Case log review produces translational change in surgical oncology education.
BACKGROUND
The recently mandated reduction in surgical resident work hours led to concerns that surgical cancer education would suffer, as measured by cancer case exposure.


METHODS
Final operative logs submitted to the American Board of Surgery by chief residents graduating from our program were compared for 2 time periods: prior to the mandate (2002-2003) and after (2006-2007).


RESULTS
Case logs from graduating residents (n = 36) showed a nonsignificant decrease in cancer as the percentage of total major cases, due to an actual increase in total major cases. Conversely, endoscopy and minor cancer case experience both decreased.


CONCLUSIONS
Exposure to minor cancer cases and endoscopies has decreased; this has led to a requirment for a minimum number of endoscopies/graduating resident, and to strategies for increasing exposure to minor cancer cases.
Sarff
Maryclare
M
Department of Surgery, Division of Surgical Oncology, Oregon Health & Science University, Portland, OR, USA.
Ellis
Michelle C
MC
Vetto
John T
JT
D002055:Burnout, Professional / Q000517:prevention & control; D019090:Case Management / Q000458:organization & administration*; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D018166:Health Care Reform; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008495:Medical Oncology / Q000193:education*; D011787:Quality of Health Care; D013503:Surgery Department, Hospital; D013514:Surgical Procedures, Operative / Q000193:education*; D016526:Workload / Q000592:standards*