Highlights
- •Resident operative volume in pancreatic operations has declined over the last decade.
- •The mean total resident performance of distal pancreatic resections and pancreaticoduodenectomies have also declined in the past decade.
- •The decrease in pancreatic cases was seen at both the Surgeon-Chief and Surgeon-Junior levels.
Abstract
Background
We hypothesized a decline in resident pancreatic operative experience. The study assesses
trends in that experience since 1990.
Methods
Accreditation Council for Graduate Medical Education (ACGME) national case log data
of general surgery residency graduates from 1990 to 2021 were reviewed. Collected
and analyzed were the mean and median total number of pancreatic operations per resident,
the mean number of specific case types performed, and the annual number of residency
graduates. For selected procedures, the mean number of cases by resident role (Surgeon-Chief
and Surgeon-Junior) was also analyzed.
Results
Both the mean and median total number of resident pancreatic operations has declined
since 2009 as have the mean number of several specific pancreatic case types, including
resections. The annual number of residency graduates has significantly increased since
1990, and particularly since 2009.
Conclusions
Resident volume in pancreatic operations has significantly declined over the last
decade.
Keywords
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Article info
Publication history
Accepted:
March 16,
2023
Received in revised form:
March 3,
2023
Received:
February 6,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc.
