Limited information exists regarding the association between resident surgical case experience and subsequent case mix in practice. We compare the case log distribution residents completed during their chief year to those completed by these graduates in their first 2 years in independent practice.
Resident chief year case logs from 10 institutions were analyzed across 4 categories of index procedures: (1) general urology, (2) endourology, (3) reconstructive urology, and (4) urologic oncology. Current Procedural Terminology codes for associated index procedures were used to query case log data during their first 2 years in practice collected by the American Board of Urology. Interactions were tested between the trends of chief year case logs relative to trends in practice case logs.
Amongst 292 residents, a total of 104,827 cases were logged during chief year and 77,976 cases in the first 2 years as an attending. Most cases completed during chief year were in oncology followed by general urology, endourology, and reconstructive urology. As attendings, most cases completed were in general urology, followed by endourology, reconstructive urology, and oncology. Chief year case logs showed decreasing trends in the median number of case logs in reconstructive urology, endourology, and general urology, while case logs in independent practice noted increasing trends in all index procedure categories over time.
Urology residents perform more cases during their chief year compared to their first 2 years of independent practice. Case types completed as chief residents vs subsequent clinical practice also differ significantly. These observations may have implications for residency training, particularly regarding curriculum design.
Urology practice. 2024 Jul 18 [Epub ahead of print]
Zachary Corey, Erik Lehman, Gary E Lemack, Marisa M Clifton, Adam P Klausner, Akanksha Mehta, Humphrey Atiemo, Richard Lee, Mathew Sorensen, Ryan Smith, Jill Buckley, R Houston Thompson, Benjamin N Breyer, Gina M Badalato, Eric M Wallen, Mark Cain, J Stuart Wolf, Jay D Raman
Department of Urology, Penn State College of Medicine, Hershey, Pennsylvania., Department of Public Health Science, Penn State College of Medicine, Hershey, Pennsylvania., Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas., Department of Urology, John Hopkins University School of Medicine, Baltimore, Maryland., Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia., Department of Urology, Emory University School of Medicine, Atlanta, Georgia., Department of Urology, Henry Ford Hospital, Detroit, Michigan., Department of Urology, Weill Cornell Medical Center, New York, New York., Department of Urology, University of Washington School of Medicine, Seattle, Washington., Department of Urology, University of Virginia School of Medicine, Charlottesville, Virginia., Department of Urology, University of California San Diego School of Medicine, San Diego, California., Department of Urology, Mayo Clinic, Rochester, Minnesota., Department of Urology, University of California San Francisco School of Medicine, San Francisco, California., Department of Urology, Columbia University Vagelos College of Physicians and Surgeons, New York, New York., Department of Urology, University of North Carolina School of Medicine, Chapel Hill, North Carolina., Department of Urology, Riley Children's Hospital., Department of Surgery, Dell Medical School.