OMFS OR Numbers (Most Notable Programs)

[dentmass]

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Here are the most notable numbers that were given out during the interview trail/online last year.

Keep in mind the minimum number a single resident needs to do is 175 major OR procedures so a program with 2 residents only needs to do 350 cases in a year to be CODA accredited. The majority of the 100ish programs in the country do less than 1000 major OR cases in a year with many doing less than 500. Most northeast/west coast programs barely satisfy the number of cases required by CODA, while most southern programs are well above this minimum as well as midwestern programs. Keep a lookout for numbers on the trail these year. Programs that do not release numbers you should be weary of. As you can see, programs that have been traditionally notable for being busy have an insane amount of major OR cases in a year.

The trends tend to be that these are the programs with the most faculty, the most residents and are associated with hospitals covering an extremely large radius of population. Northeast/west coast programs tend to have the least faculty, average amount of residents (2-3) and are in cities which have multiple hospitals and multiple OMFS programs.

	Trauma	Pathology	Orthognathic	Reconstruction	Total number of Procedures
Alabama (UAB)	517	1305	238	1342	3402
LSU New Orleans	1277	173	253	1429	3132
LSU Shreveport	550	1147	107	878	2682
UT Southwestern/Parkland	730	683	439	722	2574
UT Houston	741	319	478	889	2427
Michigan	118	1073	328	605	2124
UMKC	559	658	165	486	1868
UF Jacksonville	832	231	82	342	1487

 

[that guy next door]

Seems like out of all the programs, Parkland gets you the most well-rounded education while UAB offers the most in way of cancer, NOLA ain’t trauma and Houston in orthognathics. Interesting.

 

[C.elegans]

Does anyone have numbers for west coast and northeastern programs? Would be much appreciated

 

[AfterEffects]

It is important to note that high numbers does not always equate to better OR experience. Make sure you ask who is doing the cutting. Of course, if you have a scarcity of OR #'s, you will likely not be as experienced no matter what.

 

[AfterEffects]

Does anyone have numbers for west coast and northeastern programs? Would be much appreciated

The only one I've been able to find in the NE that actually officially published their numbers online was Rutgers (probably because its actually good).

2016 Rutgers #'s - Residents/year = 3

Category	Total
Dentoalveolar	241
Reconstruction	683
Trauma	514
Pathology	302
Orthognathic	158
Cosmetic	159
TMJ	25
Total Procedures	2082

Also, important to note that just because a program is in the South or Midwest, does not mean it has godly #s

*Edited based on post below*
Nebraska 2015-2016 #'s - Residents/year = 2

Category	Total
Dentoalveolar	~210
Orthognathic	~200
Trauma	~160
Pathology/Recon	~170
TMJ	~80
Aesthetic	~70
Total Procedures	886

*Again, raw numbers don't always give the whole picture, so it is important to see the programs for yourself

 

[SaltyCFTR]

The only one I've been able to find in the NE that actually officially published their numbers online was Rutgers (probably because its actually good).

2016 Rutgers #'s - Residents/year = 3

Category	Total
Dentoalveolar	241
Reconstruction	683
Trauma	514
Pathology	302
Orthognathic	158
Cosmetic	159
TMJ	25
Total Procedures	2082

Also, important to note that just because a program is in the South or Midwest, does not mean it has good #s

Nebraska 2015-2016 #'s - Residents/year = 2
Dentoalveolar 21
Orthognathic 20
Trauma 16
Path/Recon 17
TMJ 8
Aesthetic 7

*Again, raw numbers don't always give the whole picture, so it is important to see the programs for yourself

Wow. Didn't expect the numbers for Nebraska to be sooo low. Are they just all extractions rather than OR procedures?

 

[Masterus]

For those Nebraska numbers add a 0 behind them. Some places post numbers like that and simplify out the 0. They wouldn’t be CODA accredited if those were the absolute numbers.

The CODA pathology category includes both benign and malignant pathology. Benign pathology includes OKC, ameloblastoma, etc.

Also you should take into account number of residents as well. Houston has 6, Parkland has 5, LSU and UAB have 4, the rest 3 or so.

