Trends in Pediatric Surgery Operative Volume among Residents and Fellows: Improving the Experience for All

Journal of the American College of Surgeons
Stephanie TalutisTeviah E Sachs

Abstract

The ACGME requires general surgery residents (GSR) to perform 20 pediatric surgery cases as part of the total 750 cases before graduation. We queried the ACGME General Surgery (1999 to 2014) and Pediatric Surgery (2003 to 2014) Case Logs for all pediatric operations performed during training. Means (±SD) and medians (10(th):90(th) percentiles) were compared, and R(2) was calculated for all trends. The number of pediatric surgery fellows (PSF) increased 63% (23 to 39; R(2) = 0.82), while GSR numbers increased 12% (989 to 1,105; R(2) = 0.77). Total and average pediatric surgery case volume for GSR decreased from 39,309 to 32,156 (R(2) = 0.90) and 39.7 ± 13 to 29.1 ± 10 (R(2) = 0.91), respectively. Meanwhile, average PSF case volume increased from 980 ± 208 to 1,137 ± 202 (R(2) = 0.83). These trends persisted for inguinal/umbilical hernia (GSR 22.1 ± 13 to 15.6 ± 10; R(2) = 0.93; PSF 90.5 ± 17.6 to 104.4 ± 20.7; R(2) = 0.34), pyloric stenosis (GSR 3.9 ± 3 to 2.8 ± 3; R(2) = 0.60; PSF 29.6 ± 15 to 39.7 ± 16.8; R(2) = 0.69), and intestinal atresia (GSR 1.3 ± 2 to 1.1 ± 2; R(2) = 0.34; PSF 4.3 ± 4 to 11.8 ± 8; R(2) = 0.21). The mean number of GSR pediatric operations diminished for both junior (37.1 ± 20 to 27.3 ± 16; R(2) = 0.88) an...Continue Reading

References

Aug 10, 2004·Journal of Pediatric Surgery·Moritz M Ziegler
Nov 4, 2004·Surgery·Carlos A PellegriniHaile T Debas
Jan 22, 2008·Journal of Pediatric Surgery·Graham H CosperDon K Nakayama
May 13, 2008·Journal of the American College of Surgeons·John C KairysCharles J Yeo
Jan 23, 2009·Journal of Pediatric Surgery·Steven L LeeHarry Applebaum
Sep 9, 2009·Journal of Pediatric Surgery·Don K NakayamaKurt D Newman
Oct 1, 2009·Surgery·Richard H Bell
Feb 23, 2011·Journal of Surgical Education·Emile A PicarellaMarc E Mitchell
Jul 2, 2011·Interactive Cardiovascular and Thoracic Surgery·Justo Rafael Sadaba, Stefano Urso
Mar 27, 2012·The Journal of Surgical Research·Hadiza S KazaureJulie A Sosa
Jan 22, 2013·Journal of Pediatric Surgery·Abbey L FingeretRobert A Cowles
Aug 13, 2013·Journal of Pediatric Surgery·Kenneth W GowJohn H Waldhausen
Jun 28, 2014·Journal of Surgical Education·Christopher P ScallyPaul G Gauger
Sep 23, 2014·Journal of Surgical Education·Tovy Haber KamineTara S Kent
Feb 24, 2015·The Journal of Surgical Research·Teviah E Sachs, Timothy M Pawlik

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Citations

Sep 20, 2016·American Journal of Surgery·Ryan MorganTeviah Sachs
Apr 12, 2021·Journal of Pediatric Surgery·Joseph R EsparazMike K Chen
Jul 16, 2021·Journal of the American College of Surgeons·John R PottsDonna A Caniano

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