Abstract
The consistency of the aggregate surgical index case volume data for graduating United States urology residents from the Accreditation Counsel for Graduate Medical Education (ACGME) is reassuring. There were no significant changes in index case volumes, except for pediatric cases. The decreases in pediatric cases were quite small and factors outside the pandemic likely had some influence on this change.1 We agree, case volume alone does not ensure or equate to competency. Directed feedback to residents over the course of residency should address the gap that can exist between repetition and proficiency, and there are initiatives underway to improve the quality and consistency of this feedback.
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