title: Effect of Endovascular Interventions on General Surgery Trainee Operative Experience; a Comparison of Case Log Reports.
abstract: BACKGROUND
  Vascular surgery fellowship training has evolved with the widespread adoption of endovascular interventions. The purpose of this study is to examine how general surgery trainee exposure to vascular surgery has changed over time.
  
  
  METHODS
  Review of the Accreditation Council for Graduate Medical Education national case log reports for graduating Vascular Surgery Fellows (VF), and general surgery residents (GSR) from 2001 to 2012 was performed.
  
  
  RESULTS
  The number of GSR increased from 1021 to 1098, and the number of VF increased from 96 to 121 from 2001 to 2012. The total number of vascular cases done by VF increased by 1161 since 2001 (298-762), whereas the total number of vascular cases done by GSR has decreased by 40% during this time period (186-116). Vascular fellows increase was due primarily to an increase in endovascular experience; a finding not noted in general surgery residents.
  
  
  CONCLUSIONS
  Vascular fellow case log changes are due primarily to an increase in endovascular experience that has not been mirrored by general surgery trainees. Open surgery experience has decreased overall for general surgery residents in all major categories, a change not seen in vascular surgery fellows.
authors.affiliation: Department of General Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
authors.forename: Rose C
authors.initials: RC
authors.lastname: Pedersen
authors.affiliation: Department of General Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
authors.forename: Yiping
authors.initials: Y
authors.lastname: Li
authors.affiliation: Department of General Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Chang
authors.affiliation: Department of General Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
authors.forename: Wesley K
authors.initials: WK
authors.lastname: Lew
authors.affiliation: Department of General Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA. Electronic address: Kevin.R.Patel@kp.org.
authors.forename: Kaushal Kevin
authors.initials: KK
authors.lastname: Patel
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000639:trends; D057510:Endovascular Procedures / Q000193:education* / Q000639:trends; D005568:Forms and Records Control / Q000639:trends; D013502:General Surgery / Q000193:education* / Q000639:trends; D006801:Humans; D007396:Internship and Residency / Q000639:trends; D059032:Learning Curve; D011996:Records; D012189:Retrospective Studies; D013038:Specialization; D013997:Time Factors; D014656:Vascular Surgical Procedures / Q000193:education* / Q000639:trends; D016526:Workload