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Disparities in Pediatric Operative Experience during Urology Residency Training.
Silvestre, Jason; Hernandez, Jade M; Lee, David I.
Afiliação
  • Silvestre J; The Perelman School of Medicine at the University of Pennsylvania, Philadelphia,PA.
  • Hernandez JM; The Perelman School of Medicine at the University of Pennsylvania, Philadelphia,PA.
  • Lee DI; The Perelman School of Medicine at the University of Pennsylvania, Philadelphia,PA. Electronic address: david.lee@uphs.upenn.edu.
Urology ; 127: 24-29, 2019 05.
Article em En | MEDLINE | ID: mdl-30759372
OBJECTIVE: To understand trends in pediatric cases performed during urology residency including intraresident variability and cases performed relative to required minimums. MATERIALS AND METHODS: Case logs of urology residents graduating from 2010 to 2018 were analyzed. Temporal trends in reported pediatric case volume were assessed via ANOVA tests and calculation of compound annual growth rates (CAGRs). Percent differences between the 90th and 10th percentiles of residents were calculated to assess intraresident variability. Reported case volumes were compared with minimum requirements with t tests. RESULTS: 1072 residents from 306 urology residency programs were represented in this study. Minor pediatriccases increased from 2010 to 2018 (105.4 ± 54vs 124.6 ± 65, P = .004, CAGR = 2.1%) while major pediatric cases decreased (83.9 ± 40vs 60.8 ± 30, P < .001, CAGR = -3.9%). Orchiopexy (range, 23%-27%), hypospadias (range, 19%-21%), and hydrocele / hernia (range, 15%-19%) were the highest volume case categories. Mean intraresident variability in reported case volumeswas 338% for minor pediatric (CAGR = 0%) and 382% for major pediatric (CAGR = 1.8%). Mean reported case volumes exceeded the minimum requirement for each case category by several fold (P < .001, range, percent difference 232-675%). All urology residents reported minimum pediatric case requirements in 2018. CONCLUSION: Urology residents report more cases than minimum requirements for pediatric urology by several folds. Future research is needed to understand the implications of increasing intraresident case volume variabilities on residency training in pediatric urology.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pediatria / Procedimentos Cirúrgicos Urológicos / Carga de Trabalho / Competência Clínica / Internato e Residência Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Equity_inequality Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Urology Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pediatria / Procedimentos Cirúrgicos Urológicos / Carga de Trabalho / Competência Clínica / Internato e Residência Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Equity_inequality Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Urology Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos