Incorvaia, Winnie

Relles, Daniel, MD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Research Scholars An Analysis of General Surgery ACGME Case Logs through Program Expansion and the COVID -19 Pandemic at LVHN Winnie Incorvaia Daniel Relles MD Follow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars  Part of the Medicine and Health Sciences Commons This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. Lehigh Valley Health Network, Allentown, Pennsylvania➢ The ACGME (Accreditation Council for Graduate Medicine) defines case requirements for completion of general surgery residency➢ Residents must achieve a specific number of cases in multiple categories in order to qualify to graduate from surgery residency and qualify for board certification➢ The LVHN residency and environmental changes occurred in 2020, impacting the operative experience of the residents:➢ Program Expansion (increased number of residents from 5 to 6 per year)➢ COVID-19 pandemic➢ We assessed the global pandemic impact; elective & non-emergent cases were cancelled/postponed decreasing the operative experience of residents➢ We analyzed the resident case logs to understand the change in their operative experience by comparing 3 years before and since these 2 events➢ In this retrospective analysis, we found the 2017-18 academic year had the greatest number of procedures logged & the fewest number of residents.➢ Findings: ➢ There was a 46% decrease in the total number of cases from 2018-19 and 2019-2020➢ Nominal change in residents year over year, 31, 32 and 29 resident in 2020-21, 2021-22, and 2022-23 respectively➢ The range in logging for 2017-18 was 52 at the lowest and 848 at the highest The top 8 residents did 50% of the cases ➢ Across all academic years 50% of the cases logged are done by 1/3 of the residents ➢ The fewest cases were logged by PGY-1 and the most were logged by PGY-3➢ In 2017-18, 3 PGY-3 residents were in the top 4 for number of cases logged  ➢ Overall, there was a minor change in the number of residents & with a more pronounced decrease in procedures logged. Example: in 2021-22 there was a 644 operative cases logged with 8 interns that resulted in 81 cases per intern➢ The COVID-19 mandates influenced the decreased number of procedures logged. This was disruptive to both the clinical and surgical experience of residents➢ Analyze the data to understand possible under- or over- reporting ofcases➢ Identify ways to maximize learning from each surgical case, including shadowing, double-scrubbing cases, documenting key learnings➢ Utilize Ensurable Professional Activity (EPA) to drive competency-based education, instead of time- or volume-based trainingBackground / IntroductionObjectiveConclusionAn Analysis of General Surgery ACGME Case Logs through Program Expansion and the COVID -19 Pandemic at LVHNResultsRecommendationsThe main objective was to evaluate the operative experience of resident physicians through ACGME case logs and to analyze volume of procedures through the program expansion and the COVID-19 pandemic.MethodsGraph 1. Total Cases for the March to June time frame to show the fluctuation in case volumes before and after COVID-19Graph 2. Total Major Cases in each academic year Winnie Incorvaia, Daniel M. Relles MD Department of SurgeryTable 1. Compares the total number of cases logged per number of residents in each academic yearData AnalysisQuantitative ViewSummary of TrendsWe used an Excel database to organize and  analyze the average number of cases per residents in the given post graduate year (PGY)We compared the number of operative cases performed in each academic year, and during the peak of the pandemic in 2020Review of ACGME resident case logs at LVHN from 2017-2023.  Cases were compared to ACGME minimumReferences1. Tolaymat B, McMakin KK, Carpenter JP, et al. Operative case volume for Vascular Integrated Residents and Fellows following the elective surgery shutdown due to COVID-19. The American surgeon. May 23, 2023. Accessed July 3, 2023. https://pubmed.ncbi.nlm.nih.gov/37230492/. 2. Douglas MS, Leeper L, Peng J, et al. Automating anesthesiology resident case logs reduces reporting variability. The journal of education in perioperative medicine : JEPM. October 1, 2022. Accessed June 24, 2023. https://pubmed.ncbi.nlm.nih.gov/36545371/. 3.. Vongsachang H, Fliosotos MJ, Lorch AC, Stingman EL, Woreta FA, Justin GA. The impact of covid-19 on ophthalmology resident surgical experience: A retrospective cross-sectional analysis. BMC medical education. March 4, 2022. Accessed July 5, 2023. https://pubmed.ncbi.nlm.nih.gov/35246112/. 02004006008001000March April May JuneMarch, April, May and June Case Data2017-18 2018-19 2019-20 2020-21 2021-22 2022-2302004006008001,0001,2001,400Total Major Cases2017-18 2018-19 2019-20 2020-21 2021-22 2022-23PGY 2017-18 2018-19 2019-20 2020-21 2021-22 2022-231 149 187 138 104 81 872 283 271 180 258 220 2363 510 343 393 335 332 3674 533 466 410 475 375 3505 487 709 512 439 423 452

An Analysis of General Surgery ACGME Case Logs through Program Expansion and the COVID -19 Pandemic at LVHN

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1105&context=research-scholars

An Analysis of General Surgery ACGME Case Logs through Program Expansion and the COVID -19 Pandemic at LVHN

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