The members of the Residency Review Committee analyze the national operative data annually to evaluate case trends and discuss the impact of new techniques and experiences on the needs of new graduates. As the field is aware, and as the RRC members have acknowledged, new graduates are required to document competence in laparoscopy, both basic and advanced, and endoscopy as part of those required skills for entry into practice. Based upon these analyses and discussions, the RRC voted to increase the requirements in these techniques and procedures. At present, the Committee considers the requirements for advanced laparoscopy as the minima, and given changing trends, these requirements may be increased in future. Those surgery graduates completing the program June 30, 2008 must document the increased Laparoscopy requirements and graduates completing the Program June 30, 2009 must document the increased Endoscopy requirements:
Laparoscopy
Basic: 60 total cases
Cholecystectomy
Appendectomy
Advanced: 25 total cases
Lap, Gastrostomy and Feeding Jejunoscopy
Lap, Inguinal and Incisional Herniorrhaphy
Bariatric Laparoscopy
Lap, Anti-reflux Procedure
Lap, Enterolysis
Lap, Small and Large Bowel
Lap, Renal and Adrenal surgery
Lap, Donor Nephrectomy
Lap, Splenectomy
Endoscopy: 85 total
Upper endoscopy, including percutaneous
endoscopic gastrostomy: 35 procedures
Colonoscopy: 50 procedures
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