Resident away rotations allow adaptive neurosurgical training

Melanie Hayden Gephart, Pamela Derstine, Nelson M. Oyesiku, M. Sean Grady, Kim Burchiel, H. Hunt Batjer, A. John Popp, Nicholas M. Barbaro

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Subspecialization of physicians and regional centers concentrate the volume of certain rare cases into fewer hospitals. Consequently, the primary institution of a neurological surgery training program may not have sufficient case volume to meet the current Residency Review Committee case minimum requirements in some areas. To ensure the competency of graduating residents through a comprehensive neurosurgical education, programs may need for residents to travel to outside institutions for exposure to cases that are either less common or more regionally focused. We sought to evaluate off-site rotations to better understand the changing demographics and needs of resident education. This would also allow prospective monitoring of modifications to the neurosurgery training landscape. We completed a survey of neurosurgery program directors and query of data from the Accreditation Council of Graduate Medical Education to characterize the current use of away rotations in neurosurgical education of residents. We found that 20% of programs have mandatory away rotations, most commonly for exposure to pediatric, functional, peripheral nerve, or trauma cases. Most of these rotations are done during postgraduate year 3 to 6, lasting 1 to 15 months. Twenty-six programs have 2 to 3 participating sites and 41 have 4 to 6 sites distinct from the host program. Programs frequently offset potential financial harm to residents rotating at a distant site by support of housing and transportation costs. As medical systems experience fluctuating treatment paradigms and demographics, over time, more residency programs may adapt to meet the Accreditation Council of Graduate Medical Education case minimum requirements through the implementation of away rotations.

Original languageEnglish (US)
Pages (from-to)421-425
Number of pages5
JournalNeurosurgery
Volume76
Issue number4
DOIs
StatePublished - Apr 19 2015

Fingerprint

Graduate Medical Education
Education
Accreditation
Neurosurgery
Internship and Residency
Mandatory Programs
Demography
Advisory Committees
Peripheral Nerves
Pediatrics
Physicians
Costs and Cost Analysis
Wounds and Injuries
Therapeutics
Surveys and Questionnaires

Keywords

  • Education
  • Neurosurgery
  • Residency
  • Rotation
  • Training

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Gephart, M. H., Derstine, P., Oyesiku, N. M., Sean Grady, M., Burchiel, K., Hunt Batjer, H., ... Barbaro, N. M. (2015). Resident away rotations allow adaptive neurosurgical training. Neurosurgery, 76(4), 421-425. https://doi.org/10.1227/NEU.0000000000000661

Resident away rotations allow adaptive neurosurgical training. / Gephart, Melanie Hayden; Derstine, Pamela; Oyesiku, Nelson M.; Sean Grady, M.; Burchiel, Kim; Hunt Batjer, H.; John Popp, A.; Barbaro, Nicholas M.

In: Neurosurgery, Vol. 76, No. 4, 19.04.2015, p. 421-425.

Research output: Contribution to journalArticle

Gephart, MH, Derstine, P, Oyesiku, NM, Sean Grady, M, Burchiel, K, Hunt Batjer, H, John Popp, A & Barbaro, NM 2015, 'Resident away rotations allow adaptive neurosurgical training', Neurosurgery, vol. 76, no. 4, pp. 421-425. https://doi.org/10.1227/NEU.0000000000000661
Gephart MH, Derstine P, Oyesiku NM, Sean Grady M, Burchiel K, Hunt Batjer H et al. Resident away rotations allow adaptive neurosurgical training. Neurosurgery. 2015 Apr 19;76(4):421-425. https://doi.org/10.1227/NEU.0000000000000661
Gephart, Melanie Hayden ; Derstine, Pamela ; Oyesiku, Nelson M. ; Sean Grady, M. ; Burchiel, Kim ; Hunt Batjer, H. ; John Popp, A. ; Barbaro, Nicholas M. / Resident away rotations allow adaptive neurosurgical training. In: Neurosurgery. 2015 ; Vol. 76, No. 4. pp. 421-425.
@article{b8f2ab69f73d42279ce0adf7da3d4731,
title = "Resident away rotations allow adaptive neurosurgical training",
abstract = "Subspecialization of physicians and regional centers concentrate the volume of certain rare cases into fewer hospitals. Consequently, the primary institution of a neurological surgery training program may not have sufficient case volume to meet the current Residency Review Committee case minimum requirements in some areas. To ensure the competency of graduating residents through a comprehensive neurosurgical education, programs may need for residents to travel to outside institutions for exposure to cases that are either less common or more regionally focused. We sought to evaluate off-site rotations to better understand the changing demographics and needs of resident education. This would also allow prospective monitoring of modifications to the neurosurgery training landscape. We completed a survey of neurosurgery program directors and query of data from the Accreditation Council of Graduate Medical Education to characterize the current use of away rotations in neurosurgical education of residents. We found that 20{\%} of programs have mandatory away rotations, most commonly for exposure to pediatric, functional, peripheral nerve, or trauma cases. Most of these rotations are done during postgraduate year 3 to 6, lasting 1 to 15 months. Twenty-six programs have 2 to 3 participating sites and 41 have 4 to 6 sites distinct from the host program. Programs frequently offset potential financial harm to residents rotating at a distant site by support of housing and transportation costs. As medical systems experience fluctuating treatment paradigms and demographics, over time, more residency programs may adapt to meet the Accreditation Council of Graduate Medical Education case minimum requirements through the implementation of away rotations.",
keywords = "Education, Neurosurgery, Residency, Rotation, Training",
author = "Gephart, {Melanie Hayden} and Pamela Derstine and Oyesiku, {Nelson M.} and {Sean Grady}, M. and Kim Burchiel and {Hunt Batjer}, H. and {John Popp}, A. and Barbaro, {Nicholas M.}",
year = "2015",
month = "4",
day = "19",
doi = "10.1227/NEU.0000000000000661",
language = "English (US)",
volume = "76",
pages = "421--425",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Resident away rotations allow adaptive neurosurgical training

