Evidence map›Paper›PMID 38453348›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Trauma resident exposure in Canada and operative numbers (TraumaRECON): a national multicentre retrospective review of operative and nonoperative trauma teaching.

Paul T Engels, Qian Shi, Angela Coates, Laura Allen, Fran Priestap, Bradley S Moffat, Kelly N Vogt, Emily Joos, Samuel Minor, Mylene Marchand and 9 more

Open access · diamondAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Canadian journal of surgery. Journal canadien de chirurgie
    Article
  3. Is Canadian trauma care still salvageable?Canadian journal of surgery. Journal canadien de chirurgie
    Article
  4. Article
  5. Building stronger trauma systems in Canada.Canadian journal of surgery. Journal canadien de chirurgie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 1 country.

Paul T EngelsFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball) engelsp@mcmaster.ca.
Qian ShiFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Angela CoatesFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Laura AllenFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Fran PriestapFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Bradley S MoffatFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Kelly N VogtFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Emily JoosFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Samuel MinorFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Mylene MarchandFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Erin WilliamsFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Chris EvansFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Brett MadorFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Sandy WidderFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Markus ZiessmanFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Jacinthe LampronFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Chad G BallFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Timothy J RiceFrom the Department of Surgery, McMaster University, Hamilton, Ont. (Engels, Shi, Coates, Rice); the Department of Surgery, Western University, London, Ont. (Allen, Priestap, Moffat, Vogt); the Department of Surgery, University of British Columbia, Vancouver, B.C. (Joos); the Department of Surgery, Dalhousie University, Halifax, N.S. (Minor); the Department of Surgery, University of Sherbrooke, Sherbrooke, Que. (Marchand); the Department of Emergency Medicine, Queen's University, Kingston, Ont. (Williams, Evan); the Department of Surgery, University of Alberta, Edmonton, Alta. (Mador, Widder); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Ziessman); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Lampron); the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Canadian Collaborative on Urgent Care Surgery (CANUCS)
Queen's University · CAMcMaster University · CAUniversité de Sherbrooke · CAWestern University · CADalhousie University · CAUniversity of Alberta · CAUniversity of British Columbia · CAUniversity of Manitoba · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral surgeons play an important role in the provision of trauma care in Canada and the current extent of their trauma experience during training is unknown. We sought to quantify the operative and nonoperative educational experiences among Canadian general surgery trainees.

methodsWe conducted a multicentre retrospective study of major operative exposures experienced by general surgery residents, as identified using institutional trauma registries and subsequent chart-level review, for 2008-2018. We also conducted a site survey on trauma education and structure.

resultsWe collected data on operative exposure for general surgery residents from 7 programs and survey data from 10 programs. Operations predominantly occurred after hours (73% after 1700 or on weekends) and general surgery residents were absent from a substantial proportion (25%) of relevant trauma operations. The structure of trauma education was heterogeneous among programs, with considerable site-specific variability in the involvement of surgical specialties in trauma care. During their training, graduating general surgery residents each experienced around 4 index trauma laparotomies, 1 splenectomy, 1 thoracotomy, and 0 neck explorations for trauma.

conclusionGeneral surgery residents who train in Canada receive variable and limited exposure to operative and nonoperative trauma care. These data can be used as a baseline to inform the application of competency-based medical education in trauma care for general surgery training in Canada.

Indexed as

General SurgeryInternship and ResidencyCanadaClinical CompetenceCompetency-Based EducationEducation, Medical, GraduateHumansRegistriesRetrospective Studies

Identifiers

PMID38453348
PMCPMC10927282
OpenAlexW4392561673

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.