Table 9

Procedure training*

ProcedurePopulation sizeFellowshipCourseLocal mentorMentor otherSelf studyOtherResidency
Tendon repair< 50k0033%016.7%050%
50–200K40%020%0020%20%
Face soft tissue< 50k0018.2%18.2%36.4%027.3%
50–200K8.7%4.4%21.74%13.0%4.4%13.0%34.8%
Skin graft< 50k0010%10%20%10%50%
50–200K9.5%4.8%28.6%14.3%4.8%9.5%28.6%
Circumcision< 50k0025%00075%
50–200K0020%20%0060%
Hydrocelectomy< 50k00014.3%14.3%071.4%
50–200K4.6%4.6%13.6%4.6%13.6%4.6%54.6%
Cesarean section< 50k0060%20%0020%
50–200K12.5%12.5%50%12.5%0012.5%
Tubal ligation< 50k0025%25%0050%
50–200K33%067%0000
Ovarian cystectomy< 50k0025%25%0050%
50–200K0020%00080%
Varicose vein< 50k16.7%00016.7%066.7%
50–200K12.5%6.3%18.8%6.3%12.5%043.8%
Vascular access< 50k008.3%8.3%8.3%075%
50–200K7.4%022.2%7.4%03.7%59.3%
Amputation< 50k0011.1%11.1%0077.8%
50–200K13.3%6.7%13.3%13.3%6.7%13.3%33.3%
Banding varices< 50k0027.3%9.1%36.4%027.3%
50–200K3.7%3.7%33.3%3.7%18.5%3.7%33.3%
Eo dilations< 50k7.1%7.1%07.1%28.4%050%
50–200K3.1%015.6%6.3%18.8%3.1%53.1%
Peg tube< 50k0007.7%23.1%069.2%
50–200K5.4%2.7%10.8%2.7%5.4%2.7%70.3%
  • * Comparison of training methods required to achieve competence in these non-core general surgery procedures between surgeons serving small and medium-sized communities.