AU - Gephart, Melanie Hayden

AU - Derstine, Pamela

AU - Oyesiku, Nelson M.

AU - Sean Grady, M.

AU - Burchiel, Kim

AU - Hunt Batjer, H.

AU - John Popp, A.

AU - Barbaro, Nicholas M.

PY - 2015/4/19

Y1 - 2015/4/19

N2 - Subspecialization of physicians and regional centers concentrate the volume of certain rare cases into fewer hospitals. Consequently, the primary institution of a neurological surgery training program may not have sufficient case volume to meet the current Residency Review Committee case minimum requirements in some areas. To ensure the competency of graduating residents through a comprehensive neurosurgical education, programs may need for residents to travel to outside institutions for exposure to cases that are either less common or more regionally focused. We sought to evaluate off-site rotations to better understand the changing demographics and needs of resident education. This would also allow prospective monitoring of modifications to the neurosurgery training landscape. We completed a survey of neurosurgery program directors and query of data from the Accreditation Council of Graduate Medical Education to characterize the current use of away rotations in neurosurgical education of residents. We found that 20% of programs have mandatory away rotations, most commonly for exposure to pediatric, functional, peripheral nerve, or trauma cases. Most of these rotations are done during postgraduate year 3 to 6, lasting 1 to 15 months. Twenty-six programs have 2 to 3 participating sites and 41 have 4 to 6 sites distinct from the host program. Programs frequently offset potential financial harm to residents rotating at a distant site by support of housing and transportation costs. As medical systems experience fluctuating treatment paradigms and demographics, over time, more residency programs may adapt to meet the Accreditation Council of Graduate Medical Education case minimum requirements through the implementation of away rotations.

AB - Subspecialization of physicians and regional centers concentrate the volume of certain rare cases into fewer hospitals. Consequently, the primary institution of a neurological surgery training program may not have sufficient case volume to meet the current Residency Review Committee case minimum requirements in some areas. To ensure the competency of graduating residents through a comprehensive neurosurgical education, programs may need for residents to travel to outside institutions for exposure to cases that are either less common or more regionally focused. We sought to evaluate off-site rotations to better understand the changing demographics and needs of resident education. This would also allow prospective monitoring of modifications to the neurosurgery training landscape. We completed a survey of neurosurgery program directors and query of data from the Accreditation Council of Graduate Medical Education to characterize the current use of away rotations in neurosurgical education of residents. We found that 20% of programs have mandatory away rotations, most commonly for exposure to pediatric, functional, peripheral nerve, or trauma cases. Most of these rotations are done during postgraduate year 3 to 6, lasting 1 to 15 months. Twenty-six programs have 2 to 3 participating sites and 41 have 4 to 6 sites distinct from the host program. Programs frequently offset potential financial harm to residents rotating at a distant site by support of housing and transportation costs. As medical systems experience fluctuating treatment paradigms and demographics, over time, more residency programs may adapt to meet the Accreditation Council of Graduate Medical Education case minimum requirements through the implementation of away rotations.

KW - Education

KW - Neurosurgery

KW - Residency

KW - Rotation

KW - Training

UR - http://www.scopus.com/inward/record.url?scp=84925078898&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925078898&partnerID=8YFLogxK

U2 - 10.1227/NEU.0000000000000661

DO - 10.1227/NEU.0000000000000661

M3 - Article

C2 - 25635889

AN - SCOPUS:84925078898

VL - 76

SP - 421

EP - 425

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 4

ER -