Programs with high amount of surgery

Started by Conjuctiva
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On a related note...How many cases are considered necessary for developing competence in the common gyn procedures- abdominal hyst, vaginal hyst, laparotomy, laparoscopy, hysteroscopy?

For example, if program A has an average of 100+ abdominal hysterectomies and program B has an average of 60 abdominal hysterectomies. Is program A better than program B? If 40 cases is necessary for competence then are both programs considered "good"?
 
On a related note...How many cases are considered necessary for developing competence in the common gyn procedures- abdominal hyst, vaginal hyst, laparotomy, laparoscopy, hysteroscopy?

For example, if program A has an average of 100+ abdominal hysterectomies and program B has an average of 60 abdominal hysterectomies. Is program A better than program B? If 40 cases is necessary for competence then are both programs considered "good"?


It depends on the training of the program and the attending. It also depends on whether or not the resident is allowed to operate. Who cares if your in 100 cases if your not being taught anything or allowed to do anything.

If teaching is good, more cases in generally is better since you are exposed to so many different variables and presentations, complications included. You want a program that meets your balance of Surgery, Clinic, L&D, etc.
 
Texas Tech University -- El Paso has high numbers and the resident is head honcho on all cases. Attendings teach and intervene as needed. Most of the attendings aren't attached to the patients since the surgeries were generated from resident continuity clinics, so the resident is the true surgeon, not just "surgeon" on paper.