Case Logs andDocumentation

Ash Mansour, M.D., RPVI, FACSProfessor of Surgery

Disclosures

• None

Resident Evaluation

• Six core competencies:– Medical knowledge– Patient care– Professionalism– Interpersonal communication– PBL - personal improvement– SBP - system improvement– 7th? Technical performance

Operative Logs

• Assessment of depth and breadth of experience

• Objective measure?• Board and RRC requirement• Old adage does not apply (see one…)

Progression of TrainingPGY-1 PGY-2 PGY-3 PGY-4 PGY-5

Expert AspirationalGoal

Proficient GraduatingResident

Competent AdvancedResident

AdvancedBeginner

IntermedResident

Novice InternMS-4

Royal CollegeOf Obstetrics & Gynecology

5+2 vs. 0-5Op Logs

Integrated Trainees get more Endovascular cases

Pedersen RC et al. Kaiser Permanente Los Angeles; Ann Vasc Surgery 2016

Pedersen RC et al. Kaiser Permanente Los Angeles; Ann Vasc Surgery 2016

SUMMARY

• Case logs are required• PDs can monitor volume & variety• PDs can ensure a balanced experience• Too many cases are a red flag• Will simulation change competency?