Roger Stanev
Quantitative Framework for Retrospective Assessment of Interim Decisions in Clinical Trials
Medical decision making : an international journal of the Society for Medical Decision Making
introduction implementation competencybased residency training plastic surgery underway key competencies plastic surgery previously identified however within domain pediatrics data suggest limited exposure throughout training canadian graduates study aims identify exposure involvement residents core pediatric cases methods performed retrospective multicenter review plastic surgery resident case logs tres power new innovations across 10 canadian englishspeaking training programs 2004 2014 case logs coded according 8 core pediatric competencies previously identified modified delphi technique results total 3061 59 405 cases 52 logged 55 graduating residents core pediatric procedures average 556 230 cases logged per resident top 3 commonly logged procedures cleft lip repair cleft palate repair setback otoplasty number cases per program varied widely 731 least 85 logged cases roles across procedures wide variation residents commonly identified assistant rather surgeon cosurgeon conclusion findings highlight variability within across residency programs paucity exposure involvement pediatric plastic surgery cases may present conflict current recommendations residencyspecific procedural competencies true clinical exposure curriculum development simulation may benefit