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Indian Journal of Surgery

, Volume 81, Issue 5, pp 445–451 | Cite as

Global Landscape of Endocrine Surgery Training Programmes and the Impact of a Structured Residency Programme in India in Development of This Subspecialty

  • Sanjay Kumar Yadav
  • Saroj Kanta MishraEmail author
Original Article
  • 24 Downloads

Abstract

This study examines the progressive development of endocrine surgery training programmes around the globe and its impact on development of this subspecialty. A survey of all currently existing endocrine surgery fellowships, English literature on endocrine surgery training programmes, personal communications and official websites of endocrine surgery professional bodies was done and data was analyzed. Globally, 75 fellowship positions could be identified which is a significant growth from 2000 when only 23 positions were available. In the past 6 years, the number of positions has increased by 100% worldwide and 350% in India and number of endocrine surgeons by 47%. India has shown very rapid growth in the development of this specialty, both in quantity and quality. Since the inception of the first academic endocrine surgery department at SGPGIMS Lucknow in 1987 to current eight academic departments in the country, 440 original articles were identified to have been published on thyroid, parathyroid and adrenal from India between 1975 and 2016, 57% being published in the last decade. Endocrine surgeons contributed most number (52%) of endocrine surgery publications as compared to surgical oncologists, ENT surgeons and general surgeons. When we exclude thyroid from the list, then 86% publications are authored by endocrine surgeons. Significant variation is found in the case of distribution of fellowships and fellows worldwide with a relative paucity in developing countries. Over three-quarters of countries do not have access to endocrine surgery training programme. The findings will influence promotion of new professional bodies, training programmes and workforce distribution.

Keywords

Endocrine surgery Super-specialty training Structured residency Surgical education 

Notes

Author Contributions

This is to declare that all authors have contributed to the study.

Compliance with Ethical Standards

No part of the manuscript has been sent for consideration elsewhere or published in any international or national journal. The authors clearly certify that there is no aspect of plagiarism. Due ethical permission/consent has been obtained for carrying out the study. In case of any dispute, the authors will be held fully responsible for the statement disclosed in the cover letter. The authors are also aware of the copyright rules and also declare that they will not reproduce any published text without due permission from the journal.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    United Nations, Department of Economic and Social Affairs, Population Division (2015) World population prospects: the 2015 revision, key findings and advance tables. Working Paper No. ESA/P/WP241Google Scholar
  2. 2.
    Meara JG, Leather AJ, Hagander L et al (2015) Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386:569–624CrossRefGoogle Scholar
  3. 3.
    Davies L, Welch HG (2014) Current thyroid cancer trends in the United States. JAMA Otolaryngol Head Neck Surg 140:317–322CrossRefGoogle Scholar
  4. 4.
    Surveillance, epidemiology, and end results. Introduction. http://seer.cancer.gov/. Accessed 2 Jan 2017
  5. 5.
    Pellegriti G, Frasca F, Regalbuto C, Squatrito S, Vigneri R (2013) Worldwide increasing incidence of thyroid cancer: update on epidemiology and risk factors. J Cancer Epidemiol 2013:965212CrossRefGoogle Scholar
  6. 6.
    Stavrakis AI, Ituarte PHG, Ko CY, Yeh MW (2007) Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery. Surgery 887–99(5):142Google Scholar
  7. 7.
    Birkmeyer JD, Siewers AE, Finlayson EVA, Stukel TA, Lucas FL, Batista I, Welch HG, Wennberg DE (2002a) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137CrossRefGoogle Scholar
  8. 8.
    Wiseman JE, Ituarte PHG, Ro K, Pasternak JD, Quach CA, Tillou AK, Hines OJ, Hiatt JR, Yeh MW (2012) The effect of a dedicated endocrine surgery program on general surgery training: a single institutional experience. Am J Surg 203:782–784CrossRefGoogle Scholar
  9. 9.
    Krishnamurthy VD, Gutnick J, Slotcavage R, Jin J, Berber E, Siperstein A, Shi JJ (2017 Jan) Endocrine surgery fellowship graduates past, present, and future: 8 years of early job market experiences and what program directors and trainees can expect. Surgery 161(1):289–296.  https://doi.org/10.1016/j.surg.2016.06.069 CrossRefPubMedGoogle Scholar
  10. 10.
    Sosa JA, Wang TS, Yeo HL, Mehta PJ, Boudourakis L, Udelsman R, Roman SA (2007) The maturation of a specialty: workforce projections for endocrine surgery. Surgery 142:876–883CrossRefGoogle Scholar
  11. 11.
    Zarebczan B, McDonald R, Rajamanickam V, Leverson G, Chen H, Sippel RS (2010) Training our future endocrine surgeons: a look at the endocrine surgery operative experience of U.S. surgical residents. Surgery 148:1075–1081CrossRefGoogle Scholar
  12. 12.
    Begg CB, Cramer LD, Hoskins WJ, Brennan MF (1998) Impact of hospital volume on operative mortality for major cancer surgery. JAMA 280:1747–1751CrossRefGoogle Scholar
  13. 13.
    Finlayson EVA, Goodney PP, Birkmeyer JD (2003) Hospital volume and operative mortality in cancer surgery: a national study. Arch Surg 138:721–725CrossRefGoogle Scholar
  14. 14.
    Wiseman J, Mossanen M, Ituarte P, Bath J, Yeh M (2010) An algorithm informed by the parathyroid hormone level reduces hypocalcemic complications of thyroidectomy. World J Surg 34:532–537CrossRefGoogle Scholar
  15. 15.
    Kulkarni RP, Ituarte PHG, Gunderson D, Yeh MW (2011) Clinical pathways improve hospital resource use in endocrine surgery. J Am Coll Surg 212:35–41CrossRefGoogle Scholar
  16. 16.
    Birkmeyer JD, Siewers AE, Finlayson EVA, Stukel TA, Lucas FL, Batista I, Welch HG, Wennberg DE (2002b) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137CrossRefGoogle Scholar
  17. 17.
    Demir B, Alçı E, Hasanov R, Mulailua K, Makay Ö, Koçak S (2015) Turkish endocrine surgery publications in international scientific journals. Ulus Cerrahi Derg 31:81–84PubMedPubMedCentralGoogle Scholar
  18. 18.
    Dueñas JP, Duque CS, Herrera MF (2015) The current situation of endocrine surgery in Latin America. Gland Surg 4(1):3–7PubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Surgeons of India 2018

Authors and Affiliations

  1. 1.Department of Endocrine SurgerySGPGIMSLucknowIndia

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