Evidence map›Paper›PMID 40711683›Full record

ArticleAnnals of surgical oncology2025

Characterizing the General Surgery Experience of Future Breast Surgeons: A Multi-institutional Study from the US ROPE Consortium.

Anna M Reagan, V Morgan Jones, Irada Ibrahim-Zada, Savannah R Smith, Lauren M Postlewait, Deborah Farr, Jonathan S Abelson, Nancy L Cho, Darci C Foote, Katherine M Meister and 25 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2025. 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

35 authors.

Anna M ReaganDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
V Morgan JonesDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Irada Ibrahim-ZadaDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Savannah R SmithDepartment of Surgery, Emory University, Atlanta, GA, USA.
Lauren M PostlewaitDepartment of Surgery, Emory University, Atlanta, GA, USA.
Deborah FarrDepartment of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jonathan S AbelsonDepartment of Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA.
Nancy L ChoBrigham and Women's Hospital, Department of Surgery, Harvard Medical School, Boston, MA, USA.
Darci C FooteDepartment of Surgery, Beaumont Health, Royal Oak, MI, USA.
Katherine M MeisterDepartment of Surgery, Good Samaritan Hospital, Cincinnati, OH, USA.
Kelsey B MontgomeryDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Brenessa LindemanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Mary K KimbroughDepartment of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jeffry NahmiasDepartment of Surgery, University of California, Irvine School of Medicine, Orange, CA, USA.
Zachary M CallahanDepartment of Surgery, University of Tennessee Health Science Center-Nashville, Nashville, TN, USA.
Joshua A MarksDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Jeffrey M SuttonDepartment of Surgery, Medical University of South Carolina, Charlston, SC, USA.
Ali ElsaadiDepartment of Surgery, Texas Tech University Health Sciences Center School of Medicine Lubbock, Lubbock, TX, USA.
Erin BurtonDepartment of Surgery, Texas Tech University Health Sciences Center School of Medicine Lubbock, Lubbock, TX, USA.
Robyn RichmondDepartment of Surgery, Texas Tech University Health Sciences Center School of Medicine Lubbock, Lubbock, TX, USA.
Shah-Jahan M DodwadDepartment of Surgery, McGovern Medical School at UTHealth, Houston, TX, USA.
Sasha D AdamsDepartment of Surgery, McGovern Medical School at UTHealth, Houston, TX, USA.
Matthew R WoesteDepartment of Surgery, University of Louisville, Louisville, KY, USA.
Christie L BuonpaneDepartment of Surgery, University of Louisville, Louisville, KY, USA.
Purvi PatelDepartment of Surgery, Loyola University, Maywood, IL, USA.
Michael J AnstadtDepartment of Surgery, Loyola University, Maywood, IL, USA.
Bilal W NasimDepartment of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Desmond LayneDepartment of Surgery, University of Wisconsin, Madison, WI, USA.
Sarah JungDepartment of Surgery, University of Wisconsin, Madison, WI, USA.
Catherine G PrattCincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Ralph C QuillinCincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Joseph KimDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Jitesh A PatelDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Alexander R CortezDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Leah K WinerDepartment of Surgery, University of Kentucky, Lexington, KY, USA. Leah.Winer@uky.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer care has become increasingly complex, lending itself to fellowship-based specialization. However, breast surgery expertise remains central to general surgery training. We hypothesized that residents entering breast surgical oncology (BSO) fellowship have more exposure to breast surgery and log a higher number of breast cases compared with all other graduating residents. MATERIALS AND

methodsDemographics, program characteristics, and Accreditation Council for Graduate Medical Education (ACGME) case logs were collected for graduates from 20 general surgery residency programs in the US Resident OPerative Experience (ROPE) Consortium from 2010 to 2020. BSO fellowship matriculants (BSO group) were compared to those entering other surgical fellowships or general surgery practice (non-BSO group).

resultsAmong 1343 graduates, 45 (3.4%) matriculated into BSO fellowship. BSO matriculants were more often female (89% versus 34%, p < 0.0001). Demographic, program, and institutional variables were otherwise similar (all p > 0.05). The BSO group logged fewer total procedures (median, 976 versus 1039), consistent across Surgeon Junior and Teaching Assistant roles and multiple operative domains, including alimentary tract, pediatric, plastics, thoracic, trauma, and vascular (all p < 0.05). However, BSO group logged more breast cases (74 versus 50, p < 0.0001), despite comparable access to a breast surgery rotation (64% versus 64%) and fellowship-trained faculty (82% versus 84%; both p > 0.05).

conclusionsFuture BSO matriculants performed 50% more breast cases during residency but logged fewer total cases across multiple operative domains. These residents may develop early interest in breast surgery and subsequently tailor their training. Further mixed-methods studies are needed to understand these findings and their implications for trainees pursuing breast surgery.

Indexed as

Breast NeoplasmsEducation, Medical, GraduateGeneral SurgerySurgeonsSurgical OncologyAdultClinical CompetenceFellowships and ScholarshipsFemaleHumansInternship and ResidencyMaleUnited StatesBreast cancerBreast surgeryBreast surgical oncology fellowshipGeneral surgery residencyOperative experience

Identifiers

PMID40711683

What OpenQuestion holds

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Registered trials

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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.