10 Year Analysis of Pediatric Surgery Fellowship Match and Operative Experience

Adding fellows to surgical departments with residency programs can affect resident education. Our specific aim was to evaluate the effect of adding a pediatric surgery (PS) fellow on the number of index PS cases logged by the general surgery (GS) residents. At a single institution with both PS and GS programs, we examined the number of logged cases for the fellows and residents over 10 years [5 years before (Time 1) and 5 years after (Time 2) the addition of a PS fellow]. Additionally, the procedure related relative value units (RVUs) recorded by the faculty were evaluated. The fellows averaged 752 and 703 cases during Times 1 and 2, respectively, decreasing by 49 ( P = 0.2303). The residents averaged 172 and 161 cases annually during Time 1 and Time 2, respectively, decreasing by 11 ( P = 0.7340). The total number of procedure related RVUs was 4627 and 6000 during Times 1 and 2, respectively. The number of cases logged by the PS fellows and GS residents decreased after the addition of a PS fellow; however, the decrease was not significant. Programs can reasonably add an additional PS fellow, but care should be taken especially in programs that are otherwise static in size.

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The Impact of ACGME Work-Hour Reforms on the Operative Experience of Fellows in Surgical Subspecialty Programs

Journal of Graduate Medical Education ◽

10.4300/jgme-d-10-00174.1 ◽

2011 ◽

Vol 3 (1) ◽

pp. 111-117 ◽

Cited By ~ 18

Author(s):

Christopher Simien ◽

Kathleen D Holt ◽

Thomas H Richter

Keyword(s):

Vascular Surgery ◽

Pediatric Surgery ◽

Medical Residents ◽

Clinical Exposure ◽

Surgical Subspecialty ◽

Work Hour ◽

Medical Educators ◽

Operative Experience ◽

The Impact ◽

Academic Year

Abstract Background In July 2003, the Accreditation Council for Graduate Medical Education (ACGME) introduced a set of regulations that mandated a reduction in the number of hours that medical residents can work. These requirements have generated controversy among medical educators, with some expressing concern that reducing resident hours may limit clinical exposure and competency, particularly in surgical specialties. Objective This study examines the impact of duty hour restrictions on resident operative experience in residents in 2 surgical subspecialties since the implementation of the ACGME duty hour limits. Method We examined operative log data for vascular surgery and pediatric surgery, using the academic year immediately preceding the duty hour restrictions, 2002 to 2003, as a baseline for comparison to subsequent academic years through 2006 to 2007 for vascular surgery and 2007 to 2008 for pediatric surgery. Results Graduating fellows in pediatric surgery showed no change in their total operative volume following duty hour restrictions. The pediatric-defined category of neonate procedures showed an increase following duty hour restrictions. Graduating fellows in vascular surgery showed an increase in total major procedures as surgeon. The vascular-defined categories of endovascular-diagnostic, endovascular-therapeutic, and endovascular-graft procedures also increased. Conclusions The reduction of duty hours has not resulted in a decrease in operative volume as some have predicted. Operative volume in pediatric surgery remained mainly unchanged, whereas operative volume in vascular surgery increased. We explore possible explanations for the observed findings.

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Comparison of Ugandan and North American Pediatric Surgery Fellows’ Operative Experience: Opportunities for Global Training Exchange

Journal of Surgical Education ◽

10.1016/j.jsurg.2019.12.001 ◽

2020 ◽

Vol 77 (3) ◽

pp. 606-614 ◽

Cited By ~ 1

Author(s):

Christopher R. Reed ◽

Sarah J. Commander ◽

John Sekabira ◽

Phyllis Kisa ◽

Nasser Kakembo ◽

...

Keyword(s):

North American ◽

Pediatric Surgery ◽

Operative Experience ◽

Global Training

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Pediatric Surgery Patients Require Special Care

Skin & Allergy News ◽

10.1016/s0037-6337(07)70150-x ◽

2007 ◽

Vol 38 (3) ◽

pp. 46

Author(s):

DENISE NAPOLI

Keyword(s):

Pediatric Surgery ◽

Special Care

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Safe Pediatric Surgery Checklist

PsycTESTS Dataset ◽

10.1037/t70842-000 ◽

2013 ◽

Author(s):

Maria Paula de Oliveira Pires ◽

Mavilde da Luz Gonçalves Pedreira ◽

Maria Angélica Sorgini Peterlini

Keyword(s):

Pediatric Surgery

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A Clinical Study and Management of Inguino-scrotal Swellings In Children

Journal of Medical Research and Innovation ◽

10.15419/jmri.125 ◽

2018 ◽

Vol 2 (S1) ◽

pp. e000125

Author(s):

Khyati Vaja ◽

Mukesh Suvera

Keyword(s):

Inguinal Hernia ◽

Pediatric Surgery ◽

Pediatric Patients ◽

Undescended Testis ◽

Length Of Hospital Stay ◽

Indirect Inguinal Hernia ◽

Short Term ◽

One Year ◽

Groin Hernias ◽

Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

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