Award: AAP/SONS Award

Authors: Busra Gungor (Memphis, TN)

Neurosurgical residents report higher volumes of pediatric cases than those set by ACGME, however recent studies reveal a steady decline in the pediatric neurosurgical cases over the past few years. Assessing and disseminating operative experience through a concrete way is a vital step in understanding the residency exposure across various types of residencies. Using the recently developed RES score for pediatric neurosurgery programs, this is the first study that attempts to understand the effect of the residency program operative experience on residency pediatric case volume distribution.


All ACGME neurosurgery residency programs were contacted to request case volumes from graduating residents and residents that finished pediatric experiences from 2016-2019. Residents were asked to generate their Pediatric Neurological Surgery Minimum Report from the ACGME website and submit case numbers via an anonymous survey or file submission. Surgical categories DC1-19 were evaluated to determine the trends in residency exposure across different residency programs (ACPNF, non-ACPNF site, no dedicated pediatric rotation, or outsource of pediatric experience).


Among the 115 programs, we received 71 programs and 223 residency responses. The median for the total pediatric cases for all programs was 121 cases per resident (range 19-388 cases). Residents from ACPNF programs had significantly more cases than residents in non-ACPNF programs (p= 0.003) when comparing total pediatric cases (DC1-DC19). Adjusted RES scores had a slight positive correlation with total pediatric cases,  although not statistically significant (p= 0.0694). Pediatric specific cases (DC15-DC18) and non-pediatric specific cases DC1-14, DC19) were compared in a similar manner.


Analyzing case log data in this manner provides key insight into the graduating resident's experience with pediatric cases.