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

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 as...

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Published in:The Journal of surgical research 2024-01, Vol.293, p.647-655
Main Authors: Price, Adam D., Foote, Darci C., Woeste, Matthew R., Winer, Leah K., Montgomery, Kelsey B., Al Yafi, Motaz, Nahmias, Jeffry T., Postlewait, Lauren M., Sutton, Jeffrey M., Quillin, R. Cutler, Whitrock, Jenna N., Eruchalu, Chukwuma N., Dodwad, Shah-Jahan M., Meister, Katherine M., Kimbrough, Mary K., Harvey, Jalen, Stahl, Christopher C., Farr, Deborah, Stopenski, Stephen, Campbell, Samuel J., Smith, Savannah, Adams, Sasha D., Cho, Nancy L., Marks, Joshua A., Anstadt, Michael J., Abelson, Jonathan S., Patel, Jitesh A., Cortez, Alexander R.
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creator Price, Adam D.
Foote, Darci C.
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Sutton, Jeffrey M.
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Adams, Sasha D.
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Patel, Jitesh A.
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description 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. 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. 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). 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.
doi_str_mv 10.1016/j.jss.2023.08.028
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source ScienceDirect Journals
subjects Case volume
Clinical Competence
Demographic
Education, Medical, Graduate
Fellowships and Scholarships
Female
General Surgery - education
Humans
Internship and Residency
Male
Medicine
Operative experience
Program
title Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience
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