TY - JOUR
T1 - Defining the Disparity
T2 - A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience
AU - US ROPE Consortium
AU - Price, Adam D.
AU - Foote, Darci C.
AU - Woeste, Matthew R.
AU - Winer, Leah K.
AU - Montgomery, Kelsey B.
AU - Al Yafi, Motaz
AU - Nahmias, Jeffry T.
AU - Postlewait, Lauren M.
AU - Sutton, Jeffrey M.
AU - Quillin, R. Cutler
AU - Whitrock, Jenna N.
AU - Eruchalu, Chukwuma N.
AU - Dodwad, Shah Jahan M.
AU - Meister, Katherine M.
AU - Kimbrough, Mary K.
AU - Harvey, Jalen
AU - Stahl, Christopher C.
AU - Farr, Deborah
AU - Stopenski, Stephen
AU - Campbell, Samuel J.
AU - Smith, Savannah
AU - Adams, Sasha D.
AU - Cho, Nancy L.
AU - Marks, Joshua A.
AU - Anstadt, Michael J.
AU - Abelson, Jonathan S.
AU - Patel, Jitesh A.
AU - Cortez, Alexander R.
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2024/1
Y1 - 2024/1
N2 - 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.
AB - 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.
KW - Case volume
KW - Demographic
KW - Operative experience
KW - Program
UR - http://www.scopus.com/inward/record.url?scp=85173947748&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85173947748&partnerID=8YFLogxK
U2 - 10.1016/j.jss.2023.08.028
DO - 10.1016/j.jss.2023.08.028
M3 - Article
C2 - 37837821
AN - SCOPUS:85173947748
SN - 0022-4804
VL - 293
SP - 647
EP - 655
JO - Journal of Surgical Research
JF - Journal of Surgical Research
ER -