madrid. 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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.</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">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.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0010" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0015" "titulo" => "Material and methods" ] 2 => array:2 [ "identificador" => "abst0020" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0025" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Introducción</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">: La formación específica en las super-especialidades quirúrgicas y su evaluación objetiva suponen un reto actualmente a la hora de valorar los potenciales beneficios que esta puede aportar.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Material y métodos</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Se ha realizado una encuesta <span class="elsevierStyleItalic">online</span> dirigida a través del Grupo Joven de la Asociación Española de Coloproctología con el objetivo de evaluar el nivel de formación obtenido de forma específica en el ámbito de la cirugía colorrectal</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Resultados</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">: Participaron 128 cirujanos, representando a 81 unidades de cirugía colorrectal. La satisfacción media tras el periodo de formación fue moderada o elevada en el 84% de los encuestados. Los principales puntos a mejorar fueron la realización de técnicas quirúrgicas avanzadas (52%) y cuestiones académicas (45%). La gran mayoría de los encuestados ha realizado procedimientos proctológicos sencillos (98%) y resecciones cólicas oncológicas abiertas (100%) durante su periodo de formación, objetivando una escasez de procedimientos relacionados con la patología del suelo pélvico (20%) y de técnicas diagnósticas (10-45%). La producción científica (31,5%) y la presentación de trabajos en congresos (82,8%) ha sido moderada. No se han objetivado diferencias al comparar estos resultados entre las unidades acreditadas y no acreditadas.</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusiones</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">La formación específica en cirugía colorrectal resulta adecuada, con un nivel elevado de procedimientos sencillos y mediante abordaje abierto realizados por el personal en formación. 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