Effect of the new standards for case logging on resident operative volume: doing better cases or better numbers?

Although some operative cases newly classified as major are technically advanced procedures (eg, Roux-en-Y gastric bypass), other cases are not (eg, breast lesion excision), which raises the issue as to whether the major case category has been diluted by less demanding case types. The implications of these findings may suggest preservation of case volumes at the expense of case quality. Murthy R, Shepard A, Swartz A, Woodward A, Reickert C, Horst M, Rubinfeld I. J Surg Educ. 2012 Jan;69(1):113-7. PMID: 22208842 PDF