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Evolution of practice gaps in gastrointestinal and endoscopic surgery: 2012 report from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Continuing Education Committee

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In an effort to fulfill its charge to develop and maintain a comprehensive educational program to serve the members of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the SAGES Continuing Education Committee (CEC) reports a summary of findings related to its evaluation of the 2012 SAGES annual meeting.


All attendees to the 2012 annual meeting had the opportunity to complete an immediate postmeeting questionnaire as part of their continuing medical education (CME) certification in which they identified up to two learning themes, answered questions related to potential practice change items that are based on those learning themes, and complete a needs assessment related to important learning topics for future meetings. In addition, participants in the postgraduate and hands-on courses were asked to complete questions about case volume and comfort levels related to procedures/topics in those courses. All respondents to this initial survey were sent a 3-month follow-up questionnaire in which they were asked how successfully they had implemented the intended practice changes and what, if any, barriers they encountered. Postgraduate and hands-on course participants completed case volume and comfort level questions. Descriptive statistical analysis of this deidentified data was undertaken.


Response rates were 42 % and 56 % for CME-eligible attendees/respondents for the immediate postmeeting and 3-month follow-up questionnaires, respectively. Top learning themes for respondents were Bariatric, Hernia, Foregut, and Colorectal. Improving minimally invasive surgical (MIS) technique and managing complications related to MIS procedures were top intended practice changes. Partial implementation was common with top barriers including cost restrictions, lack of institutional support, and lack of time.


The 2012 annual meeting analysis provides insight into educational needs among respondents and will help with planning content for future meetings.

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In preparing this report, the authors would like to recognize the support and input of the other members of the CEC; SAGES past president, W. Scott Melvin; SAGES president, Gerald Fried; SAGES president-elect, L. Michael Brunt; and SAGES executive director, Sallie Matthews.


Dr. Paige is coeditor of Simulation in Radiology and receives royalties from Oxford University Press. Dr. Farrell is a consultant for New Wave Surgical and Teleflex Medical and receives consulting fees from both. Dr. Selim is a speaker/teacher for Covidien and has received honoraria for these services. Erin Swartz is a consultant for BSC Management which manages SAGES and receives consulting fees. Yumi Hori is a salaried employee of BSC Management. Jason Levine is a salaried employee of BSC Management. Dr. Scott is coinventor and has intellectual property rights on magnetically anchored instruments. He has done sponsored research support and/or received lab equipment from Ethicon, Karl Storz Endoscopy, and Covidien. He is a consultant for Neat Stitch Inc. and Accelerated Technologies Inc., for which he receives consulting fees. He is also on an advisory panel and teaches for Covidien. Drs. Bergman and Harzman have no conflicts of interest or financial ties to disclose.

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Correspondence to John T. Paige.

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Paige, J.T., Farrell, T.M., Bergman, S. et al. Evolution of practice gaps in gastrointestinal and endoscopic surgery: 2012 report from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Continuing Education Committee. Surg Endosc 27, 4429–4438 (2013).

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