Evaluating Coding Accuracy in General Surgery Residents’ Accreditation Council for Graduate Medical Education Procedural Case Logs

Balla, Fadi M.; Garwe, Tabitha; Motghare, Prasenjeet; Stamile, Tessa; Kim, Jennifer; Mahnken, Heidi; Lees, Jane

doi:10.1016/j.jsurg.2016.07.017

Cited by 58 publications

(65 citation statements)

References 9 publications

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“…This justifies the combination of matching and close matching entries to a total of 73.1% of the database entries identified in the HRs. This result is comparable to the logbooks of American surgical residents, where 75.1% of the entries were identified in HRs and with errors in 47.2% of the procedure codes [11]. Secondly, the net over-reporting is only 8.5%.…”

Section: Discussionsupporting

confidence: 66%

Evaluation of a surgical task sharing training programme’s logbook system in Sierra Leone

et al. 2019

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Background Personal logbooks are universally applied for monitoring and evaluation of surgical trainees; however, the quality and accuracy of such logbooks in low income countries (LICs) are poorly examined. Logbooks are kept by the individual trainee and detail every surgical procedure they perform and their role during the procedure. The aim of this study was to evaluate the quality of such a logbook system in Sierra Leone and to identify areas of improvement. Methods The last 100 logbook entries for students and graduates participating in a surgical task sharing training programme were compared with hospital records (HRs). The logbook entries were categorized as matching , close matching or over-reported . Moreover, HRs were checked for under-reported procedures. Semi-structured interviews were conducted with the study participants on logbook recording routines. The results were analysed using mixed effects logistic regression models. Results Three thousand one hundred sixty-nine database entries from 35 participants were analysed. Of that amount, 62.2% of the entries matched the HRs, 10.4% were close matches and 26.9% were over-reported. 20.7% of the investigated HRs were under-reported. Conclusions Information gathered from surgical logbook systems must be applied with care, and great efforts must be made to ensure that the logbook systems used provide reliable data. Based on analysis of the logbook data and interviews, focus areas are suggested to ensure reliable logbook data in LICs. Clear instructions and proper training should be provided when introducing the logbook system to the users. The importance of logging all procedures, including minor ones, should be emphasized. The logbook system should be user friendly and only as extensive as necessary. Lastly, keeping the logbooks exclusively digital is recommended, combined with sufficient IT equipment and training. Electronic supplementary material The online version of this article (10.1186/s12909-019-1647-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 66%

Evaluation of a surgical task sharing training programme’s logbook system in Sierra Leone

et al. 2019

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“…10,11 Future trends were difficult to predict each year, as many factors have influence on the number of the surgical procedures logged, such as, but not exclusive to, number of fellowship programs, number of attendings (trainers), number of fellows (trainees), mandatory procedure requirements, curriculum modification, software issues for logging (inaccurate codes, descriptive ambiguity or nonexistence, complex categorization), knowledge on appropriate coding or logging, case log habits (underreporting, overreporting), case log fatigue, fellow duty hours, fellow's operative interests, geography, economy, procedure popularity, media influence, societal norm, and patient preference. [2][3][4][12][13][14][15][16] With the increasing number of AACS fellowship programs, there was a decreasing trend in the yearly number of surgical procedures logged by the fellows. Handler et al published a median of 687 procedures per fellow from 2007 to 2012 compared to the mean of 633.3 in this study for 2016 to 2018.…”

Section: Discussionmentioning

confidence: 99%

Current Trends of Cosmetic Surgical Procedures With the General Cosmetic Surgery Fellowships by the American Academy of Cosmetic Surgery

Valina¹,

Sessa²

2019

Am J Cosmet Surg

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This retrospective study was performed to publish the current trends of major surgical procedures from the General Cosmetic Surgery fellowship programs offered by the American Academy of Cosmetic Surgery from July 1, 2015, to June 30, 2018. Data were obtained from the American Academy of Cosmetic Surgery. Fellowship data and the surgical procedures reported by fellow surgeons were analyzed from July 1, 2015, to June 30, 2018. Averages, trends, correlation coefficient, and coefficient of determination were calculated using Microsoft Excel. From July 1, 2015, to June 30, 2018, the number of fellowship programs increased by 26.3%, and the fellows completed 633.3 procedures on average during their 1 year training. The most common procedures performed averaged per fellow were liposuction (215.1), breast augmentation (79.7), abdominoplasty (44.8), breast reduction/lift (38.9), and eyelid surgery (33.7). Strongest increasing trends in surgical procedures included circumferential abdominoplasty and breast re-augmentation. Strongest decreasing trends included body implants and vein procedures. The study demonstrated increasing, decreasing, and neutral trends over the academic years from July 1, 2015, to June 30, 2018. Further studies can analyze causative or correlative factors.

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“…Achieving such a threshold can be through a self‐reported log of procedures, which ideally would include all attempts, both successful and unsuccessful, the presence of a supervisor, and procedure‐related complications. Additionally, health information technology can be used to flag providers who may require further training, due to either poor documentation or complications of the procedure …”

Section: Quality Assurance In Training and Competency Assessmentmentioning

confidence: 99%

“…The ongoing demonstration of competency is the most difficult to accomplish objectively and should rely on both highly variable self‐reported logs and active surveillance of medical records as part of a quality improvement program …”

Section: Quality Assurance In Training and Competency Assessmentmentioning

confidence: 99%

“…Additionally, health information technology can be used to flag providers who may require further training, due to either poor documentation or complications of the procedure. 39,45,51 The ongoing demonstration of competency is the most difficult to accomplish objectively and should rely on both highly variable self-reported logs 51 and active surveillance of medical records as part of a quality improvement program. 52,53 Skill Deterioration and Mitigation Quality Assurance To ensure that providers are maintaining their skills, ongoing quality assessment tools and continuing medical education requirements should be established.…”

Section: Ultrasound-related Psychomotor Skillsmentioning

confidence: 99%

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Curriculum for the Performance of Ultrasound‐Guided Procedures

2019

J of Ultrasound Medicine

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Evaluating Coding Accuracy in General Surgery Residents’ Accreditation Council for Graduate Medical Education Procedural Case Logs

Cited by 58 publications

References 9 publications

Evaluation of a surgical task sharing training programme’s logbook system in Sierra Leone

Evaluation of a surgical task sharing training programme’s logbook system in Sierra Leone

Current Trends of Cosmetic Surgical Procedures With the General Cosmetic Surgery Fellowships by the American Academy of Cosmetic Surgery

Curriculum for the Performance of Ultrasound‐Guided Procedures

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