Is your graduating general surgery resident qualified to take trauma call? A 15-year appraisal of the changes in general surgery education for trauma.

Background: Trauma training in general surgery residency is undergoing an evolution. Hour restrictions, the growth of subspecialty care and the trend towards non-operative management have altered resident exposure to operative trauma. We sought to identify trends in resident trauma training since the inception of the 80-hour workweek. Methods: The Accreditation Council for General Medical Education (ACGME) Case Log Statistical Reports for Surgery was abstracted for general surgery resident trauma operative volume for the years 1999-2014. Resident trauma experience (operative caseload, OC) was compared before inception of the 80-hour workweek (1999-2002) to after the 80-hour workweek began (2003-current). Results: A trend toward decreased operative trauma for general surgery residents was observed (mean OC (before 80-hour workweek vs. 80-hour workweek) = 39,252+/-1065.2 cases vs. 36,065+/-1291.8, p=0.06). Trauma laparotomies (range = 5,446-9,364 cases) with corresponding decreases in vascular trauma (range = 4,704-799 cases), neck explorations (range = 1,876-1,370 cases) and thoracotomies (range = 2,507-2,284 cases). By comparison an increase in vascular/integrated cases were noted (mean OC (before 80-hour workweek vs. 80-hour workweek) =845+/-44.2 vs. 1465+/-88.4 cases, p

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