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The General Surgery Chief Resident Operative Experience

JAMA SurgeryPublished 24 July 2013Open access
Frederick Thurston Drake, Karen D. Horvath, Adam B. Goldin, Kenneth W. Gow
Citations108
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TL;DR

Chief resident cases contribute less to overall experience, although this proportion stabilized before the 80-hour work week, and broad-based general surgery training may be jeopardized by reduced case diversity.

Abstract

Total CR cases declined especially acutely following implementation of the 80-hour work week but have since rebounded. Chief resident cases contribute less to overall experience, although this proportion stabilized before the 80-hour work week. Case mix has narrowed, with significant increases in alimentary and intra-abdominal cases. Broad-based general surgery training may be jeopardized by reduced case diversity. Chief resident cases are crucial in surgical training and educators should consider these findings as surgical training evolves.

Keywords

Social SciencesMedicine