scholarly journals Training Disruptions: Predicting Risk of Deficiency Using Resident Case Logs

2021 ◽  
Vol 233 (5) ◽  
pp. S232
Author(s):  
Keval R. Tilva ◽  
Nicole Christian ◽  
Claire Travis ◽  
Michael S. Truitt ◽  
Brian D. Shames
Keyword(s):  
Case Logs

Education of pediatric surgery residents over time: Examining 15 years of case logs

2020 ◽  
Author(s):  
Claire B. Cummins ◽  
Kanika A. Bowen-Jallow ◽  
Sifrance Tran ◽  
Ravi S. Radhakrishnan
Keyword(s):  
Pediatric Surgery ◽  
Case Logs ◽  
Over Time

Narrowing of the surgical resident operative experience: A 27-year analysis of national ACGME case logs

Surgery ◽  
2018 ◽  
Vol 164 (3) ◽  
pp. 577-582 ◽  
Author(s):  
Alexander R. Cortez ◽  
Gianna D. Katsaros ◽  
Vikrom K. Dhar ◽  
F. Thurston Drake ◽  
Timothy A. Pritts ◽  
...  
Keyword(s):  
Surgical Resident ◽  
Operative Experience ◽  
Case Logs

Trends of core versus subspecialty operative procedures completed in general surgery residency training programs

2021 ◽  
pp. postgradmedj-2021-140503
Author(s):  
Faiz Tuma ◽  
Rafael D Malgor ◽  
Nikit Kapila ◽  
Mohamed K Kamel
Keyword(s):  
Residency Training ◽  
General Surgery ◽  
Operative Procedures ◽  
Steady Increase ◽  
Subspecialty Training ◽  
Paediatric Surgery ◽  
Case Volume ◽  
General Surgery Residency ◽  
The Core ◽  
Case Logs

IntroductionGeneral surgery residency involves performing subspecialty procedures in addition to the core general procedures. However, the proportion of core general surgery versus subspecialty procedures during training is variable and its temporal changes are unknown. The goal of our study was to assess the current trends in core general surgery and subspecialty procedure distributions during general surgery residency training.MethodsData were collected from the ACGME core general surgery national resident available report case logs from 2007 to 2019. Descriptive and time series analyses were used to compare proportions of average procedures performed per resident in the core general surgery category versus the subspecialty category. F-tests were conducted to show whether the slopes of the trend lines were significantly non-zero.ResultsThe mean of total procedures completed for major credit by the average general surgery resident increased from 910.1 (SD=30.31) in 2007 to 1070.5 (SD=37.59) in 2019. Over that same period, the number of general, cardiothoracic, plastic and urology surgery procedures increased by 24.9%, 9.8%, 76.6% and 19.3%, respectively. Conversely, vascular and paediatric surgery procedures decreased by 7.6% and 30.7%, respectively. The neurological surgery procedures remain stable at 1.1 procedures per resident per year. A significant positive correlation in the trend reflecting total (p<0.0001), general (p<0.0001) and plastic (p<0.0016) surgery procedures and the negative correlation in the trend lines for vascular (p<0.0006) and paediatric (p<0.0001) surgery procedures were also noted.ConclusionsTrends in overall surgical case volume performed by general surgery residents over the last 12 years have shown a steady increase in operative training opportunity despite the increasing number of subspecialty training programmes and fellowships. Further research to identify areas for improvement and to study the diversity of operative procedures, and their outcomes is warranted in the years to come.

Resident operative experience in pediatric neurosurgery across the United States

2021 ◽  
pp. 1-9
Author(s):  
Rahul Kumar ◽  
David S Hersh ◽  
Luke G. F Smith ◽  
William E Gordon ◽  
Nickalus R Khan ◽  
...  
Keyword(s):  
Diversity Index ◽  
Pediatric Neurosurgery ◽  
The United States ◽  
Case Volume ◽  
Pediatric Case ◽  
Accreditation Council ◽  
Site Characteristics ◽  
Recent Graduates ◽  
Operative Experience ◽  
Case Logs

OBJECTIVE Neurosurgical residents receive exposure to the subspecialty of pediatric neurosurgery during training. The authors sought to determine resident operative experience in pediatric neurosurgery across Accreditation Council for Graduate Medical Education (ACGME)–accredited neurosurgical programs. METHODS During 2018–2019, pediatric neurosurgical case logs for recent graduates or current residents who completed their primary pediatric exposure were collected from US continental ACGME training programs. Using individual resident reports and procedure designations, operative volumes and case diversity were analyzed collectively, according to training site characteristics, and also correlated with the recently described Resident Experience Score (RES). RESULTS Of the 114 programs, a total of 316 resident case logs (range 1–19 residents per program) were received from 86 (75%) programs. The median cumulative pediatric case volume per resident was 109 (IQR 75–161). Residents at programs with a pediatric fellowship reported a higher median case volume (143, IQR 96–187) than residents at programs without (91, IQR 66–129; p < 0.0001). Residents at programs that outsource their pediatric rotation had a lower median case volume (84, IQR 52–114) compared with those at programs with an in-house experience (117, IQR 79–170; p < 0.0001). The case diversity index among all programs ranged from 0.61 to 0.80, with no statistically significant differences according to the Accreditation Council for Pediatric Neurosurgery Fellowships designation or pediatric experience site (p > 0.05). The RES correlated moderately (r = 0.44) with median operative volumes per program. A program’s annual pediatric operative volume and duration of pediatric experience were identified as significant predictive factors for median resident operative volume. CONCLUSIONS Resident experience in pediatric neurosurgery is variable within and between programs. Case volumes are generally higher for residents at programs with in-house exposure and an accredited fellowship, but case diversity is relatively uniform across all programs. RES provides some insight on anticipated case volume, but other unexplained factors remain.

