TY - JOUR
T1 - A multi-institutional study from the US ROPE consortium examining factors associated with endocrine surgery exposure for general surgery residents
AU - Sisak, Stephanie
AU - Price, Adam D.
AU - Foote, Darci C.
AU - Montgomery, Kelsey B.
AU - Lindeman, Brenessa
AU - Cho, Nancy L.
AU - Sheu, Nora O.
AU - Postlewait, Lauren M.
AU - Smith, Savannah R.
AU - Markesbery, Katherine C.
AU - Meister, Katherine M.
AU - Kader, Sarah
AU - Abelson, Jonathan S.
AU - Anstadt, Michael J.
AU - Patel, Purvi P.
AU - Marks, Joshua A.
AU - Callahan, Zachary M.
AU - Kimbrough, Mary Katherine
AU - Byrd, Samuel E.
AU - Stopenski, Stephen J.
AU - Nahmias, Jeffry T.
AU - Patel, Jitesh A.
AU - Wilt, Wesley
AU - Dodwad, Shah Jahan M.
AU - Adams, Sasha D.
AU - Willis, Ross E.
AU - Farr, Deborah
AU - Harvey, Jalen
AU - Woeste, Matthew R.
AU - Martin, Robert C.G.
AU - Al Yafi, Motaz
AU - Sutton, Jeffrey M.
AU - Cortez, Alexander R.
AU - Holm, Tammy M.
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2024/1
Y1 - 2024/1
N2 - Background: Prior analyses of general surgery resident case logs have indicated a decline in the number of endocrine procedures performed during residency. This study aimed to identify factors contributing to the endocrine operative experience of general surgery residents and compare those who matched in endocrine surgery fellowship with those who did not. Methods: We analyzed the case log data of graduates from 18 general surgery residency programs in the US Resident Operative Experience Consortium over an 11-year period. Results: Of the 1,240 residents we included, 17 (1%) matched into endocrine surgery fellowships. Those who matched treated more total endocrine cases, including more thyroid, parathyroid, and adrenal cases, than those who did not (81 vs 37, respectively, P < .01). Program-level factors associated with increased endocrine volume included endocrine-specific rotations (+10, confidence interval 8–12, P < .01), endocrine-trained faculty (+8, confidence interval 7–10, P < .01), and program co-location with otolaryngology residency (+5, confidence interval 2 –8, P < .01) or endocrine surgery fellowship (+4, confidence interval 2–6, P < .01). Factors associated with decreased endocrine volume included bottom 50th percentile in National Institute of Health funding (–10, confidence interval –12 to –8, P < .01) and endocrine-focused otolaryngologists (–3, confidence interval –4 to –1, P < .01). Conclusion: Several characteristics are associated with a robust endocrine experience and pursuit of an endocrine surgery fellowship. Modifiable factors include optimizing the recruitment of dedicated endocrine surgeons and the inclusion of endocrine surgery rotations in general surgery residency.
AB - Background: Prior analyses of general surgery resident case logs have indicated a decline in the number of endocrine procedures performed during residency. This study aimed to identify factors contributing to the endocrine operative experience of general surgery residents and compare those who matched in endocrine surgery fellowship with those who did not. Methods: We analyzed the case log data of graduates from 18 general surgery residency programs in the US Resident Operative Experience Consortium over an 11-year period. Results: Of the 1,240 residents we included, 17 (1%) matched into endocrine surgery fellowships. Those who matched treated more total endocrine cases, including more thyroid, parathyroid, and adrenal cases, than those who did not (81 vs 37, respectively, P < .01). Program-level factors associated with increased endocrine volume included endocrine-specific rotations (+10, confidence interval 8–12, P < .01), endocrine-trained faculty (+8, confidence interval 7–10, P < .01), and program co-location with otolaryngology residency (+5, confidence interval 2 –8, P < .01) or endocrine surgery fellowship (+4, confidence interval 2–6, P < .01). Factors associated with decreased endocrine volume included bottom 50th percentile in National Institute of Health funding (–10, confidence interval –12 to –8, P < .01) and endocrine-focused otolaryngologists (–3, confidence interval –4 to –1, P < .01). Conclusion: Several characteristics are associated with a robust endocrine experience and pursuit of an endocrine surgery fellowship. Modifiable factors include optimizing the recruitment of dedicated endocrine surgeons and the inclusion of endocrine surgery rotations in general surgery residency.
UR - http://www.scopus.com/inward/record.url?scp=85177735053&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85177735053&partnerID=8YFLogxK
U2 - 10.1016/j.surg.2023.05.048
DO - 10.1016/j.surg.2023.05.048
M3 - Article
C2 - 37953151
AN - SCOPUS:85177735053
SN - 0039-6060
VL - 175
SP - 107
EP - 113
JO - Surgery (United States)
JF - Surgery (United States)
IS - 1
ER -