Residents entering Complex General Surgical Oncology fellowship lack confidence with pelvic MRI for rectal cancer: Results of a needs assessment survey - 11/02/20
Abstract |
Background |
Magnetic resonance imaging (MRI) is essential for the multidisciplinary treatment of rectal cancer. However, baseline experience of surgical residents with MRI is unknown. Therefore, a needs assessment survey was conducted to examine confidence with pelvic MRI for residents entering Complex General Surgical Oncology (CSGO) fellowships.
Methods |
A multi-institutional survey evaluated incoming CGSO fellows’ experience with pelvic MRI for rectal cancer in residency. Additionally, confidence was assessed for essential components of pelvic MRI including T- and N-stage, circumferential resection margin (CRM), extramural venous invasion (EMVI), and pelvic anatomy.
Results |
Of the twenty-four incoming fellows who completed the survey (response rate = 44%), 20 reported frequent use of pelvic MRI for rectal cancer in residency, but 16 reported rarely/never interpreting images themselves for staging or operative planning. Most respondents reported low confidence for T-stage, N-stage, CRM, EMVI, as well as pelvic anatomy, particularly for lateral and posterior pelvis.
Conclusions |
The development of a pelvic MRI curriculum for residents entering CGSO fellowships could enhance their clinical training in the multidisciplinary management of patients with rectal cancer.
El texto completo de este artículo está disponible en PDF.Highlights |
• | Surgical residents lack personal experience with pelvic MRI for rectal cancer. |
• | Surgical residents lack confidence in use of pelvic MRI for clinical staging. |
• | Surgical residents have low confidence in identification of anatomy on pelvic MRI. |
Keywords : Pelvic MRI, Rectal cancer, Complex general surgical oncology
Esquema
Vol 219 - N° 2
P. 304-308 - février 2020 Regresar al número
Artículo precedente
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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