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Trends in pancreatic surgery experience in general surgery residency in the US, 1990-2021
Hassan Aziz1, Sangrag Ganguli2, John R Potts3
1Department of Surgery, University of Iowa Hospitals and Clinics, USA.
Background:
We hypothesized a decline in resident pancreatic operative experience. The study assesses trends in that experience since 1990.
Methods:
Accreditation Council for Graduate Medical Education (ACGME) national case log data of general surgery residency graduates from 1990 to 2021 were reviewed. Collected and analyzed were the mean and median total number of pancreatic operations per resident, the mean number of specific case types performed, and the annual number of residency graduates. For selected procedures, the mean number of cases by resident role (Surgeon-Chief and Surgeon-Junior) was also analyzed.
Results:
Both the mean and median total number of resident pancreatic operations has declined since 2009 as have the mean number of several specific pancreatic case types, including resections. The annual number of residency graduates has significantly increased since 1990, and particularly since 2009.
Conclusions:
Resident volume in pancreatic operations has significantly declined over the last decade.
