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A 10-year National Analysis Of Plastic Surgery Residency Acgme Case Logs And Operative Experience
Sumaarg Pandya, BS; Hilary Y Liu, BS; Tiffany Jeong, BA; Ana Reis, BS; José Antonio Arellano, MD; Jesse A Goldstein, MD; Joseph E Losee, MD; Vu T Nguyen, MD; Francesco M Egro, MD, MSc, MRCS
University of Pittsburgh Medical Center Department of Plastic Surgery
2024-01-31
Presenter: Sumaarg Pandya
Affidavit:
I agree with the above statement.
Director Name: Dr. Vu T Nguyen
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
This study delves into national data provided by the Accreditation Council for Graduate Medical Education (ACGME) to investigate the plastic surgery resident training landscape. Specifically, we aim to analyze case logs of graduating plastic surgery residents from 2013 to 2023 to identify national trends regarding procedure exposure and compare these with the ACGME minimum case requirements.
We conducted a retrospective review of ACGME Case Log Graduate Statistics National Reports on plastic surgery from 2013 to 2023. Variables included the number of accredited programs, graduating residents, ACGME minimum requirements, and mean case numbers in six operative categories. Linear regression analysis was employed to assess trends in resident caseload.
Between 2013 and 2023, graduating plastic surgery residents reported an increasing volume of cases. In 2023, 39 accredited programs with 66 residents reported case logs, surpassing ACGME minimum case requirements fourfold across all six categories. Notably, residents exceeded minimums in trunk and reconstructive breast procedures by 6.02 and 4.62 times, respectively. While hand, upper extremity, and lower extremity procedures remained consistent, there was a significant increase in reconstructive breast, aesthetic breast, and aesthetic procedures (p<0.001).
Graduating residents in 2023 surpassed ACGME minimum case requirements across all surgical subdivisions by on average four-fold, suggesting more than adequate exposure. The study highlights the need for continued assessment of minimum requirements and underscores the surge in reconstructive and aesthetic procedures, By evaluating current training standards for plastic surgery residents, the findings provide a framework for influencing future curriculum development and accreditation standards in plastic surgery education.
