Tagged: General Surgeons

Commentary: Locoregional metastasis of adrenocortical carcinoma and lymphadenectomy – Disease clearance or identification of high-risk features?

Given the increased options for systemic treatment of ACC, attention has returned to focus on more effective control of the primary tumor and locoregional disease via development of best practices for surgical management. In ‘Informing Therapeutic Lymphadenectomy: Location of Regional Metastatic Lymph Nodes in Adrenocortical Carcinoma’,1 the authors document locoregional lymph node involvement by ACC from operations performed at a single institution over a 20 year period. While adding to the existing literature, we are reminded of the difficulty in examining this type of data.

Our thoughts: Improving general surgery resident preparedness for dedicated research time

Surgical residents who participate in formal research programs are more likely to pursue careers in academic surgery1,2 and achieve greater success3–5; however, residents often feel under-supported and perceive inadequate structure during dedicated research time (DRT).2,6 At our institution, residents enter DRT after their PGY-2 year and train in a variety of diverse research disciplines. While this breadth of research interests is desirable, the range of prior individual experiences and offered paths contributes to a lack of standardized education on basic research principles.

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