In this episode of MED ED MATTERS, hosts Dr. Omar Young and Dr. Abhi Sripad sit down with Dr. Leslie Clark, academic gynecologic oncologist, to unpack what’s changing in surgical training—and what must be protected. Together, they explore whether core surgical skills are being lost or simply concentrated, how competency should really be assessed, and why case numbers alone don’t tell the full story.

Dr. Clark shares how a deep dive into resident case logs revealed meaningful gaps in exposure—and how intentional case assignment, autonomy tracking, and faculty alignment can help close them. The conversation spans everything from entrustment versus volume, to what residents uniquely gain from open surgery, to advice for trainees worried about their numbers.

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