Higher Education | Medicine and Health Sciences | Otolaryngology
Objective: Rural residency rotations have played a significant role in encouraging surgical residents to pursue a career in a rural community. This study reviews the resident caseload of an otolaryngology residency rural rotation in comparison with a traditional primary university-based urban location.
Methods: The Accreditation Council for Graduate Medical Education (ACGME) case log system was used to review cases logged by residents during their rural rotations from July 2017 to December 2018. Case log data were compared with a matched resident of similar training experience on the university service during the same time period.
Results: Rural residents reported more cases than their urban-based counterparts (1143 vs 690 cases). Junior residents had over double the number of cases in rural practice (400) compared to junior residents on the university service (168). The university service was much stronger on H&N Neck (54 vs. 28 cases), Larynx (39 vs 8) and Endoscopy (92 vs 42). In contrast, the rural rotation provided substantially more Endocrine cases (103 vs 47) and comparable Salivary cases (23 vs 21) compared to the university service.
Discussion: This study defines a surgically robust rotation in rural medicine and highlights the possibility of obtaining exposure to a surgical practice unique to a rural setting. By participating in high volume surgical rural residency rotations, trainees may better understand the otolaryngologic needs of a rural
Rural, Residency, Otolaryngology, Surgery, Case Volume, Patient Safety, Quality Improvement, Graduate Medical Education
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Miller, M., Brosnihan, P. J., Barnes, C., , Dowdall, J. The Advantages of a Rural Resident Rotation in Otolaryngology Training: Comparing Surgical Case Volumes of a Rural Rotation with a University Rotation. Graduate Medical Education Research Journal. 2021 Oct 04; 3(1).
Figure 2- Resident Logged Key Indicator Cases by Location (2017-2018) in Academic versus Rural Settings (1).pdf (58 kB)
Figure 3-Total Resident-Logged Surgical Case Volume Distribution by Location and PGY Year (2017-2018) (1).pdf (101 kB)
Table 1.docx (23 kB)