Yes, it is important to look at who is cutting but when it comes to a program that has 500 procedures a year versus a program that has 2000 procedures. There’s no comparison there.

 

[tertbuo]

Wow. Didn't expect the numbers for Nebraska to be sooo low. Are they just all extractions rather than OR procedures?

I'm pretty sure those are percentages.

 

[AfterEffects]

For those Nebraska numbers add a 0 behind them. Some places post numbers like that and simplify out the 0. They wouldn’t be CODA accredited if those were the absolute numbers.

The CODA pathology category includes both benign and malignant pathology. Benign pathology includes OKC, ameloblastoma, etc.

Also you should take into account number of residents as well. Houston has 6, Parkland has 5, LSU and UAB have 4, the rest 3 or so.

Yes, it is important to look at who is cutting but when it comes to a program that has 500 procedures a year versus a program that has 2000 procedures. There’s no comparison there.

Thx, I made the change in my post:
Also, just for everyone's education, taking into account residents/year:

Program	Total Cases	Residents/Year	Cases/Resident
Alabama (UAB)	3402​	4​	850.5​
LSU New Orleans	3132​	4​	783​
LSU Shreveport	2682​	4​	670.5​
UT Southwestern/Parkland	2574​	5​	514.8​
UT Houston	2427​	6​	404.5​
Michigan	2124​	3​	708​
UMKC	1868​	3​	622.6666667​
UF Jacksonville	1487​	3​	495.6666667​
Rutgers	2082​	3​	694​
Nebraska	886​	2​	443​

Again, the calculation does not account for actual cutting. Some programs, the resident cuts the entire case, some only cut 1/2 (still counting it as 1), some are assisting a lot.

 

[_Potassium]

Some of these programs are associated with fellowships.
Do cases cut by fellow(s) count towards these numbers?

 

[Sublimazing]

Also important to note that programs log cases differently. Is a bilateral mandible 1 trauma case or 2? What about a patient with a ZMC, Orbit, and NOE? Do you count a BSSRO and Lefort patient as 1, 2, or 3 cases?

At 1277 trauma cases for LSU NO that would mean they were averaging more than 4 OR trauma cases per day...maybe that’s true but I have to imagine something is being double counted (if a NOLA Resident reads this tho feel free to correct me). If it is true I am quitting residency and applying to become a surgical sales rep for their program immediately.

These numbers are great to get a general idea, and I think they could definitely be used to decide where to extern. If anyone has any more keep posting!

 

[avangusva]

Also important to note that programs log cases differently. Is a bilateral mandible 1 trauma case or 2? What about a patient with a ZMC, Orbit, and NOE? Do you count a BSSRO and Lefort patient as 1, 2, or 3 cases?

At 1277 trauma cases for LSU NO that would mean they were averaging more than 4 OR trauma cases per day...maybe that’s true but I have to imagine something is being double counted (if a NOLA Resident reads this tho feel free to correct me). If it is true I am quitting residency and applying to become a surgical sales rep for their program immediately.

These numbers are great to get a general idea, and I think they could definitely be used to decide where to extern. If anyone has any more keep posting!

Don't forget most programs have multiple hospitals associated with them. At Parkland, we can have a case at Childrens, Parkland, UTSW, VA and JPS. They may all average out to show 4 cases in a day but that would be spread across the program.

LSU also has a similar situation if I remember correctly-- Baton Rouge, UMC, childrens, etc.

Even though, that's a good point to keep in mind.

 

[desertrat12]

This is great, thanks for posting. Anyone know the number for Banner?

 

[Iako]

Does anyone have an idea of how Maryland and NYU compare to these numbers? Thanks!

