Residency Case Numbers

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indycolts

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Is there a website that shows how many cases a particular residency program does per year and the specifics with the types of surgery they typically do? I wanted to compare programs based on the type of cases and the traffic they have coming in and out of the office/hospital. It'd be nice if there's one website out there with these figures instead of searching each program individually.....thanks
 
Numbers are tough to judge. Some programs have a lot of oversight from attendings/director when it comes to logging, and other programs might log a heel spur or ankle hardware removal as a rearfoot procedure. Some programs/residents might routinely log "C" procedures (did >50% of the case) when they only sutured at the end. Some programs might take an ankle fracture and have one resident claim a "C" rearfoot on the med mall and another resident take a "C" log on the lateral mall... same with a triple, multiple met fx, etc. Those are all BS, but they probably happen every day. There is just too much variation between programs' PRR logging accuracy (integrity?) and too much of it based on the honor system for you to try to compare numbers between different programs and get any meaningful info.

Instead of numbers, I'd do the rotation and pay attention to how much the individual residents actually get to do in surgery. Are they routinely double/triple/quad/etc scrubbing? If it's more than double scrubbing and it's not a rare case (major recon, high energy trauma, etc), then that's a big red flag. Also, are most of the attendings passing the knife and teaching, or are they "D n' R" (the resident just "dictate and retract")? It's always in residents' best interest to fudge their numbers, pimp their program to students, etc. Don't put them on the spot by asking them "what are you gonna log that case as, B or C" or say "can I see your logs?" Use your head, pay attention, and compare programs you visit in terms of how much/little the residents actually do.
 
The A B and C system is being revamped. It will soon be 1st assist or 2nd assist.

As far as I know, this was due to a law suit.

So it will not matter how much of the case you did. If you retracted and cut suture but were the only resident in the room, you were the 1st assist.
 
The A B and C system is being revamped. It will soon be 1st assist or 2nd assist.

As far as I know, this was due to a law suit.

So it will not matter how much of the case you did. If you retracted and cut suture but were the only resident in the room, you were the 1st assist.

Wow, that could be a bit misleading!
 
Wow, that could be a bit misleading!
I think it would work well. 1st assist and 2nd assist are all that should count anyways. With the current system, the B/C system is totally subjective based on resident integrity and program oversight. Also, there's nothing to stop programs from having 4 residents scrubbed on an ankle fx with the attending in order get 1 C log and 3 B logs out of that when the 3rd+ assist didn't do anything meaningful.

I'm sure you know, but for anyone reading this who doesn't, gen surg, ortho surg, plastics, etc residents just log total number of cases and then number of chief cases in their last year. The chief cases imply that they're doing the majority of the work... otherwise the program would've remediated and/or dropped them along the way. One of the gen surg residents told me they need to experience 500 total cases and 150 of those need to be chief cases (which I guess they exceed by a fair margin here) in order to sit for Am Board of Surg written and oral exams after residency. I'm sure they have categories with diversity breakdowns, etc just as PM&S programs do for foot and ankle categories.
 
I'm not sure if any of you remember but "back in the day" the average number of procedures a resident got during their training was actually listed as part of the CASPR/CRIP pages but it was stopped for various reasons.

I know that either way you look at it, it is fairly subjective. If a resident really felt the need to lie about a B vs C case, then at least they were lying. Now you really will have no idea how much "hands on" someone got in their residency. On the other hand, the C thing really only matters to pods. For ortho, multi-specialty groups, and even hospital privileging, they really only look at number of cases and procedures.
 
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