Programs case volume

[Guest]

Just came accross thos study at JNS
https://thejns.org/view/journals/j-neuro...222861.xml
Buffallo does 13,000 cases ?
How accurate is this ?

[Guest]

Levy said that in his talk at CNS as well. It’s mostly endovascular.

[Focus]

Its not a terrible metric other than how conveniently rounded everything is. The least useful IMO is the case volume per resident. Clearly some programs are misreporting or at least mis categorizing. Maybe counting cases at non-teaching sites. Others maybe the residents aren't bothering to keep meticulous case logs or some are only reporting lead cases and others are not. Like Buffalo reports 13k/yr cases with 3 residents a year and yet has less than 2000 cases per resident on graduation? Did they include angios for their case total but not count them for their resident case logs? UCSF has less than 5000 cases/yr but residents somehow have 2100 at graduation?

Also shocked to see BNI at 5000 cases a year. Has their volume really dropped that much. And lol at Mayo being listed at 5010 when everyone else is at 5000.

[Guest]

Perhaps buffalo is counting all angios in the program total, but the resident logs don't match the numbers because many of the angios go uncovered by residents.

[Focus]

(09-23-2023, 01:57 PM)Guest Wrote: Perhaps buffalo is counting all angios in the program total, but the resident logs don't match the numbers because many of the angios go uncovered by residents.

Absolutely possible but even assuming that no one is double scrubbing that would mean that less than half of the cases are being covered by residents there.

[Guest]

Be mindful of case volume reporting by programs. Some log case volumes as 'senior' or 'lead' when they are only scrubbed to observe (especially for smaller newer programs). When you guys interview programs, one good question is to ask what cases and how often the residents have done skin-to-skin. Ask previous subinterns of their experience there if you have never rotated at a site.

From what I've heard, Buffalo is high volume and autonomy compared to other programs.

[Guest]

I wish they reported the whole lists. Interested to see how many MGH and BWH residents graduate with.

[Guest]

(07-24-2023, 04:15 PM)Guest Wrote: Lol, what bullshit. Without a search engine, name the top 10 faculty from the most recent 20 years of either UCSF or MGH. Kind of hard after the first 3-5 isn’t it?

(09-23-2023, 01:46 PM)Focus Wrote: Its not a terrible metric other than how conveniently rounded everything is. The least useful IMO is the case volume per resident. Clearly some programs are misreporting or at least mis categorizing. Maybe counting cases at non-teaching sites. Others maybe the residents aren't bothering to keep meticulous case logs or some are only reporting lead cases and others are not. Like Buffalo reports 13k/yr cases with 3 residents a year and yet has less than 2000 cases per resident on graduation? Did they include angios for their case total but not count them for their resident case logs? UCSF has less than 5000 cases/yr but residents somehow have 2100 at graduation?

Also shocked to see BNI at 5000 cases a year. Has their volume really dropped that much. And lol at Mayo being listed at 5010 when everyone else is at 5000.

Mayo Arizona has been stealing their case volume. It's an active fight out there to see who can expand where. Not sure if BNI can match up though. Mayo is essentially a large big dog corporation.

[Guest]

I’ve done sub-is at both BNI and Mayo, AZ. Mayo AZ fills for more case logs with endovascular cases than BNI. Also, in the whole month, I only saw 1-3 open vascular cases at Mayo vs 7-10 at BNI.

[Guest]

(09-25-2023, 01:20 AM)Guest Wrote: I’ve done sub-is at both BNI and Mayo, AZ. Mayo AZ fills for more case logs with endovascular cases than BNI. Also, in the whole month, I only saw 1-3 open vascular cases at Mayo vs 7-10 at BNI.

I mean, duh. Lawton is the vascular king. He's doing more bypasses than anyone. No one else is really doing many open vascular cases.