Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience.

Autor: Price AD; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio., Foote DC; Department of Surgery, Beaumont Health, Royal Oak, Michigan; Department of Surgery, Center for Surgical Training and Research (CSTAR), University of Michigan, Ann Arbor, Michigan., Woeste MR; Department of Surgery, University of Louisville, Louisville, Kentucky., Winer LK; Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania., Montgomery KB; Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama., Al Yafi M; Department of Surgery, University of Toledo, Toledo, Ohio., Nahmias JT; Department of Surgery, University of California, Irvine, Orange, California., Postlewait LM; Department of Surgery, Emory University, Atlanta, Georgia., Sutton JM; Division of Oncologic and Endocrine Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina., Quillin RC; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio., Cortez AR; Department of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio; Department of Surgery, University of San Francisco, San Francisco, California. Electronic address: cortez.alexr@gmail.com.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2024 Jan; Vol. 293, pp. 647-655. Date of Electronic Publication: 2023 Oct 12.
DOI: 10.1016/j.jss.2023.08.028
Abstrakt: Introduction: Technical learning in surgical training is multifaceted and existing literature suggests a positive relationship between case volume and proficiency. Little is known about factors associated with a decreased volume of operative experience. This study aimed to identify resident and program factors associated with general surgery residents (GSR) in the bottom quartile of logged case volume upon program completion.
Methods: A post hoc analysis of a multicenter study was used to examine case logs for categorical GSR. Participants included graduates between 2010 and 2020 from 20 programs. Residents below and above the 25th percentile for total operative volume were compared.
Results: The present study includes 1343 GSR who graduated over the 11-y period. In total, 336 residents were below the 25th percentile and 1007 residents were above the 25th percentile. Those below the 25th percentile were more likely to be female (41% versus 34%, P = 0.02), identify as underrepresented in medicine (22% versus 14%, P < 0.01), and pursue fellowship (86% versus 80%, P = 0.01) compared to those above the 25th percentile. Residents below the 25th percentile were more likely to have graduated from a low volume program (55% versus 25%, P < 0.01) and from top National Institutes of Health funded institutions (57% versus 52%, P = 0.01).
Conclusions: This study identified individual and program characteristics associated with lower operative volume of GSR. Understanding such characteristics will aid surgical educators to achieve better equity in training.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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