Number of Procedures per year

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Is there any website that keeps track of the number of procedures per year at each residency program?

One of our professors told me they used to list them on the CASPR/ CRIP program face sheets. Apparently they don't anymore. Are they listed somewhere else?

Originally Posted by Ankle Breaker

Is there any website that keeps track of the number of procedures per year at each residency program?

One of our professors told me they used to list them on the CASPR/ CRIP program face sheets. Apparently they don't anymore. Are they listed somewhere else?

I don't know the answer to your question, since I'm no longer a residency director, though I can ask some of the residents I work with weekly.

However, in my opinion it's not the actual number of cases that are performed at each program, it's the quality and variety of cases. So if the numbers are available, it would be beneficial if there is also a breakdown.

http://www.ihsmeded.org/body_podiatry.cfm?id=126

I thought this was interesting. This is a DMU rotation location with a residency. I don't know what A, B, C mean in the table, but its something.

Residency numbers are now kept on a website (Residency Resource something ot other) which helps residents track their numbers more easily and helps with logging and such.

I'm not sure those are public domain, but the best way to find this information out is to speak to the residents themselves. They will likely give you a better idea of the actual experience vs. the hard data (which can lie).

One thing to keep in mind is the details of the program. You example is a new program. I would bet that those numbers are from the first resident; that number decreased each year because they now have to share.

A: You were in the room
B: You scrubbed the case
C: You did the case

Second, I agree that what they are doing is as important as how often. Which is more impressive a program that graduates a resident with 10 ankle fusions, 10 calcaneal fractures, 10 flat foot procedures, and 10 ankle scopes, or a program that has 5000 toes. Don't get me wrong toes aren't as easy as everyone thinks but diversity is the key.

Another big issue about only looking at numbers is does the resident do the case? I've seen C cases logged because the resident was the "only" resident yet all they did was stand and watch. Make sure the numbers represent the true case exposure

Also, I graduate with about 175 C level orthopaedic cases (ORIF hips, total knees, distal radial fxs, ect) these cases don't count and are report in the Other Procedures category yet give you excellent knowledge in surgical principles.

As an incoming P1 this fall, I was just curious about this statement:

"Also, I graduate with about 175 C level orthopaedic cases (ORIF hips, total knees, distal radial fxs, ect) these cases don't count and are report in the Other Procedures category yet give you excellent knowledge in surgical principles." -FACN

So just for clarity, during residency you actually performed ORIF hips, total knee replacements, ect, as the lead resident surgeon? Do most programs have you perform such procedures?

Originally Posted by DrYES

So just for clarity, during residency you actually performed ORIF hips, total knee replacements, ect, as the lead resident surgeon? Do most programs have you perform such procedures?

It is absolutely possible. In my residency I logged 2 Kidney transplants and 3 AAAs. Multiple belly cases as well.

Wow, that is absolutely incredible and exciting...I guess its going be be an even more exciting 7 to 8 years (and even more work) than I thought

Originally Posted by DrYES

Wow, that is absolutely incredible and exciting...I guess its going be be an even more exciting 7 to 8 years (and even more work) than I thought

A good resident works hard and learns in every rotation. Hard work is noticed by other attendings and you will do more. I also had 1 C appendectomy and 1 C lap cholecystectomy.

When I was a resident, the podiatric residents were utilized for all surgical cases. That included general surgery, orthopedic surgery, plastic surgery, cardiac surgery, urologic surgery and even oral surgery. About the only thing I did not have the opportunity to do was a delivery.

By far the cooest thing I did was hold a heart in my hand during a cardio case. I passed on the opportunities to perform circumcisions. These were on adults and I just couldn't cut that thing. Still gives me the willies thinking about it now.

Originally Posted by PADPM

When I was a resident, the podiatric residents were utilized for all surgical cases. That included general surgery, orthopedic surgery, plastic surgery, cardiac surgery, urologic surgery and even oral surgery. About the only thing I did not have the opportunity to do was a delivery.

By far the cooest thing I did was hold a heart in my hand during a cardio case. I passed on the opportunities to perform circumcisions. These were on adults and I just couldn't cut that thing. Still gives me the willies thinking about it now.

Wow those are two things I never had the chance to do. I touch a guys brain (really the dura) after the ENT surgeons resect a huge basal cell tumor off his the upper right quarter of his face. I was on the plastics team. We put in a prosthetic shield to protect the brain and then a latissimus free flap.

the new system (PMSR) is set up for 1st assist or better to log as C case, 2nd assist logs as B, watching the case is still an A.

Originally Posted by prettypod

the new system (PMSR) is set up for 1st assist or better to log as C case, 2nd assist logs as B, watching the case is still an A.

It makes it easier on lots of programs. Now if you are the first assist you get the credit for the case. People are not lying as much now but it doesn't help residents. It does help the residency shortage because your can count more cases. You can make your own judgement on the new rules.