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Review
. 2019 Dec;404(8):929-944.
doi: 10.1007/s00423-019-01828-4. Epub 2019 Nov 7.

Training in endocrine surgery

Oliver Gimm  1 , Marcin Barczyński  2 , Radu Mihai  3 , Marco Raffaelli  4   5
Affiliations
Review

Training in endocrine surgery

Oliver Gimm et al. Langenbecks Arch Surg. 2019 Dec.

Abstract

Background/purpose: In Europe, the Division of Endocrine Surgery (DES) determines the number of operations (thyroid, neck dissection, parathyroids, adrenals, neuroendocrine tumors of the gastro-entero-pancreatic tract (GEP-NETs)) to be required for the European Board of Surgery Qualification in (neck) endocrine surgery. However, it is the national surgical boards that determine how surgical training is delivered in their respective countries. There is a lack of knowledge on the current situation concerning the training of surgical residents and fellows with regard to (neck) endocrine surgery in Europe.

Methods: A survey was sent out to all 28 current national delegates of the DES. One questionnaire was addressing the training of surgical residents while the other was addressing the training of fellows in endocrine surgery. Particular focus was put on the numbers of operations considered appropriate.

Results: For most of the operations, the overall number as defined by national surgical boards matched quite well the views of the national delegates even though differences exist between countries. In addition, the current numbers required for the EBSQ exam are well within this range for thyroid and parathyroid procedures but below for neck dissections as well as operations on the adrenals and GEP-NETs.

Conclusions: Training in endocrine surgery should be performed in units that perform a minimum of 100 thyroid, 50 parathyroid, 15 adrenal, and/or 10 GEP-NET operations yearly. Fellows should be expected to have been the performing surgeon of a minimum of 50 thyroid operations, 10 (central or lateral) lymph node dissections, 15 parathyroid, 5 adrenal, and 5 GEP-NET operations.

Keywords: Endocrine; Fellow; Resident; Surgery; Training.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Number of operations considered appropriate for fellows in endocrine surgery regarding thyroidectomies (a, b), parathyroidectomies (c, d), central (e, f) and lateral (g, h) lymph node dissections (LND), adrenalectomies (i, j) and various surgical procedures concerning gastro-entero-pancreatic neuroendocrine tumors (GEP-NET) (k, l). Horizontal black line, current (May 2019) requirements as defined by the Division of Endocrine Surgery. Dark gray boxplot, current requirements as defined by European national surgical boards. Bright gray boxplot, recommended numbers by European national delegates
See this image and copyright information in PMC

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