RESIDENT OPERATIVE EXPERIENCE
A Residency Education Program in General Surgery must
provide sufficient operative experience to assure qualified and
competent surgeons, taking into account individual capability and
rate of progress. The volume and variety of the operative experience
of residents over the course of the program must assure that they
receive a balanced experience in each of the essential content areas
of general surgery. These are head and neck, breast, skin and soft
tissues, alimentary tract, abdomen, vascular system, endocrine system,
management of trauma/critical care, burns, and emergency surgery.
The Accreditation Council for Graduate Medical Education
(ACGME) and the Residency Review Committee for Surgery (RRC-S) have
established
guidelines that must be met by a Residency Education Program in
General Surgery to maintain it’s accreditation. An important
guideline is that of the defined categories of surgical operative
procedures. It describes minimum acceptable numbers of operative
procedures listed in general content areas of general surgery.
The
following is the five year resident operative experience average
in the defined categories:
| Defined Categories |
RRC Requirement |
UC Experience |
| Skin-Soft Tissue/Breast |
25 |
44 |
| Head/ Neck |
24 |
33 |
| Alimentary Tract |
72 |
194 |
| Abdomen |
65 |
150 |
| Liver |
4 |
15 |
| Pancreas |
3 |
19 |
| Vascular |
44 |
73 |
| Endocrine |
8 |
21 |
| Thoracic |
15 |
53 |
| Pediatric |
20 |
37 |
| Plastic |
5 |
24 |
| Trauma (operative) |
10 |
34 |
| Trauma (non-operative) |
20 |
46 |
| Endoscopy |
29 |
90 |
| Laparoscopy (advanced) |
n/a |
67 |
| Laparoscopy (basc) |
34 |
76 |
| Total (Chief) |
150 |
218 |
| Total (Major) |
500 |
950 |
| Total Cases |
n/a |
1298 |
|