Mayur B Patel

Publications (2)6.8 Total impact

• Article: O' surgery case log data, where art thou?

  Mayur B Patel, Oscar D Guillamondegui, Mickey M Ott, Kimberly A Palmiter, Addison K May
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  ABSTRACT: The American College of Surgeons (ACS) Case Log represents a data system that satisfies the American Board of Surgery (ABS) Maintenance of Certification (MOC) program, yet has broad data fields for surgical subspecialties. Using the ACS Case Log, we have developed a method of data capture, categorization, and reporting of acute care surgery fellows' experiences. In July 2010, our acute care surgery fellowship required our fellows to log their clinical experiences into the ACS Case Log. Cases were entered similar to billable documentation rules. Keywords were entered that specified institutional services and/or resuscitation types. These data were exported in comma separated value format, deidentified, structured by Current Procedural Terminology (CPT) codes relevant to acute care surgery, and substratified by fellow and/or fellow year. Fifteen report types were created consisting of operative experience by service, procedure by major category (cardiothoracic, vascular, solid organ, abdominal wall, hollow viscus, and soft tissue), total resuscitations, ultrasound, airway, ICU services, basic neurosurgery, and basic orthopaedics. Results are viewable via a secure Web application, accessible nationally, and exportable to many formats. Using the ACS Case Log satisfies the ABS MOC program requirements and provides a method for monitoring and reporting acute care surgery fellow experiences. This system is flexible to accommodate the needs of surgical subspecialties and their training programs. As documentation requirements expand, efficient clinical documentation is a must for the busy surgeon. Although, our data entry and processing method has the immediate capacity for acute care surgery fellowships nationwide, multiple larger decisions regarding national case log systems should be encouraged.
  Journal of the American College of Surgeons 05/2012; 215(3):427-31. · 4.55 Impact Factor
• Article: Twenty-year analysis of surgical resident operative trauma experiences.

  Mayur B Patel, Oscar D Guillamondegui, Addison K May, Jose J Diaz
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  ABSTRACT: BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) implemented new work-hour rules for all U.S. residency programs beginning on July 1, 2003. The ACGME-mandated work-hour reform may have affected operative trauma case volumes of general surgery residents. METHODS: Using ACGME aggregate data collected from general surgery residency programs from 1990 to 2010, we examined the effect of the 2003 work-hour reform on resident operative trauma case volumes. RESULTS: Overall trauma cases per year declined from 78.28 in 1990 to 38.73 in 2010. From 1990 to 2003, laparotomy, burn, and upper-gastrointestinal trauma cases fell at least 50%, from 9.97 to 4.85 cases/resident by 0.46 cases/y (95% confidence interval [CI], 0.456-0.459), 10.05 to 3.30 cases/resident by 0.61 cases/y (95% CI, 0.609-0.617), and 3.34 to 1.01 cases/resident by 0.189 cases/y (95% CI, 0.188-0.189), respectively. After 2003, laparotomy and burn cases began to rise by 0.23 cases/y (95% CI, 0.228-0.231) and 0.36 cases/y (95% CI, 0.358-0.368). Vascular trauma cases continued to decline from 8.63 cases/resident by 0.197 (95% CI, 0.196-0.198) pre-reform, but by 0.102 (95% CI, 0.099-0.105) post-reform. Junior surgical residents were increasingly involved in trauma operative cases from 67% in 1990 to 79% in 2010. Cardiac, pancreatic, genitourinary, and neurosurgical cases did not peak more than 1.95 cases/resident pre-reform. CONCLUSIONS: Secular trends before the 2003 work-hour reform caused a 50% decrease in operative trauma experience among general surgery residents. Since 1990, junior residents have increasingly performed operative trauma. Rare trauma subspecialty cases remain rare. Post work-hour reform, operative trauma volumes have stabilized.
  Journal of Surgical Research 05/2012; · 2.25 Impact Factor