Training general surgery residents in pediatric surgery: A Canadian survey

Background/Purpose: The training of general surgeons in pediatric surgery i s an important educational role of pediatric surgeons (PS). The authored su rveyed this training process and the related expectations and perceptions o f competence. Methods: The authors surveyed all practicing members of the Canadian Associ ation of Paediatric Surgeons (CAPS) in Canada, ail general surgery program directors (PD), and all final year general surgery residents (GS). Question s included exposure to pediatric Surgery, expected and perceived competence in managing common pediatric general surgical problems, and trainee practi ce intentions. Results: Response rate to date was 51% from PS, 69% from PD, and 19% from G S. Sixty-seven percent of PS considered the exposure to pediatric surgery s atisfactory, yet only 1 of 7 residents planning on pursuing general surgery felt adequately prepared. Trainees were expected to be competent in the co nditions polled by 65% of PS and 74% of PD, yet only 38% of the trainees ac tually felt competent in them. The largest discrepancies were found for inf ant hernia, newborn colostomy, and cryptorchidism. Presence of a fellowship program and size of training program had no impact on perceived competence . Conclusions: Training of general surgeons in pediatric surgery varies acros s Canadian programs. Perceived resident competence often lags behind progra m and faculty expectations. These data can be used for directing educationa l priorities in general surgery programs. J Pediatr Surg 36:706-710. Copyri ght (C) 2001 by W.B. Saunders Company.