 

[Boardsandteeth]

Over in Bama, we average 30-40 OR cases a week. We operate at UAB Main, Children's, Highlands, Callahan's. We will have add ons during the week as well when traumas come in or we get consulted to do full mouth exos on extremely sick inpatients. Part of the growth in the program in the last few years has mostly been attributed to the absolutely unrivaled pay structure for RVUs here so attendings here make an insane amount of money and we've gotten more faculty in recent years. Our attendings are among the highest paid in the country if not THE highest. We have twice as many attendings now as we did 5 years ago. We have also increased the number of residents from 2 to 3 to 4 in the last 10 years to accommodate this increase. We hired a new orthognathics attending that is Posnick orthognathics trained so the hope is that we will expand in this category as he builds up his practice - especially complicated orthognathics cases in syndromic kids. Our exposure to cancer is completely dependent on your interest in it. 6s build the schedule and can choose to devote many months on head and service or can do the minimum of 1 month. In terms of benign pathology, we are doing multiple cyst removals every week in children, adults, etc.

Unfortunately dentialveolar numbers aren't included in here, but we do so many sedation starting as interns and 3s that some people stop recording their sedations in their 5th year.

 

[dentmass]

Some gracious person PMed this to me which is pretty useful for the interview season. A lot of these were numbers released at interviews or from residents. It has some programs and does shed light on program procedure numbers. Program numbers change year by year but probably not drastically and can vary from resident to resident.

 

[parkinglottoilet]

^^ Personally it looks like some of those numbers at certain programs are very inflated. Especially some programs I know are splitting trauma with plastics and ENT

 

[Racquetball3r]

^^ Personally it looks like some of those numbers at certain programs are very inflated. Especially some programs I know are splitting trauma with plastics and ENT

I’m not sure that’s what really makes the difference. We split trauma with plastics and ENT, but our hospital is one of the busiest level 1s in the country so our trauma load is still massive. It really depends more on how large of a geographic area the hospital pulls from, and less to do with whether or not trauma is split between services.

 

[DavesNotHere]

I’m not sure that’s what really makes the difference. We split trauma with plastics and ENT, but our hospital is one of the busiest level 1s in the country so our trauma load is still massive. It really depends more on how large of a geographic area the hospital pulls from, and less to do with whether or not trauma is split between services.

Agreed. Even split 3 ways, a lot of programs get a significant amount of facial trauma.

@Racquetball3r - what program are you at? Or at least what region? And just to get an idea of what “massive” means for this year’s applicants, could you list the trauma cases that your program took to the OR this past week? Thanks

 

[Bone Tomahawk]

^^ Personally it looks like some of those numbers at certain programs are very inflated. Especially some programs I know are splitting trauma with plastics and ENT

UNC
- Splits mandible trauma call with ENT and Plastics q3m. But from what I saw they still get paged for a fair amount of midface.
- Has a contract with the Department of Corrections for facial trauma (midface + mandible) in the state. Additional OR cases without the burden of 2am workups.

 

[Masterus]

Any program with home call probably does very little trauma. A truly busy trauma call means you need to be at the hospital for the most part.


UNC does mandible and no midface and has to share it with plastics and ENT.

 

[HowsYourFather]

Also important to note that programs log cases differently. Is a bilateral mandible 1 trauma case or 2? What about a patient with a ZMC, Orbit, and NOE? Do you count a BSSRO and Lefort patient as 1, 2, or 3 cases?

At 1277 trauma cases for LSU NO that would mean they were averaging more than 4 OR trauma cases per day...maybe that’s true but I have to imagine something is being double counted (if a NOLA Resident reads this tho feel free to correct me). If it is true I am quitting residency and applying to become a surgical sales rep for their program immediately.

These numbers are great to get a general idea, and I think they could definitely be used to decide where to extern. If anyone has any more keep posting!

Remember this is PROCEDURES, not OR cases. So it is not 1277 trauma cases, it is 1277 trauma procedures.
CODA requires statistics to be reported by procedure count and the minimum required number of major OR procedures per chief resident is 175 with a maximum of 20 dentoalveolar procedures counting towards this total. At my program (Parkland) with 5 residents per year, the minimum number of OR procedures in a year would be 875. At a total of 2574, we clear this by 1,699. Technically we could have 9 more residents per year and still meet the CODA minimum per chief.
A composite mandibulectomy with bilateral neck dissections, free flap, skin graft is multiple procedures but 1 OR case. Same with a panfacial- you might have 4 or more procedures in that one OR case.

