Trends in general surgeon operative practice patterns in a modern cohort - 13/12/24
, James Sharpe a, Emna Bakillah a, b, Sarah Landau a, b, Solomiya Syvyk a, Chris Wirtalla a, Rachel Kelz a, bAbstract |
Introduction |
Analyzing general surgeons’ operative case mix can provide an update on contemporary practice patterns and inform pragmatic residency training.
Methods |
We performed a retrospective cohort study of general surgeons in Florida, Iowa, and Maryland, 2016–2020. Cases were identified using billing codes. The Cochran-Armitage test of trends was used to evaluate the proportion of practice devoted to specific case types and operative setting over time.
Results |
General surgeons (n = 1300) performed 1,287,745 cases. The mean (±SD) annual volume per surgeon for all procedures was 356 (±250), with 198 (±152) general surgery operations, 57 (±142) endoscopic procedures, and 101 (±109) other cases. On average, surgeons operated on 7.1 (±2.6) different organ systems. Trends toward a lower proportion of general surgery operations, and a greater proportion of subspecialty procedures and surgery in the outpatient setting over time were demonstrated (p < 0.001).
Conclusion |
The practice pattern of the general surgeon continues to be heterogeneous, reflecting the persistent need for a broad training paradigm that permits specialization.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | Contemporary general surgery case mix remains heterogeneous with a continuing trend toward the outpatient setting. |
• | Surgical setting selected by the surgeon, whether inpatient vs outpatient, differs by hospital characteristics. |
• | Graduate surgical education should use data on independently practicing surgeons' practices to inform surgical training. |
Keywords : Surgical practice, Surgical training, Case-mix, Healthcare trends
Plan
Vol 239
Article 116017- janvier 2025 Retour au numéro
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