New Residency Case Requirements

[Lejor]

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Where can one find the exact number of cases for each category that are required for graduation from a podiatric residency currently? It seems that the system switched from the A-B-C system to the newer 1&2 system. It seems that most of the information I'm finding online is out of date.

I have no fears of not reaching my numbers, but I'd like to know what threshold I need to be working towards.

EDIT: I've since found what I was looking for at http://www.cpme.org/files/FileDownloads/CPME 320 July 2011 with December 2012 updates.pdf

I wish they made it a bit more obvious where to look for it, though.

 

[ldsrmdude]

Building off this thread, what does everyone think about the new logging format (1st or 2nd assist vs A,B,C)? I think it waters down numbers too much. Add that to the fact that the minimum required numbers were reduced and it really lowers the bar, IMO.

 

[ldsrmdude]

I think it's a terrible idea. This makes training at programs seem more universal when in reality they are not be even close. Drs Mendocino and Fleming talked about how training is not universal between three year programs during their recent ACFAS podcast. Essentially this subject came up when they were asked about the quality of the applicants who applied to their respective fellowships. When two leaders of the profession are adamant that the quality of training is not equal between programs really reflects poorly on the profession IMO.

I haven't listened to this podcast yet (actually listening to it right now) but it makes sense that some programs produce better trained podiatrists than others. Does that reflect poorly on the profession? Well, nobody wants to have poor quality programs that produce poor quality physicians in any specialty. But all specialties have programs that aren't as good as others, so it isn't unique to podiatry. In my mind it just proves that choosing a residency is important.

 

[msuDPM]

Building off this thread, what does everyone think about the new logging format (1st or 2nd assist vs A,B,C)? I think it waters down numbers too much. Add that to the fact that the minimum required numbers were reduced and it really lowers the bar, IMO.

Are most programs simply logging as to whether they were first or second assist now? If so I would say yes it is watering down the numbers. At our program we still basically log on a B/C basis or in reality 1st/2nd. Meaning even if we are the only resident scrubbed, if we happen to perform less than 50% of the case we log it as a 2nd.

 

[ldsrmdude]

Are most programs simply logging as to whether they were first or second assist now? If so I would say yes it is watering down the numbers. At our program we still basically log on a B/C basis or in reality 1st/2nd. Meaning even if we are the only resident scrubbed, if we happen to perform less than 50% of the case we log it as a 2nd.

If you look at the definitions of how they define first assist cases, there is no minimum percent of the case that you need to do. You just need to be the primary resident for that procedure. As long as you are scrubbed in and actually lay your hands on the patient, just from a technical standpoint, you should log it as a first assist.

Here is the definition of a first assist case, copy-and-pasted from the CPME 320 document:
First assistant: The resident participates actively in the procedure under direct supervision of the attending.

 

[ldsrmdude]

General surgery logging has more options for logging than we do. I don't know much about their logging, but I'll try and get one of the gen surg residents here to explain it to me in some more detail.
http://www.acgme.org/acgmeweb/tabid...Accreditation/Surgery/CaseLoginformation.aspx