Abstract
The resident of our department consists of the sent from some universities and our hospital original resident. Thus, it may be very important to show justice in training to maintain the motivation of each resident. It is considered important to give chances to perform surgery sufficiently and fairly, and our department makes arrangements to ensure that, in principle, the residents, using the minimum criteria established based on the levels of surgical procedures, perform surgery by rotation. By creating a table called a “victory list” and ensuring that all medical staff can confirm the order of performing surgery as well as the number of previous surgeries, we maintain fairness and openness. The resident (5 years post-graduation) who are currently receiving training have performed 410 surgeries over 2 years and 10 months, including 45 gastrectomies, 65 colorectal resections (3 laparoscopies), 54 cholecystectomies (26 laparoscopies), 4 hepatectomies, and 4 pancreaticoduodenectomies. Although they will perform surgeries by rotation for patients with highly-advanced cancer or a concomitant disease as well, the incidence of complications are comparable to those found in other hospitals. The residents accept this system as favorable, and a well-developed training program that maintains their motivation is conducted. Additionally, the attending doctors need to acquire higher-level skills of surgery and perioperative management, and all members of our department including the residents show growth.
