Defining the acute care surgery curriculum

The Journal of Trauma and Acute Care Surgery
Therese M DuaneL D Britt

Abstract

This study was designed to define the gaps in essential and desirable (E/D) case volumes that may prompt reevaluation of the acute care surgery (ACS) curriculum or restructuring of the training provided. A review of the first 2 years of ACS case log entry (July 2011 to June 2013) was performed. Individual trainee logs were evaluated to determine how often they performed each case on the E/D list. Trainees described cases using current procedural terminology codes, which had been previously mapped to the E/D list. There were 29 trainees from 15 programs (Year 1) and 30 trainees from 13 programs (Year 2) who participated in case log entry, with some overlap between the years. There were a total of 487 fellow-months of data with an average of 14.6 current procedural terminology codes per month and 175.5 per year for cases on the E/D list versus 12 and 143.5 for cases not on the E/D list, respectively. Overall, the most common essential cases were laparotomy for trauma (1,463; 705 in Year 1, 758 in Year 2), tracheostomy (665; 372 in Year 1, 293 in Year 2) and gastrostomy tubes (566; 289 in Year 1, 277 in Year 2). There are a total of 73 types of essential operations and 45 types of desirable operations in the current curriculum. Th...Continue Reading

References

Mar 27, 2004·ANZ Journal of Surgery·L D Britt
Mar 12, 2005·The Journal of Trauma·UNKNOWN Committee to Develop the Reorganized Specialty of Trauma, Surgical Critical Care, and Emergency Surgery
Mar 14, 2007·Surgery·Gregory J Jurkovich
Apr 7, 2007·The Journal of Trauma·UNKNOWN Committee on Acute Care Surgery American Association for the Surgery of Trauma
Apr 15, 2008·World Journal of Surgery·David B HoytCristobal Barrios
Feb 11, 2009·Southern Medical Journal·Mark Sanchez, Jack Sariego
Aug 28, 2010·Critical Care Medicine·Kimberly A Davis, Grace S Rozycki
Jan 11, 2011·The Journal of Trauma·Andrew B Peitzman
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·Jamie J ColemanDavid V Feliciano
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·Deborah A KuhlsFred A Luchette
Jan 25, 2014·The Journal of Trauma and Acute Care Surgery·Christopher J DenteJohn J Fildes
May 24, 2014·The Journal of Trauma and Acute Care Surgery·Matthew E LissauerUNKNOWN EAST Acute Care Surgery Ad Hoc Committee

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Citations

Feb 9, 2016·Annals of Surgery·Jose H SalazarFizan Abdullah
Mar 22, 2017·Trauma Surgery & Acute Care Open·Lewis J KaplanOrlando Kirton
Sep 21, 2017·The Journal of Trauma and Acute Care Surgery·Paul J ChestovichJohn J Fildes

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