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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| Veröffentlicht in: | The Journal of surgical research 2024-01, Vol.293, p.647-655 |
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| creator | 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. |
| 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 |
| format | Article |
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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.</description><identifier>ISSN: 0022-4804</identifier><identifier>ISSN: 1095-8673</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2023.08.028</identifier><identifier>PMID: 37837821</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Case volume ; Clinical Competence ; Demographic ; Education, Medical, Graduate ; Fellowships and Scholarships ; Female ; General Surgery - education ; Humans ; Internship and Residency ; Male ; Medicine ; Operative experience ; Program</subject><ispartof>The Journal of surgical research, 2024-01, Vol.293, p.647-655</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-5691b0bd151247d0847407cdd94303a8be4466605e699fe73730a2c6535fec0e3</citedby><cites>FETCH-LOGICAL-c409t-5691b0bd151247d0847407cdd94303a8be4466605e699fe73730a2c6535fec0e3</cites><orcidid>0000-0003-4330-4306</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jss.2023.08.028$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37837821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Price, Adam D.</creatorcontrib><creatorcontrib>Foote, Darci C.</creatorcontrib><creatorcontrib>Woeste, Matthew R.</creatorcontrib><creatorcontrib>Winer, Leah K.</creatorcontrib><creatorcontrib>Montgomery, Kelsey B.</creatorcontrib><creatorcontrib>Al Yafi, Motaz</creatorcontrib><creatorcontrib>Nahmias, Jeffry T.</creatorcontrib><creatorcontrib>Postlewait, Lauren M.</creatorcontrib><creatorcontrib>Sutton, Jeffrey M.</creatorcontrib><creatorcontrib>Quillin, R. Cutler</creatorcontrib><creatorcontrib>Whitrock, Jenna N.</creatorcontrib><creatorcontrib>Eruchalu, Chukwuma N.</creatorcontrib><creatorcontrib>Dodwad, Shah-Jahan M.</creatorcontrib><creatorcontrib>Meister, Katherine M.</creatorcontrib><creatorcontrib>Kimbrough, Mary K.</creatorcontrib><creatorcontrib>Harvey, Jalen</creatorcontrib><creatorcontrib>Stahl, Christopher C.</creatorcontrib><creatorcontrib>Farr, Deborah</creatorcontrib><creatorcontrib>Stopenski, Stephen</creatorcontrib><creatorcontrib>Campbell, Samuel J.</creatorcontrib><creatorcontrib>Smith, Savannah</creatorcontrib><creatorcontrib>Adams, Sasha D.</creatorcontrib><creatorcontrib>Cho, Nancy L.</creatorcontrib><creatorcontrib>Marks, Joshua A.</creatorcontrib><creatorcontrib>Anstadt, Michael J.</creatorcontrib><creatorcontrib>Abelson, Jonathan S.</creatorcontrib><creatorcontrib>Patel, Jitesh A.</creatorcontrib><creatorcontrib>Cortez, Alexander R.</creatorcontrib><creatorcontrib>US ROPE Consortium</creatorcontrib><title>Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><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.</description><subject>Case volume</subject><subject>Clinical Competence</subject><subject>Demographic</subject><subject>Education, Medical, Graduate</subject><subject>Fellowships and Scholarships</subject><subject>Female</subject><subject>General Surgery - education</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Medicine</subject><subject>Operative experience</subject><subject>Program</subject><issn>0022-4804</issn><issn>1095-8673</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFvEzEQhS0EoiHwA7ggH7lsGK931144oKhpoVJRJQTiaDne2cbRZh083qj597ikVHBBsmyP_OZ59D7GXgtYCBDNu-1iS7QooZQL0Aso9RM2E9DWhW6UfMpmAGVZVBqqM_aCaAu5bpV8zs6k0nmVYsaOK-z96MdbnjbIV572Nvp0fM-X_Ms0JF9cjZR8mpIPox34Mm9H8sRDzy-tSyESXxIF523Cjv_wacNX6CJayuVXJN_hmPjNHqNN_oD84i5fPY4OX7JnvR0IXz2cc_b98uLb-efi-ubT1fnyunAVtKmom1asYd2JWpSV6kBXqgLluq6tJEir11hVTdNAjU3b9qikkmBL19Sy7tEByjn7ePLdT-sddi7PE-1g9tHvbDyaYL3592X0G3MbDkaAVqrJSc7Z2weHGH5OSMnsPDkcBjtimMiUWSe1ULXOUnGSuhiIIvaP_wgw98zM1mRm5p6ZAW0ys9zz5u8BHzv-QMqCDycB5pgOHqMh9zvCzkd0yXTB_8f-F2wjqXY</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Price, Adam D.</creator><creator>Foote, Darci C.</creator><creator>Woeste, Matthew R.</creator><creator>Winer, Leah K.</creator><creator>Montgomery, Kelsey B.</creator><creator>Al Yafi, Motaz</creator><creator>Nahmias, Jeffry T.</creator><creator>Postlewait, Lauren M.</creator><creator>Sutton, Jeffrey M.</creator><creator>Quillin, R. 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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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-5691b0bd151247d0847407cdd94303a8be4466605e699fe73730a2c6535fec0e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case volume</topic><topic>Clinical Competence</topic><topic>Demographic</topic><topic>Education, Medical, Graduate</topic><topic>Fellowships and Scholarships</topic><topic>Female</topic><topic>General Surgery - education</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Medicine</topic><topic>Operative experience</topic><topic>Program</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Price, Adam D.</creatorcontrib><creatorcontrib>Foote, Darci C.</creatorcontrib><creatorcontrib>Woeste, Matthew R.</creatorcontrib><creatorcontrib>Winer, Leah K.</creatorcontrib><creatorcontrib>Montgomery, Kelsey B.</creatorcontrib><creatorcontrib>Al Yafi, Motaz</creatorcontrib><creatorcontrib>Nahmias, Jeffry T.</creatorcontrib><creatorcontrib>Postlewait, Lauren M.</creatorcontrib><creatorcontrib>Sutton, Jeffrey M.</creatorcontrib><creatorcontrib>Quillin, R. 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Cutler</au><au>Whitrock, Jenna N.</au><au>Eruchalu, Chukwuma N.</au><au>Dodwad, Shah-Jahan M.</au><au>Meister, Katherine M.</au><au>Kimbrough, Mary K.</au><au>Harvey, Jalen</au><au>Stahl, Christopher C.</au><au>Farr, Deborah</au><au>Stopenski, Stephen</au><au>Campbell, Samuel J.</au><au>Smith, Savannah</au><au>Adams, Sasha D.</au><au>Cho, Nancy L.</au><au>Marks, Joshua A.</au><au>Anstadt, Michael J.</au><au>Abelson, Jonathan S.</au><au>Patel, Jitesh A.</au><au>Cortez, Alexander R.</au><aucorp>US ROPE Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>293</volume><spage>647</spage><epage>655</epage><pages>647-655</pages><issn>0022-4804</issn><issn>1095-8673</issn><eissn>1095-8673</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37837821</pmid><doi>10.1016/j.jss.2023.08.028</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4330-4306</orcidid></addata></record> |
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| ispartof | The Journal of surgical research, 2024-01, Vol.293, p.647-655 |
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| source | MEDLINE; Elsevier 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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