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Surgical Case Logging Habits and Attitudes: A Multispecialty Survey of Residents
- Source :
- Journal of surgical education. 73(3)
- Publication Year :
- 2015
-
Abstract
- Objective The Accreditation Council for Graduate Medical Education measures surgical residents’ experience in the United States by mandating that residents log each procedure in which they have participated. This system is the primary mechanism by which breadth and depth of surgical training are documented, and data are used for program accreditation and by individual program directors to assess resident preparedness. The study objective was to learn from residents across surgical specialties how this system is being used, and whether they believe these data are reliable. Design Investigators developed and administered a voluntary, 45-item survey. Resident demographic data, program details, logging behaviors, and attitudes were examined using descriptive statistics. Authors used multivariate logistic regression to assess respondent and program characteristics associated with logging habits. Setting The survey was administered at a large academic medical center. Participants All general surgery, obstetrics and gynecology, orthopedics, urology, neurosurgery, otolaryngology, and plastic surgery residents were eligible. Of 126 surgical residents, 82 participated, yielding a response rate of 65%. Results Overall, 7.5% considered the case log system highly inaccurate, 28.8% somewhat inaccurate, 52.5% somewhat accurate, and 11.3% highly accurate. Nearly half (48.1%) use an incorrect metric to log their role as surgeon or assistant. Half logged monthly or less frequently. The longest time residents reported falling behind ranged from less than a week to more than a year, with about half (51.4%) reporting backlogs of 3 months or longer. Approximately two-thirds considered the system difficult to navigate (64.2%) and burdensome (68.8%). Departmental training and reminders to log were associated with high fidelity logging habits. Conclusions Inconsistency of logging habits and perceived lack of accuracy raise concerns about use of the system for assessing surgical preparedness or accrediting training programs. Academic departments playing an active role may benefit from more reliable data to guide improvements in surgical training.
- Subjects :
- Adult
Male
Educational measurement
medicine.medical_specialty
Graduate medical education
Documentation
Workload
Education
03 medical and health sciences
0302 clinical medicine
Nursing
Surveys and Questionnaires
Medicine
Humans
030212 general & internal medicine
Accreditation
Response rate (survey)
Descriptive statistics
business.industry
Internship and Residency
Professional Practice
United States
Education, Medical, Graduate
030220 oncology & carcinogenesis
Preparedness
Family medicine
General Surgery
Respondent
Surgery
Female
Educational Measurement
business
Subjects
Details
- ISSN :
- 18787452
- Volume :
- 73
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of surgical education
- Accession number :
- edsair.doi.dedup.....80ac6f9ea3da750585b72eb065547e79