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Trends in General Surgery Operative Experience Obtained by Integrated Vascular Surgery Residents.

Emily Y Fan1, Allison S Crawford1, Dejah R Judelson1

  • 1Division of Vascular and Endovascular Surgery, University of Massachusetts Medical School, Worcester, Massachusetts.

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Summary
This summary is machine-generated.

General surgery case volume for integrated vascular surgery residents remained stable over 10 years. However, the types of general surgery cases shifted, with fewer laparoscopic procedures and more open abdominal cases logged by trainees.

Keywords:
integrated vascular surgery residencyopen surgical experienceoperative experiencesurgical education

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Area of Science:

  • Surgical Education
  • Vascular Surgery Training
  • General Surgery Case Logs

Background:

  • Integrated vascular surgery programs initially balanced general surgery and vascular surgery training.
  • Over time, the required duration of general surgery rotations has decreased.
  • Specific case number or type requirements were not initially defined.

Purpose of the Study:

  • To analyze trends in general surgery case volume and type over a decade for integrated vascular surgery residents.
  • To identify changes in case logging patterns in response to evolving training requirements.

Main Methods:

  • Retrospective review of Accreditation Council for Graduate Medical Education case log data (2012-2018).
  • Evaluation of trends in mean case numbers for general surgery open (GS-open), general surgery laparoscopic (GS-laparoscopic), vascular surgery open (VS-open), and vascular surgery endovascular (VS-endo).
  • Categorization of cases by anatomic region: head/neck, thoracic, and abdominal.

Main Results:

  • Total case volume and the proportion of general surgery cases (35%-38%) remained constant.
  • A significant shift in general surgery case types was observed: an increase in GS-open cases (p=0.006) and a decrease in GS-laparoscopic cases (p=0.048).
  • The abdominal subgroup showed a significant increase in GS-open cases over time (p=0.005), while head/neck and thoracic subgroups remained stable.

Conclusions:

  • Total case volume and the proportion of general surgery cases in integrated vascular surgery training have been stable over the past decade.
  • There has been a notable shift from laparoscopic to open general surgery cases, particularly in the abdominal region.
  • These findings suggest resident adaptation and may inform curriculum development and national discussions on core general surgery rotation requirements.