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Practice Readiness? Trends in Chief Resident Case Logs vs Subsequent Case Log Data in Clinical Practice.

Zachary Corey1, Erik Lehman2, Gary E Lemack3

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Urology residents log more cases during their chief year than in early practice. Case types also differ, suggesting potential implications for urology residency training curriculum design.

Keywords:
Accreditation Council for Graduate Medical Educationresident educationurology

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Area of Science:

  • Urology
  • Surgical Education
  • Medical Training

Background:

  • Limited data exists on the relationship between urology resident surgical case experience and their case mix in independent practice.
  • Understanding this transition is crucial for optimizing surgical training and future practice patterns.

Purpose of the Study:

  • To compare the distribution of surgical procedures logged by urology residents during their chief year with the procedures performed in their first two years of independent practice.
  • To identify differences in case mix between the end of residency and early career stages.

Main Methods:

  • Analysis of case logs from 292 residents across 10 institutions, categorizing procedures into general urology, endourology, reconstructive urology, and urologic oncology.
  • Utilized Current Procedural Terminology codes to query American Board of Urology data for cases performed during the chief year and the first two years of practice.
  • Examined trends and interactions between chief year case logs and subsequent practice case logs over time.

Main Results:

  • Chief residents logged a total of 104,827 cases, with urologic oncology being the most frequent, followed by general urology, endourology, and reconstructive urology.
  • In the first two years of practice, 77,976 cases were logged, with general urology becoming the most frequent, followed by endourology, reconstructive urology, and urologic oncology.
  • While chief year case logs showed decreasing trends in reconstructive urology, endourology, and general urology over time, practice case logs demonstrated increasing trends across all categories.

Conclusions:

  • Urology residents perform a higher volume of cases during their chief year compared to their initial two years in independent practice.
  • Significant differences exist in the types of procedures performed during the chief residency year versus subsequent clinical practice.
  • These findings highlight potential areas for improvement in urology residency training, particularly in curriculum development to better align training with practice needs.