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.
Il testo completo di questo articolo è disponibile in 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
Mappa
Vol 219 - N° 2
P. 304-308 - febbraio 2020 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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