Fellow cases would count if a resident is logging as surgeon or 1st assist. Most fellows don't log in the T-Res case log system. Fellow only cases or cases where a resident is 2nd assist technically are not allowed to count towards accreditation requirements for the residency program (since no resident involvement).

 

[AnOMFS]

Here are the most notable numbers that were given out during the interview trail/online last year.

Keep in mind the minimum number a single resident needs to do is 175 major OR procedures so a program with 2 residents only needs to do 350 cases in a year to be CODA accredited. The majority of the 100ish programs in the country do less than 1000 major OR cases in a year with many doing less than 500. Most northeast/west coast programs barely satisfy the number of cases required by CODA, while most southern programs are well above this minimum as well as midwestern programs. Keep a lookout for numbers on the trail these year. Programs that do not release numbers you should be weary of. As you can see, programs that have been traditionally notable for being busy have an insane amount of major OR cases in a year.

The trends tend to be that these are the programs with the most faculty, the most residents and are associated with hospitals covering an extremely large radius of population. Northeast/west coast programs tend to have the least faculty, average amount of residents (2-3) and are in cities which have multiple hospitals and multiple OMFS programs.

	Trauma	Pathology	Orthognathic	Reconstruction	Total number of Procedures
Alabama (UAB)	517	1305	238	1342	3402
LSU New Orleans	1277	173	253	1429	3132
LSU Shreveport	550	1147	107	878	2682
UT Southwestern/Parkland	730	683	439	722	2574
UT Houston	741	319	478	889	2427
Michigan	118	1073	328	605	2124
UMKC	559	658	165	486	1868
UF Jacksonville	832	231	82	342	1487

UPDATED NUMBERS FOR UNIVERSITY OF NEBRASKA MEDICAL CENTER OMFS Residency Program:

(This results in 1,077 / 2 residents per year = 538 Major OR procedures per resident, for the year ended June 30, 2019)

The distribution of major operating room procedures for the 2018-2019 year are:
Trauma - 130

Reconstructive/Cosmetic - 372

Orthognathic - 260

Pathology - 315

Total - 1,077

Additional Outpatient Surgeries and Visits for the 2018-2019 year:

Nebraska Medicine/UNMC Clinics - 8,210

Affiliated Clinics - 1,779

Dentoalveolar - 6,823

• IV General Anesthesia (Adult) - 963
• IV General Anesthesia (Pediatric) - 320

Endosseous Implants - 285

For more information about the OMFS Residency Program, please click here.

 

[AnOMFS]

Thx, I made the change in my post:
Also, just for everyone's education, taking into account residents/year:

Program	Total Cases	Residents/Year	Cases/Resident
Alabama (UAB)	3402​	4​	850.5​
LSU New Orleans	3132​	4​	783​
LSU Shreveport	2682​	4​	670.5​
UT Southwestern/Parkland	2574​	5​	514.8​
UT Houston	2427​	6​	404.5​
Michigan	2124​	3​	708​
UMKC	1868​	3​	622.6666667​
UF Jacksonville	1487​	3​	495.6666667​
Rutgers	2082​	3​	694​
Nebraska	886​	2​	443​

Again, the calculation does not account for actual cutting. Some programs, the resident cuts the entire case, some only cut 1/2 (still counting it as 1), some are assisting a lot.

UPDATED NUMBERS FOR UNIVERSITY OF NEBRASKA MEDICAL CENTER OMFS Residency Program:

(This results in 1,077 / 2 residents per year = 538 Major OR procedures per resident, for the year ended June 30, 2019)

The distribution of major operating room procedures for the 2018-2019 year are:
Trauma - 130

Reconstructive/Cosmetic - 372

Orthognathic - 260

Pathology - 315

Total - 1,077

Additional Outpatient Surgeries and Visits for the 2018-2019 year:

Nebraska Medicine/UNMC Clinics - 8,210

Affiliated Clinics - 1,779

Dentoalveolar - 6,823

• IV General Anesthesia (Adult) - 963
• IV General Anesthesia (Pediatric) - 320

Endosseous Implants - 285

For more information about the OMFS Residency Program, please click here.