Department of Urology, Penn State College of Medicine, Hershey, Pennsylvania.
Department of Public Health Science, Penn State College of Medicine, Hershey, Pennsylvania.
Urol Pract. 2024 Nov;11(6):1007-1013. doi: 10.1097/UPJ.0000000000000676. Epub 2024 Jul 18.
Limited information exists regarding the association between resident surgical case experience and subsequent case mix in practice. We compare the case log distribution residents completed during their chief year to those completed by these graduates in their first 2 years in independent practice.
Resident chief year case logs from 10 institutions were analyzed across 4 categories of index procedures: (1) general urology, (2) endourology, (3) reconstructive urology, and (4) urologic oncology. Current Procedural Terminology codes for associated index procedures were used to query case log data during their first 2 years in practice collected by the American Board of Urology. Interactions were tested between the trends of chief year case logs relative to trends in practice case logs.
Amongst 292 residents, a total of 104,827 cases were logged during chief year and 77,976 cases in the first 2 years as an attending. Most cases completed during chief year were in oncology followed by general urology, endourology, and reconstructive urology. As attendings, most cases completed were in general urology, followed by endourology, reconstructive urology, and oncology. Chief year case logs showed decreasing trends in the median number of case logs in reconstructive urology, endourology, and general urology, while case logs in independent practice noted increasing trends in all index procedure categories over time.
Urology residents perform more cases during their chief year compared to their first 2 years of independent practice. Case types completed as chief residents vs subsequent clinical practice also differ significantly. These observations may have implications for residency training, particularly regarding curriculum design.
关于住院医师外科手术经验与后续实践病例组合之间的关系，相关信息有限。我们比较了住院医师在担任住院总医师期间完成的病例日志分布情况，以及这些毕业生在独立行医的头 2 年中完成的病例日志分布情况。
分析了 10 个机构的住院医师住院总医师期间的病例日志，分为 4 个类别：（1）普通泌尿科，（2）内镜泌尿科，（3）重建泌尿科，和（4）泌尿科肿瘤学。使用当前的程序术语代码来查询美国泌尿科委员会在他们行医的头 2 年中收集的相关索引手术的病例日志数据。测试了住院总医师病例日志的趋势与实践病例日志的趋势之间的交互作用。
在 292 名住院医师中，在住院总医师期间共记录了 104827 例，在担任住院医师的头 2 年中记录了 77976 例。在住院总医师期间完成的大多数病例是肿瘤学，其次是普通泌尿科、内镜泌尿科和重建泌尿科。作为主治医生，完成的大多数病例是普通泌尿科，其次是内镜泌尿科、重建泌尿科和肿瘤学。住院总医师病例日志显示，重建泌尿科、内镜泌尿科和普通泌尿科的中位数病例日志数量呈下降趋势，而独立实践中的病例日志在所有索引手术类别中随时间呈上升趋势。
与独立行医的头 2 年相比，泌尿科住院医师在住院总医师期间完成的病例更多。住院总医师期间完成的病例类型与随后的临床实践也有很大的不同。这些观察结果可能对住院医师培训产生影响，特别是在课程设计方面。
