Case logging habits among general surgery residents are discordant and inconsistent - 08/06/20
, Carlos VR. Brown a, Ruth Gerola b, Eliza Slama c, Alexa Ryder a, John Uecker a, John Falcone dAbstract |
Background |
General surgery residents log operative case experience as “first assist” (FA) or “primary surgeon” (PS). This study will evaluate their quantitative and qualitative case log practices.
Methods |
Modified Delphi technique was used to create a questionnaire and distributed online to institutions via the APDS. Descriptive analyses and example operative scenarios for resident case logging habits were ascertained.
Results |
There were 363 residents from university (60%) and non-university (40%) programs; 94% did not know the definition of primary surgeon. Over 50% stated they had been encouraged to log a case as surgeon that they did not feel was warranted. Only 4% felt the current logging system is “very accurate.” Given an operative scenario, residents varied how they chose to log the case.
Conclusion |
General surgery residents do not know the current definition of PS. Case logging should be an objective measure of resident operative exposure, but may actually be more complex than previously recognized.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Almost all surgery residents surveyed do not know the current definition of “primary surgeon”. |
• | More than half of residents have heard of a resident “over-reporting” case logs. |
• | Over-reporting is prompted by institutional case volume and lack of operative autonomy. |
• | When given an operative scenario, less than half of residents agreed how they would log the case. |
• | Only 4% of residents say the case log system “very accurately” reflects their operative experience. |
Plan
| ☆ | Survey distribution approval by the Association of Program Directors in Surgery. |
Vol 219 - N° 6
P. 937-942 - juin 2020 Retour au numéro
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