Case Reporting, Competence, and Confidence: A Discrepancy in the Numbers

ACGME case logs, which are utilized to assess readiness for completion of general surgery residency, may not be indicative of a resident′s operative competency and technical proficiency. Confidence is not correlated with technical ability. Faculty and resident insight as to their role in a procedure differ, as faculty feel that they are providing less help than the resident perceives. Careful examination of resident operative technique is the best measure of competency.