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Comparing Graduating Plastic Surgery Residents' Case Logs With Accreditation Council for Graduate Medical Education
Aidan W O'Shea, Keith R Sweitzer1, Derek E Bell1
1Division of Plastic Surgery, Department of Surgery, University of Rochester, Rochester, NY.
Annals of Plastic Surgery
|April 1, 2024
Summary
Plastic surgery resident training procedures do not fully align with Accreditation Council for Graduate Medical Education (ACGME) requirements or Plastic Surgery In-Service Training Examination (PSITE) content. National meeting content also shows significant differences from resident case logs.
Area of Science:
- Medical Education
- Surgical Training
- Plastic Surgery
Background:
- Graduate medical education (GME) in plastic surgery requires adaptability due to rapid innovation and competency-based training demands.
- Assessing alignment between resident case logs and GME standards is crucial for effective training.
Purpose of the Study:
- To evaluate the congruence of procedures performed by plastic surgery residents with ACGME minimum requirements and PSITE content.
- To compare resident case log data with procedural representation in major plastic surgery conferences.
Main Methods:
- Categorized 9 reconstructive and aesthetic procedures from ACGME case log data (2019-2021).
- Analyzed ACGME minimum procedure counts, PSITE content (2020-2022), and programming from PSTM 2022 and PSRC 2022.
- Calculated percent differences between case logs and standardization mechanisms.
Main Results:
- Significant discrepancies exist between resident case logs and standardization tools in plastic surgery GME.
- Plastic Surgery In-Service Training Examination (PSITE) content showed greater divergence from case logs than ACGME requirements.
- Plastic Surgery The Meeting (PSTM) and Plastic Surgery Research Council (PSRC) content differed notably, with PSTM favoring aesthetics and PSRC reconstructive head and neck surgery.
Conclusions:
- Current plastic surgery residency evaluation criteria and national meeting content do not perfectly match resident training experiences.
- These findings highlight the heterogeneity of plastic surgery and offer insights for refining residency training and preparing graduates for diverse practice settings.
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