ASSESSING TRENDS IN PANCREATIC SURGERY OPERATIVE EXPOSURE IN GENERAL SURGERY RESIDENCY IN THE UNITED STATES: A REVIEW OF ACGME CASE LOGS (2006-2024) brian-longbottom@uiowa.edu

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ASSESSING TRENDS IN PANCREATIC SURGERY OPERATIVE EXPOSURE IN GENERAL SURGERY RESIDENCY IN THE UNITED STATES: A REVIEW OF ACGME CASE LOGS (2006-2024)

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United States

Oral or Poster

Assessing trends in surgical case logs for pancreatic surgery is essential to evaluate the adequacy of operative exposure during residency training. Understanding these patterns helps ensure that graduating residents are sufficiently prepared to manage complex pancreatic procedures independently.

The Accreditation Council for Graduate Medical Education (ACGME) national data reports were collected for pancreatic cases from 2006 to 2024. Cases were divided classified by Surgeon Junior and Surgeon Chief. Excel linear regression models were developed for each data set.

Linear regression for surgeon chief cases demonstrated a change in number of cases of -0.14 cases per year during the time period (R² = 0.87), but for Surgeon Junior, there was minimal change of 0.003 cases per year (R² = 0.01). Mean Surgeon Chief and Surgeon Junior cases were 7 and 3.5 cases per year in 2006-2007, respectively. In 2023 to 2024, mean cases were 5.3 and 4.1, respectively.

These findings suggest a slight decline in pancreatic case exposure for Surgeon Chiefs over the past two decades, while exposure for Surgeon Juniors has remained relatively stable. Although the overall number of cases per resident remains low, the narrowing gap between junior and chief residents may reflect shifts in operative distribution or training structure. Ongoing monitoring of case log trends is crucial to ensure adequate preparation for independent pancreatic surgery in residency graduates.