Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience.
Publication/Presentation Date
1-1-2024
Abstract
INTRODUCTION: 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.
METHODS: 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.
RESULTS: 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).
CONCLUSIONS: 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.
Volume
293
First Page
647
Last Page
655
ISSN
1095-8673
Published In/Presented At
Price, A. D., Foote, D. C., Woeste, M. R., Winer, L. K., Montgomery, K. B., Al Yafi, M., Nahmias, J. T., Postlewait, L. M., Sutton, J. M., Quillin, R. C., US ROPE Consortium, & Cortez, A. R. (2024). Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience. The Journal of surgical research, 293, 647–655. https://doi.org/10.1016/j.jss.2023.08.028
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
37837821
Department(s)
Administration and Leadership
Document Type
Article