MP25-11 PRACTICE READINESS? TRENDS IN CHIEF RESIDENT YEAR TRAINING EXPERIENCE ACROSS 13 RESIDENCY PROGRAMS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP25-11 PRACTICE READINESS? TRENDS IN CHIEF RESIDENT YEAR TRAINING EXPERIENCE ACROSS 13 RESIDENCY PROGRAMS Zachary Corey, Erik Lehman, Gary E. Lemack, Marisa M. Clifton, Adam P. Klausner, Akanksha Mehta, Humphrey Atiemo, Richard Lee, Mathew Sorensen, Ryan Smith, Jill C. Buckley, R. Houston Thompson, Benjamin N. Breyer, Gina M. Badalato, Erik M. Wallen, and Jay D. Raman Zachary CoreyZachary Corey More articles by this author , Erik LehmanErik Lehman More articles by this author , Gary E. LemackGary E. Lemack More articles by this author , Marisa M. CliftonMarisa M. Clifton More articles by this author , Adam P. KlausnerAdam P. Klausner More articles by this author , Akanksha MehtaAkanksha Mehta More articles by this author , Humphrey AtiemoHumphrey Atiemo More articles by this author , Richard LeeRichard Lee More articles by this author , Mathew SorensenMathew Sorensen More articles by this author , Ryan SmithRyan Smith More articles by this author , Jill C. BuckleyJill C. Buckley More articles by this author , R. Houston ThompsonR. Houston Thompson More articles by this author , Benjamin N. BreyerBenjamin N. Breyer More articles by this author , Gina M. BadalatoGina M. Badalato More articles by this author , Erik M. WallenErik M. Wallen More articles by this author , and Jay D. RamanJay D. Raman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003253.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: A critical component of residency education is ensuring that trainees are optimally prepared for independent practice upon graduation. The Accreditation Council for Graduate Medical Education establishes minimum case requirements but does not specify a timeline for case exposure. At present, there is limited research to understand the temporal arc of cases completed during training. Therefore, the objective of this multi-institutional experience was to characterize the case distribution that residents complete during their chief year compared to their entire residency. METHODS: Urology resident case logs from 2010-2022 were obtained and de-identified from 13 different institutions for chief years and total residency. Five categorized index procedures were included for analysis: (1) General Urology; (2) Endourology; (3) Reconstructive Urology; (4) Urologic Oncology; and (5) Pediatric Urology. Interactions were tested between the trends for total case exposure in residency training relative to the chief resident year. RESULTS: From a sample of 479 resident graduates, a total of 1,287,433 total cases were logged, including 375,703 during the chief resident year (29%). Urologic Oncology had the highest median percentage of cases completed during chief year (57%) followed by Reconstructive Urology (32%), General Urology (31%), Endourology (23%), and Pediatric Urology (12%). Across the study period, all categories of cases had a downward trend in median percentage completed during chief year except for Urologic Oncology (Figure 1). However, only trends in General Urology (slope of -0.68, p=0.013) and Endourology (slope of -1.71, p=<0.001) were significant. CONCLUSIONS: Over 50% of cases completed by chief residents are Urologic Oncology procedures. Current declining trends indicate that residents are being exposed to proportionally fewer General Urology and Endourology cases during their chief year. More research is needed to determine if lack of exposure to general urology and endourology during chief year translate into decreased preparedness for independent practice. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e346 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zachary Corey More articles by this author Erik Lehman More articles by this author Gary E. Lemack More articles by this author Marisa M. Clifton More articles by this author Adam P. Klausner More articles by this author Akanksha Mehta More articles by this author Humphrey Atiemo More articles by this author Richard Lee More articles by this author Mathew Sorensen More articles by this author Ryan Smith More articles by this author Jill C. Buckley More articles by this author R. Houston Thompson More articles by this author Benjamin N. Breyer More articles by this author Gina M. Badalato More articles by this author Erik M. Wallen More articles by this author Jay D. Raman More articles by this author Expand All Advertisement PDF downloadLoading ...