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Case log review produces translational change in surgical oncology education
Maryclare Sarff1, Michelle C Ellis, John T Vetto
1Department of Surgery, Division of Surgical Oncology, Oregon Health & Science University, Portland, OR, USA.
Background:
The recently mandated reduction in surgical resident work hours led to concerns that surgical cancer education would suffer, as measured by cancer case exposure.
Methods:
Final operative logs submitted to the American Board of Surgery by chief residents graduating from our program were compared for 2 time periods: prior to the mandate (2002-2003) and after (2006-2007).
Results:
Case logs from graduating residents (n = 36) showed a nonsignificant decrease in cancer as the percentage of total major cases, due to an actual increase in total major cases. Conversely, endoscopy and minor cancer case experience both decreased.
Conclusions:
Exposure to minor cancer cases and endoscopies has decreased; this has led to a requirment for a minimum number of endoscopies/graduating resident, and to strategies for increasing exposure to minor cancer cases.