Accreditation Council for Graduate Medical Education Compliance and Resident Competence in Hepatopancreaticobiliary Surgery during General Surgery Residency: A Program Director Review

Smithson, Lauren; Delvecchio, Khortnal; Mittal, Vijay K.

doi:10.1016/j.jsurg.2015.03.011

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…4 For example, only 50% of surgical program directors felt that residents were competent in performing hepatopancreaticobiliary surgery upon graduation. 18 The resident's surgical experience during training is tracked by the ACGME case log system, which requires residents to record the surgical procedures in which they have one of several roles. The case log system only provides credit for cases wherein the resident is senior resident surgeon or lead resident surgeon.…”

mentioning

confidence: 99%

Longitudinal survey of cranial case log entries during neurological surgery residency training

Agarwal¹,

White²,

Cohen³

et al. 2019

Journal of Neurosurgery

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OBJECTIVE The purpose of this study was to analyze national trends in adult cranial cases performed by neurological surgery residents as logged into the Accreditation Council for Graduate Medical Education (ACGME) system. METHODS The ACGME resident case logs were retrospectively reviewed for the years 2009-2017. In these reports, the national average of cases performed by graduating residents is organized by year, type of procedure, and level of resident. These logs were analyzed in order to evaluate trends in residency experience with adult cranial procedures. The reported number of cranial procedures was compared to the ACGME neurosurgical minimum requirements for each surgical category. A linear regression analysis was conducted in order to identify changes in the average number of procedures performed by residents graduating during the study period. Additionally, a 1-sample t-test was performed to compare reported case volumes to the ACGME required minimums. RESULTS An average of 577 total cranial procedures were performed throughout residency training for each of the 1631 residents graduating between 2009 and 2017. The total caseload for graduating residents upon completion of training increased by an average of 26.59 cases each year (r = 0.99). Additionally, caseloads in most major procedural subspecialty categories increased; this excludes open vascular and extracranial vascular categories, which showed, respectively, a decrease and no change. The majority of cranial procedures performed throughout residency pertained to tumor (mean 158.38 operations), trauma (mean 102.17 operations), and CSF diversion (mean 76.12 operations). Cranial procedures pertaining to the subspecialties of trauma and functional neurosurgery showed the greatest rise in total procedures, increasing at 8.23 (r = 0.91) and 6.44 (r = 0.95) procedures per graduating year, respectively. CONCLUSIONS Neurosurgical residents reported increasing case volumes for most cranial procedures between 2009 and 2017. This increase was observed despite work hour limitations set forth in 2003 and 2011. Of note, an inverse relationship between open vascular and endovascular procedures was observed, with a decrease in open vascular procedures and an increase in endovascular procedures performed during the study period. When compared to the ACGME required minimums, neurosurgery residents gained much more exposure to cranial procedures than was expected. Additionally, a larger caseload throughout training suggests that residents are graduating with greater competency and experience in cranial neurosurgery.

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mentioning

confidence: 99%

Longitudinal survey of cranial case log entries during neurological surgery residency training

Agarwal¹,

White²,

Cohen³

et al. 2019

Journal of Neurosurgery

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“…One challenge is that fellowship programs compete with residence programs. In one study, only a few program directors considered fellow programs having a positive effect on the residence program [63].…”

Section: Literature Regarding Training In Gep-netmentioning

confidence: 99%

“…A survey sent to program directors of general surgery in the USA to determine how Accreditation Council for Graduate Medical Education (ACGME) hepato-pancreato-biliary (HPB) requirements were met revealed that about one-fourth of the directors were required to send their residents to other facilities in order to be able to offer the required number of operations [63]. While residents completed about 70% of all operations, less than 50% were considered competent by the program directors.…”

Section: Literature Regarding Training In Gep-netmentioning

confidence: 99%

Training in endocrine surgery

Gimm

Barczyński

Mihai

et al. 2019

Langenbecks Arch Surg

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Background/purpose In Europe, the Division of Endocrine Surgery (DES) determines the number of operations (thyroid, neck dissection, parathyroids, adrenals, neuroendocrine tumors of the gastro-entero-pancreatic tract (GEP-NETs)) to be required for the European Board of Surgery Qualification in (neck) endocrine surgery. However, it is the national surgical boards that determine how surgical training is delivered in their respective countries. There is a lack of knowledge on the current situation concerning the training of surgical residents and fellows with regard to (neck) endocrine surgery in Europe. Methods A survey was sent out to all 28 current national delegates of the DES. One questionnaire was addressing the training of surgical residents while the other was addressing the training of fellows in endocrine surgery. Particular focus was put on the numbers of operations considered appropriate. Results For most of the operations, the overall number as defined by national surgical boards matched quite well the views of the national delegates even though differences exist between countries. In addition, the current numbers required for the EBSQ exam are well within this range for thyroid and parathyroid procedures but below for neck dissections as well as operations on the adrenals and GEP-NETs.Conclusions Training in endocrine surgery should be performed in units that perform a minimum of 100 thyroid, 50 parathyroid, 15 adrenal, and/or 10 GEP-NET operations yearly. Fellows should be expected to have been the performing surgeon of a minimum of 50 thyroid operations, 10 (central or lateral) lymph node dissections, 15 parathyroid, 5 adrenal, and 5 GEP-NET operations.

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“…The Royal College of Surgeons of England emphasized the central role of MMR in supporting services to achieve and maintain high standards of care, and established in 2015 guidelines to standardize the procedure [ 10 ]. In the USA, MMRs have been incorporated in training programs since 1983, and hospitals are required to hold regular MMR in order to maintain accreditation [ 11 ]. Since 2005, the majority of French healthcare facilities have a program integrating health professionals in safety management called experience feedback committees (EFC) [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the implementation of a quality improvement program through morbidity and mortality reviews in a developing country

Lahnaoui

Souadka

Ahmadi

et al. 2022

Annals of Medicine &Amp; Surgery

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Accreditation Council for Graduate Medical Education Compliance and Resident Competence in Hepatopancreaticobiliary Surgery during General Surgery Residency: A Program Director Review

Cited by 8 publications

References 9 publications

Longitudinal survey of cranial case log entries during neurological surgery residency training

Longitudinal survey of cranial case log entries during neurological surgery residency training

Training in endocrine surgery

Evaluation of the implementation of a quality improvement program through morbidity and mortality reviews in a developing country

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