A Multi-Institutional Study from the US ROPE Consortium Examining Factors Associated with Endocrine Surgery Exposure for General Surgery Residents

Prior analyses of general surgery (GS) resident case logs demonstrate a decline in endocrine cases. This study aims to identify factors contributing to the endocrine operative experience of GS residents and compare those who matched in endocrine surgery fellowship with those who did not. Case log da...

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Veröffentlicht in:Surgery 2024-01, Vol.175 (1), p.107-113
Hauptverfasser: Sisak, Stephanie, Price, Adam D., Foote, Darci C., Montgomery, Kelsey B., Lindeman, Brenessa, Cho, Nancy L., Sheu, Nora O., Postlewait, Lauren M., Smith, Savannah R., Markesbery, Katherine C., Meister, Katherine M., Kader, Sarah, Abelson, Jonathan S., Anstadt, Michael J., Patel, Purvi P., Marks, Joshua A., Callahan, Zachary M., Kimbrough, Mary Katherine, Byrd, Samuel E., Stopenski, Stephen J., Nahmias, Jeffry T., Patel, Jitesh A., Wilt, Wesley, Dodwad, Shah-Jahan M., Adams, Sasha D., Willis, Ross E., Farr, Deborah, Harvey, Jalen, Woeste, Matthew R., Martin, Robert C.G., Al Yafi, Motaz, Sutton, Jeffrey M., Cortez, Alexander R., Holm, Tammy M.
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container_end_page 113
container_issue 1
container_start_page 107
container_title Surgery
container_volume 175
creator Sisak, Stephanie
Price, Adam D.
Foote, Darci C.
Montgomery, Kelsey B.
Lindeman, Brenessa
Cho, Nancy L.
Sheu, Nora O.
Postlewait, Lauren M.
Smith, Savannah R.
Markesbery, Katherine C.
Meister, Katherine M.
Kader, Sarah
Abelson, Jonathan S.
Anstadt, Michael J.
Patel, Purvi P.
Marks, Joshua A.
Callahan, Zachary M.
Kimbrough, Mary Katherine
Byrd, Samuel E.
Stopenski, Stephen J.
Nahmias, Jeffry T.
Patel, Jitesh A.
Wilt, Wesley
Dodwad, Shah-Jahan M.
Adams, Sasha D.
Willis, Ross E.
Farr, Deborah
Harvey, Jalen
Woeste, Matthew R.
Martin, Robert C.G.
Al Yafi, Motaz
Sutton, Jeffrey M.
Cortez, Alexander R.
Holm, Tammy M.
description Prior analyses of general surgery (GS) resident case logs demonstrate a decline in endocrine cases. This study aims to identify factors contributing to the endocrine operative experience of GS residents and compare those who matched in endocrine surgery fellowship with those who did not. Case log data for graduates from 18 GS residency programs in the US Resident OPerative Experience (ROPE) Consortium over an 11-year period were analyzed. 1,240 residents were included and 17 (1%) matched into endocrine surgery. Those who matched completed more total endocrine cases (81 vs 37, p
doi_str_mv 10.1016/j.surg.2023.05.048
format Article
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This study aims to identify factors contributing to the endocrine operative experience of GS residents and compare those who matched in endocrine surgery fellowship with those who did not. Case log data for graduates from 18 GS residency programs in the US Resident OPerative Experience (ROPE) Consortium over an 11-year period were analyzed. 1,240 residents were included and 17 (1%) matched into endocrine surgery. Those who matched completed more total endocrine cases (81 vs 37, p<0.01), including more thyroid, parathyroid, and adrenal. Factors associated with increased endocrine volume included endocrine-specific rotations (+10, CI: 8 to 12, p<0.01), endocrine-trained faculty (+8, CI: 7 to 10, p<0.01), and program co-located with otolaryngology residency (+5, CI: 2 to 8, p<0.01) or endocrine surgery fellowship (+4, CI: 2 to 6, p<0.01). Factors associated with decreased endocrine volume included bottom 50 in NIH-funding (-10, CI: -12 to -8, p<0.01) and endocrine-focused otolaryngologists (-3, CI: -4 to -1, p<0.01). This study analyzed characteristics associated with a robust endocrine experience and pursuing endocrine surgery fellowship. Modifiable factors include optimizing recruitment of dedicated endocrine surgeons and inclusion of endocrine surgery rotations in GS residency.]]></description><identifier>ISSN: 0039-6060</identifier><identifier>ISSN: 1532-7361</identifier><identifier>EISSN: 1532-7361</identifier><identifier>DOI: 10.1016/j.surg.2023.05.048</identifier><identifier>PMID: 37953151</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>case log ; Clinical Competence ; education ; Education, Medical, Graduate - methods ; endocrine surgery ; Endocrine Surgical Procedures ; fellowship ; Fellowships and Scholarships ; general surgery ; General Surgery - education ; Humans ; Internship and Residency ; Surgeons</subject><ispartof>Surgery, 2024-01, Vol.175 (1), p.107-113</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. 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This study aims to identify factors contributing to the endocrine operative experience of GS residents and compare those who matched in endocrine surgery fellowship with those who did not. Case log data for graduates from 18 GS residency programs in the US Resident OPerative Experience (ROPE) Consortium over an 11-year period were analyzed. 