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Assessing the Impact of OBGYN Resident Logging on Reported Volume of Minimally Invasive Hysterectomy
Purpose: To assess accuracy of resident case logging on minimally invasive hysterectomies (MIHs) reported to ACGME at a single, high-volume academic center.
Background: The Accreditation Council for Graduate Medical Education (ACGME) now requires OBGYN residents to complete at least 70 MIHs during their training. Recent analysis of ACGME data suggests that only half of accredited residency programs meet this minimum.
Methods: Patients undergoing MIH between 7/2015 – 6/2019 were identified through billing codes. Review of operative reports confirmed specific surgical approach and identified participating OBGYN residents. All MIH were then cross-referenced with individual data submitted to ACGME by a single graduating resident class.
Results: During the study period, eight OBGYN residents logged a total of 638 MIH (range: 56 – 95). Two residents did not meet the minimum of 70 MIH. We identified 70 additional MIH that were not logged by this OBGYN class during this period, decreasing the number of residents who did not meet the minimum MIH from two to one. Of the unlogged cases, 36 MIH (51.4%) were performed as upper level residents (postgraduate years three and four). Additionally, 28 cases (4.3%) were incorrectly logged and counted toward the cumulative number of MIH. Of those incorrectly reported, 20 (71.4%) were logged in duplicate and 8 (28.6%) were not MIH.
Discussions: Accuracy in reporting surgical numbers to ACGME is critically important in properly assessing the impact of the new minimum MIH requirement on accredited residency programs.
Topics:
CREOG & APGO Annual Meeting, 2021, Resident, Faculty, Residency Director, Medical Knowledge, Practice-Based Learning & Improvement, GME, Assessment, Minimally Invasive Surgery,