Corrigendum to “National Trends in Orthopaedic Surgery Resident Adult Case Logs” J Surg Educ. 2019 May - Jun;76(3):893-897

2019 ◽  
Vol 76 (6) ◽  
pp. 1703
Author(s):  
T.P. Pierce ◽  
K. Issa ◽  
D. Ermann ◽  
A.J. Scillia ◽  
A. Festa ◽  
...  
Keyword(s):  
Orthopaedic Surgery ◽  
Adult Case ◽  
Case Logs ◽  
Surgery Resident ◽  
National Trends

Attending Surgeon Variation in Operative Case Length: An Opportunity for Quality Improvement

2018 ◽  
Vol 84 (10) ◽  
pp. 1595-1599
Author(s):  
Kirollos S. Malek ◽  
Jukes P. Namm ◽  
Carlos A. Garberoglio ◽  
Maheswari Senthil ◽  
Naveen Solomon ◽  
...  
Keyword(s):  
Operative Time ◽  
Resident Training ◽  
Careful Consideration ◽  
Analysis Of Covariance ◽  
Surgical Resident ◽  
Or Efficiency ◽  
American Society ◽  
Case Logs ◽  
American Society Of Anesthesiologists ◽  
The Impact

Balancing resident education with operating room (OR) efficiency, while accommodating different styles of surgical educators and learners, is a challenging task. We sought to evaluate variability in operative time for breast surgery cases. Accreditation Council for Graduate Medical Education case logs of breast operations from 2011 to 2017 for current surgical residents at Loma Linda University were correlated with patient records. The main outcome measure was operative time. Breast cases were assessed as these operations are performed during all postgraduate years (PGY). Breast procedures were grouped according to similarity. Variables analyzed included attending surgeon, PGY level, procedure type, month of operation, and American Society of Anesthesiologists class. Of 606 breast cases reviewed, median overall operative time was 150 minutes (interquartile range 187–927). One-way analysis of covariance demonstrated statistically significant variation in operative time by attending surgeon controlling for covariates (PGY level, procedure, American Society of Anesthesiologists class, and month) ( P = 0.04). With institutional OR costs of $30 per minute, the average difference between slowest and fastest surgeon was $2400 per case [(218–138) minutes 3 $30/min]. Minimizing variability for common procedures performed by surgical educators may enhance OR efficiency. However, the impact of case length on surgical resident training requires careful consideration.

A Review of Craniofacial Training Programs in North America

FACE ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Stefanie Hush ◽  
Joseph K. Williams
Keyword(s):  
Craniofacial Surgery ◽  
Facial Trauma ◽  
Ear Reconstruction ◽  
Facial Skeleton ◽  
Skill Sets ◽  
Group 6 ◽  
Facial Reanimation ◽  
Fellowship Programs ◽  
Case Logs ◽  
Group 1

Introduction: The specialty of craniofacial surgery has expanded rapidly since the landmark surgeries of Dr. Paul Tessier. The expansion of fellowship programs over the last 50 years has been seen in both numbers and structure. This growth has been complemented by the continued expansion of skill sets that fellows are experiencing. However, the exposure to these skill sets are varied. The study had 2 objectives: (1) Create a clearer picture of the skill sets that fellows are exposed to during training and (2) provide some threshold of case numbers shared by programs that may be used to establish shared expectations for the fellow’s experience. Method: A comprehensive database was created and placed on the webpage for the American Society of Craniofacial Surgery (ASCFS). Fellows in the year 2017 to 2018 were asked to input their case logs. The cumulative data base was categorized into 9 groupings, capturing surgeries of the facial skeleton, cleft surgeries and specialty surgeries in the area of microsurgery, facial reanimation, and ear reconstruction. These 9 groupings were used to establish 3 tiers that provided an opportunity to discover thresholds of experience that captured consistent skill sets for the majority of the programs. Results: A total of 6018 cases were entered into the cumulative database of which 3469.5 cases were placed into 9 specified groups. Group 1 (craniosynostosis) had 578 cases (mean = 30.4, SD = 22.3). Sixteen of the 19 programs participating (84.2%) were found to be at or above the 20th percentile ranking for this procedure (20th percentile = 10 cases). Group 2 consisted of Mandibular distraction (144 cases), Group 3 midface skeletal surgeries (87), Group 4 facial trauma (641.5), Group 5 orthognathic surgery (506), Group 6 cleft surgeries (1303.5), Group 7 microsurgery (67), Group 8 facial reanimation (40.5), and Group 9 ear reconstruction (113). Percentile rankings were found for each group. Three tiers were created for comparison, Tier 1 (group 1), Tier 2 (groups 2-6), Tier 3 (groups 7-9). When a 20th percentile threshold for case numbers was created for groups 1 to 5, 77.9% of all programs met this criteria (95% CI: 63.7%-92.1%). When group 6 was included 78.9% of programs met the 20th percentile (95% CI: 67.9%-90.0%). Conclusion: Fellows are receiving consistent exposure to areas of training related to manipulation of the facial skeleton with the exception of midface surgeries. The study also demonstrates a significant volume of both cleft surgery and facial trauma. The majority of the participating programs meet a threshold of 20% for skill sets associated with our subspecialty. These thresholds could be used as guides by fellowship programs and the ASCFS to better monitor our training goals.

Neurosurgical Resident Exposure to Pediatric Neurosurgery: An Analysis of Resident Case Logs

2019 ◽  
Vol 54 (3) ◽  
pp. 181-187 ◽  
Author(s):  
Michael D. White ◽  
Joshua Zollman ◽  
Michael M. McDowell ◽  
Nitin Agarwal ◽  
Taylor J. Abel ◽  
...  
Keyword(s):  
Pediatric Neurosurgery ◽  
Case Logs
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