Mp17-06 Impact of Subsequent Fellowship on Chief Resident Case Log Volumes

You have accessJournal of UrologyEducation Research I (MP17)1 May 2024MP17-06 IMPACT OF SUBSEQUENT FELLOWSHIP ON CHIEF RESIDENT CASE LOG VOLUMES Raidizon Mercedes, Zachary Corey, Talmadge Gaither, Erik Lehman, Gary E. Lemack, Marisa M. Clifton, Adam P. Klausner, Akanksha Mehta, Humphrey Atiemo, Richard Lee, Matthew Sorensen, Ryan Smith, Jill Buckley, R. Houston Thompson, Benjamin N. Breyer, Gina M. Badalato, Eric M. Wallen, and Jay D. Raman Raidizon MercedesRaidizon Mercedes , Zachary CoreyZachary Corey , Talmadge GaitherTalmadge Gaither , Erik LehmanErik Lehman , Gary E. LemackGary E. Lemack , Marisa M. CliftonMarisa M. Clifton , Adam P. KlausnerAdam P. Klausner , Akanksha MehtaAkanksha Mehta , Humphrey AtiemoHumphrey Atiemo , Richard LeeRichard Lee , Matthew SorensenMatthew Sorensen , Ryan SmithRyan Smith , Jill BuckleyJill Buckley , R. Houston ThompsonR. Houston Thompson , Benjamin N. BreyerBenjamin N. Breyer , Gina M. BadalatoGina M. Badalato , Eric M. WallenEric M. Wallen , and Jay D. RamanJay D. Raman View All Author Informationhttps://doi.org/10.1097/01.JU.0001008628.15460.84.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Sub-specialties have increasingly evolved in Urology. As such, trainees may elect to pursue a fellowship to enhance expertise in these domains. The impact of this subsequent fellowship on resident case log experience throughout their residency and specifically chief year are incompletely defined. Therefore, we review a large multi-institutional experience to better characterize this relationship. METHODS: Urology resident case logs from 2010-2022 were obtained from 13 different institutions for total residency and chief years. Five categorized index procedures were included for analysis: (1) General Urology; (2) Endourology; (3) Reconstructive Urology; (4) Urologic Oncology; and (5) Pediatric Urology. Subsequent fellowship data (yes/no and type) were available for 338 residents who formed the cohort of interest. Regression models on median number of cases per year analyzed the interaction of case log volumes and subsequent fellowship. RESULTS: Of the 338 residents, 197 (58%) completed a fellowship including 53 oncology, 44 reconstruction, 43 endourology, 29 pediatric, and 28 other. A total of 419,353 cases were logged, including 125,319 (30%) during the chief resident year. Over the study years, the median number of total cases completed per resident increased irrespective of subsequent fellowship. Conversely, median number of total cases completed during chief year declined with the slope of decline being significant in those residents not completing a fellowship slope = -2.44, CI: (-4.66, -0.23), p-value=0.031 (Figure 1). Additionally, as highlighted in Table 1, temporal trends demonstrate that absence of subsequent fellowship was associated with decrease in chief resident cases across all index domains. The specific type of fellowship, however, had no association with chief year trends. CONCLUSIONS: The median number of chief resident cases has declined over time most significantly in those trainees not pursuing a fellowship. This may reflect a focus for these residents on non-operative urology encounters which are not captured as index cases on ACGME logs. Download PPT Source of Funding: Penn State Department of Urology Education and Research Fund © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e292 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Raidizon Mercedes More articles by this author Zachary Corey More articles by this author Talmadge Gaither 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 Matthew Sorensen More articles by this author Ryan Smith More articles by this author Jill 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 Eric M. Wallen More articles by this author Jay D. Raman More articles by this author Expand All Advertisement PDF downloadLoading ...