Refresh my memory case #?

[Foxxy Cleopatra]

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Quick and easy question:

I'm having trouble on the ACGME site right now and just wanted to know if the required # of pediatric surgery cases for a general surgery resident is 20 or 30? I swore someone told me 20 but that seems a bit low.

Thanks

 

[Neuron]

20. I can access the page, but weirdly I can't seem to link it here.

 

[thenavysurgeon]

it's 20...i booked 35 for my boards...you should not have a problem getting them.

 

[dr.evil]

It's 20 but I think this can be a little difficult to obtain unlike navysurgeon. There just seems to ve more rules about what counts as a pediatric case. you can do a ton of appys, g-tubes, broviacs, etc. that don't count. Seems like most people get their numbers from hernias and pyloromyotomies. I can't say anyone at my program has counted a TE fistula or even an imperforate anus but I may be wrong.

 

[FliteSurgn]

There just seems to ve more rules about what counts as a pediatric case.

Last year I did an orchidopexy for testicular torsion in a 43 y/o man...it counted as a pediatric case.

 

[thenavysurgeon]

that's going to look pretty funny on your case log when you submit it to the board, since the patient's age is listed along with the type of case...i would re-consider counting that case as a peds case...if the board questions it, then you've got problems.

 

[FliteSurgn]

that's going to look pretty funny on your case log when you submit it to the board, since the patient's age is listed along with the type of case...i would re-consider counting that case as a peds case...if the board questions it, then you've got problems.

I'm not the one that listed it as a pediatric case, the ACGME Op Log did that all on it's own. The patient's age is NOT part of the information that is put into that log. Orchidopexy is automatically considered a pediatric case and there is no way to change that in the Op Log. I know of at least one other CPT code that is automatically a pediatric case and can be performed on adults, excision of a thyroglossal duct cyst.

Was the ACGME online Op Log up and running when you were in residency? I think that it started in 2002, but I don't remember for sure. Anyway, every procedure is put into the online database now and you get realtime feedback on your cases. All you enter is the patient ID number, staff, PGY year, date, and CPT code. The database assigns the major category.

Regardless, I think that my 50+ other pediatric cases would still count anyway. 🙂