Comparison of resident operative case logs during a surgical oncology rotation in the United States and an international rotation in India.
This study compared the operative case log experience between rotations during General Surgery residency in the United States and an international rotation in India. A resident from the General Surgery residency program at University of Nebraska Medical Center participated in an international rotation in Surgical Oncology at Mehdi Nawaz Jung Institute of Oncology in Hyderabad, India for 3 months in 2009. The operative case log of this resident (INT) was compared to those of another resident (US) on a rotation in surgical oncology at the parent institution during the same time period. Both institutions were tertiary care centers. We noted that the INT resident performed a greater number of cases (132) when compared to the US resident (61). The INT resident also performed cases in a wider variety of disease categories such as: head and neck (26 %), gynecology (19 %), breast (14 %) and urology (4 %). In contrast, abdominal cases accounted for 68 % of the cases performed by the US resident with fewer cases in the other categories. The INT resident performed 98 % of the cases by the open approach, whereas the US resident performed only 81 % of cases by the open approach, with the remaining 19 % of cases performed by the laparoscopic approach. The results demonstrate that the INT resident performed a greater number of operative cases when compared to a resident (US) at the parent institution, and performed cases in more diverse disease categories with an emphasis on the open operative approach.
Division of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE USA.
Paul
P
Kolkman
Division of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE USA.
Mohsin
M
Soliman
College of Nursing, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE USA.
Marcy
M
Kolkman
College of Medicine, University of Nebraska Medical Center, 985520 Nebraska Medical Center, Omaha, NE USA.
Apollo
A
Stack
MNJ Institute of Oncology & Regional Cancer Center, Hyderabad, 500004 Andhra Pradesh India.
T Subramanyeshwar
TS
Rao
MNJ Institute of Oncology & Regional Cancer Center, Hyderabad, 500004 Andhra Pradesh India.
Srinivasulu
S
Mukta
Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, 984375 Nebraska Medical Center, Omaha, NE USA.
Kendra
K
Schmid
Division of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE USA.
Jon
J
Thompson
Division of General Surgery, University of Nebraska Medical Center, 983280 Nebraska Medical Center, Omaha, NE USA.
Chandrakanth
C
Are
Case logs; General surgery residency; International rotations