title: The effects of the addition of a pediatric surgery fellow on the operative experience of the general surgery resident.
abstract: Adding fellows to surgical departments with residency programs can affect resident education. Our specific aim was to evaluate the effect of adding a pediatric surgery (PS) fellow on the number of index PS cases logged by the general surgery (GS) residents. At a single institution with both PS and GS programs, we examined the number of logged cases for the fellows and residents over 10 years [5 years before (Time 1) and 5 years after (Time 2) the addition of a PS fellow]. Additionally, the procedure related relative value units (RVUs) recorded by the faculty were evaluated. The fellows averaged 752 and 703 cases during Times 1 and 2, respectively, decreasing by 49 (P = 0.2303). The residents averaged 172 and 161 cases annually during Time 1 and Time 2, respectively, decreasing by 11 (P = 0.7340). The total number of procedure related RVUs was 4627 and 6000 during Times 1 and 2, respectively. The number of cases logged by the PS fellows and GS residents decreased after the addition of a PS fellow; however, the decrease was not significant. Programs can reasonably add an additional PS fellow, but care should be taken especially in programs that are otherwise static in size.
authors.affiliation: Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma, USA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Raines
authors.forename: Tabitha
authors.initials: T
authors.lastname: Garwe
authors.forename: Ademola
authors.initials: A
authors.lastname: Adeseye
authors.forename: Alejandro
authors.initials: A
authors.lastname: Ruiz-Elizalde
authors.forename: Warren
authors.initials: W
authors.lastname: Churchill
authors.forename: David
authors.initials: D
authors.lastname: Tuggle
authors.forename: Cameron
authors.initials: C
authors.lastname: Mantor
authors.forename: Jason
authors.initials: J
authors.lastname: Lees
mesh_terms: D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000706:statistics & numerical data; D013502:General Surgery / Q000193:education / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D008505:Medical Staff, Hospital / Q000193:education / Q000706:statistics & numerical data; D010372:Pediatrics / Q000193:education / Q000706:statistics & numerical data*; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data*; D015895:Relative Value Scales; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*; D000078329:Workforce