Evidence map›Paper›PMID 37837821›Full record

ArticleThe Journal of surgical research2024

Defining the Disparity: A Multi-Institutional Analysis of Factors Associated With Decreased Resident Operative Experience.

Adam D Price, Darci C Foote, Matthew R Woeste, Leah K Winer, Kelsey B Montgomery, Motaz Al Yafi, Jeffry T Nahmias, Lauren M Postlewait, Jeffrey M Sutton, R Cutler Quillin and 2 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Adam D PriceDepartment of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio.
Darci C FooteDepartment of Surgery, Beaumont Health, Royal Oak, Michigan; Department of Surgery, Center for Surgical Training and Research (CSTAR), University of Michigan, Ann Arbor, Michigan.
Matthew R WoesteDepartment of Surgery, University of Louisville, Louisville, Kentucky.
Leah K WinerDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
Kelsey B MontgomeryDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Motaz Al YafiDepartment of Surgery, University of Toledo, Toledo, Ohio.
Jeffry T NahmiasDepartment of Surgery, University of California, Irvine, Orange, California.
Lauren M PostlewaitDepartment of Surgery, Emory University, Atlanta, Georgia.
Jeffrey M SuttonDivision of Oncologic and Endocrine Surgery, Department of Surgery, Medical University of South Carolina, Charleston, South Carolina.
R Cutler QuillinDepartment of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio.
US ROPE Consortium
Alexander R CortezDepartment of Surgery, Cincinnati Research on Education in Surgical Training (CREST), University of Cincinnati, Cincinnati, Ohio; Department of Surgery, University of San Francisco, San Francisco, California. Electronic address: cortez.alexr@gmail.com.

Funding

UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
AHRQ HHS T32 HS013852
6 · The paper itself

Abstract

introductionTechnical learning in surgical training is multifaceted and existing literature suggests a positive relationship between case volume and proficiency. Little is known about factors associated with a decreased volume of operative experience. This study aimed to identify resident and program factors associated with general surgery residents (GSR) in the bottom quartile of logged case volume upon program completion.

methodsA post hoc analysis of a multicenter study was used to examine case logs for categorical GSR. Participants included graduates between 2010 and 2020 from 20 programs. Residents below and above the 25th percentile for total operative volume were compared.

resultsThe present study includes 1343 GSR who graduated over the 11-y period. In total, 336 residents were below the 25th percentile and 1007 residents were above the 25th percentile. Those below the 25th percentile were more likely to be female (41% versus 34%, P = 0.02), identify as underrepresented in medicine (22% versus 14%, P < 0.01), and pursue fellowship (86% versus 80%, P = 0.01) compared to those above the 25th percentile. Residents below the 25th percentile were more likely to have graduated from a low volume program (55% versus 25%, P < 0.01) and from top National Institutes of Health funded institutions (57% versus 52%, P = 0.01).

conclusionsThis study identified individual and program characteristics associated with lower operative volume of GSR. Understanding such characteristics will aid surgical educators to achieve better equity in training.

Indexed as

General SurgeryInternship and ResidencyMedicineClinical CompetenceEducation, Medical, GraduateFellowships and ScholarshipsFemaleHumansMaleCase volumeDemographicOperative experienceProgram

Identifiers

PMID37837821
PMCPMC10877667

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.