A colorectal curriculum for general surgery residents: are we ready for needs assessment?
Based on this analysis, a colorectal surgical curriculum would include the treatment of diseases that led to commonly performed operations such as colon cancer, diverticular disease, lower gastrointestinal bleeding, mesenteric ischemia, inflammatory bowel disease (IBD), hemorrhoids, and anorectal diseases. The management of low rectal cancer, complex IBD, rectal prolapse, and fecal incontinence might not be essential content. A curriculum based on needs assessment would deemphasize or even eliminate some areas traditionally considered within the realm of GS. Although this might appropriately serve as a basis for defining the scope of GS, the indirect consequences will need to be defined.
Splenic macrophages that take up opsonized platelets via FcgammaRI are major APCs for cryptic GPIIb/IIIa peptides, and are central to the maintenance of anti-platelet autoantibody production in ITP patients.