Purpose

To describe the overall extirpative renal surgery (ERS) training volume reported by PU and PS.

Methods

Case log data from the Accreditation Council for Graduate Medical Education (ACGME) was examined from 2013–2016 for surgery residents (S_res), urology residents (U_res), pediatric surgery fellows (PS_fel) and pediatric urology fellows (PU_fel). Case log information for all levels of participation over all case categories that could potentially offer ERS volume were recorded. Volume was estimated using the mean number of included cases during residency and fellowship and the sum was used to estimate total training volume. Volume between groups was compared using the student’s t test.

Results

Case logs were included for 4447 residents (4259 S_res, 840 U_res) and fellows (188 PS_fel, 71 PU_fel). Mean PU volume was 113.1, which was higher than the mean PS volume of 10.3 (p < 0.001). For PU, more ERS were performed during residency than fellowship (p < 0.001). For PS the opposite was true (p < 0.001). When examining fellow training only, PU_fel performed more ERS than PS_fel (11.7 vs. 7.0 p < 0.001).

Conclusion

While previous publications note similar short-term outcomes for ERS for malignancy for PU and PS, ERS case volume during training is significantly different. Review of recent ACGME data indicate that PU have more overall experience with ERS, with most gained during residency. Additionally, PU_fel performed significantly more ERS than PS_fel. Further study into how these training differences affect long-term outcomes is necessary.

中文翻译：

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训练中的耗竭性肾脏手术量：到达（相同？）目的地的路径不同。

目的

为了描述PU和PS报告的总体根除性肾脏手术（ERS）训练量。

方法

审查了2013-2016年研究生医学教育认证委员会（ACGME）的病例日志数据，其中包括外科手术住院医师（S _res），泌尿外科住院医师（U _res），小儿外科医师（PS _fel）和小儿泌尿外科医师（PU _fel） 。记录了可能涉及ERS数量的所有案例类别中所有参与级别的案例日志信息。数量是使用居住和进修期间包含的平均病例数估算的，其总和用于估计培训的总量。使用学生的t检验比较组之间的音量。

结果

包括4447名居民（4259 S _res，840 U _res）和同伴（188 PS _fel，71 PU _fel）的案例日志。平均PU体积为113.1，高于平均PS体积10.3（p  <0.001）。对于PU，在居住期间执行的ERS比与团契执行的次数更多（p  <0.001）。对于PS，情况恰恰相反（p  <0.001）。当仅检查同胞训练，PU_魔比PS进行更ERS_邪（11.7对7.0 p  <0.001）。

结论

尽管先前的出版物指出ERS对于PU和PS的恶性程度具有相似的短期结果，但培训期间的ERS病例数量却有很大差异。对最新ACGME数据的回顾表明，PU在ERS方面拥有更多的总体经验，其中大多数是在居住期间获得的。此外，PU _Fel执行的ERS比PS _Fel的要多得多。有必要进一步研究这些培训差异如何影响长期结果。