1,240 residents were included and 17 (1%) matched into endocrine surgery. Those who matched completed more total endocrine cases (81 vs 37, p<0.01), including more thyroid, parathyroid, and adrenal. Factors associated with increased endocrine volume included endocrine-specific rotations (+10, CI: 8 to 12, p<0.01), endocrine-trained faculty (+8, CI: 7 to 10, p<0.01), and program co-located with otolaryngology residency (+5, CI: 2 to 8, p<0.01) or endocrine surgery fellowship (+4, CI: 2 to 6, p<0.01). 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Modifiable factors include optimizing recruitment of dedicated endocrine surgeons and inclusion of endocrine surgery rotations in GS residency.]]></description><subject>case log</subject><subject>Clinical Competence</subject><subject>education</subject><subject>Education, Medical, Graduate - methods</subject><subject>endocrine surgery</subject><subject>Endocrine Surgical Procedures</subject><subject>fellowship</subject><subject>Fellowships and Scholarships</subject><subject>general surgery</subject><subject>General Surgery - education</subject><subject>Humans</subject><subject>Internship and 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M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Multi-Institutional Study from the US ROPE Consortium Examining Factors Associated with Endocrine Surgery Exposure for General Surgery Residents</atitle><jtitle>Surgery</jtitle><addtitle>Surgery</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>175</volume><issue>1</issue><spage>107</spage><epage>113</epage><pages>107-113</pages><issn>0039-6060</issn><issn>1532-7361</issn><eissn>1532-7361</eissn><abstract><![CDATA[Prior analyses of general surgery (GS) resident case logs demonstrate a decline in endocrine cases. This study aims to identify factors contributing to the endocrine operative experience of GS residents and compare those who matched in endocrine surgery fellowship with those who did not. Case log data for graduates from 18 GS residency programs in the US Resident OPerative Experience (ROPE) Consortium over an 11-year period were analyzed. 1,240 residents were included and 17 (1%) matched into endocrine surgery. Those who matched completed more total endocrine cases (81 vs 37, p<0.01), including more thyroid, parathyroid, and adrenal. Factors associated with increased endocrine volume included endocrine-specific rotations (+10, CI: 8 to 12, p<0.01), endocrine-trained faculty (+8, CI: 7 to 10, p<0.01), and program co-located with otolaryngology residency (+5, CI: 2 to 8, p<0.01) or endocrine surgery fellowship (+4, CI: 2 to 6, p<0.01). Factors associated with decreased endocrine volume included bottom 50 in NIH-funding (-10, CI: -12 to -8, p<0.01) and endocrine-focused otolaryngologists (-3, CI: -4 to -1, p<0.01). This study analyzed characteristics associated with a robust endocrine experience and pursuing endocrine surgery fellowship. Modifiable factors include optimizing recruitment of dedicated endocrine surgeons and inclusion of endocrine surgery rotations in GS residency.]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37953151</pmid><doi>10.1016/j.surg.2023.05.048</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7416-177X</orcidid><orcidid>https://orcid.org/0000-0002-2372-4736</orcidid><orcidid>https://orcid.org/0000-0002-4833-4099</orcidid><orcidid>https://orcid.org/0000-0002-1284-1830</orcidid><orcidid>https://orcid.org/0000-0002-5537-3387</orcidid><orcidid>https://orcid.org/0000-0001-5594-2888</orcidid><orcidid>https://orcid.org/0000-0003-0818-6439</orcidid><orcidid>https://orcid.org/0000-0003-4720-8637</orcidid><orcidid>https://orcid.org/0000-0001-5579-5152</orcidid><orcidid>https://orcid.org/0009-0009-6442-0120</orcidid><orcidid>https://orcid.org/0000-0002-6685-1241</orcidid><orcidid>https://orcid.org/0000-0003-0094-571X</orcidid><orcidid>https://orcid.org/0000-0002-3855-2156</orcidid><orcidid>https://orcid.org/0000-0002-3821-5221</orcidid><orcidid>https://orcid.org/0000-0003-4330-4306</orcidid><orcidid>https://orcid.org/0000-0003-0550-6679</orcidid><orcidid>https://orcid.org/0000-0001-5617-2184</orcidid><orcidid>https://orcid.org/0000-0002-4015-2215</orcidid><orcidid>https://orcid.org/0000-0001-8537-6186</orcidid><orcidid>https://orcid.org/0000-0002-9856-6971</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0039-6060
ispartof Surgery, 2024-01, Vol.175 (1), p.107-113
issn 0039-6060
1532-7361
1532-7361
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10906110
source MEDLINE; Elsevier ScienceDirect Journals
subjects case log
Clinical Competence
education
Education, Medical, Graduate - methods
endocrine surgery
Endocrine Surgical Procedures
fellowship
Fellowships and Scholarships
general surgery
General Surgery - education
Humans
Internship and Residency
Surgeons
title A Multi-Institutional Study from the US ROPE Consortium Examining Factors Associated with Endocrine Surgery Exposure for General Surgery Residents
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