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Journal of Surgical Education

Thomas H Hartranft, Kurt Yandle, Tim Graham, Charles Holden, Lowell W Chambers
OBJECTIVE: This study was conducted to assess the effectiveness of a newly implemented electronic web-based review system created at our institution for evaluating resident performance relative to established milestones. DESIGN: Retrospective review of data collected from a survey of general surgery faculty and residents. SETTING: Tertiary care teaching hospital system and independent academic medical center. PARTICIPANTS: A total of 12 general surgery faculty and 17 general surgery residents participated in this study...
October 13, 2016: Journal of Surgical Education
Mohamed A Zayed, Emily A Lilo, Jason T Lee
OBJECTIVE: The surgical council on resident education developed an online competency-based self-study curriculum for general surgery residency trainees. Vascular surgery trainees are yet to have a similarly validated and readily accessible self-study curriculum. We sought to determine the effect of an interactive online vascular surgery curriculum on trainee knowledge and interest in vascular surgery. METHODS: Over 15 months, 53 trainees (36 medical students and 16 surgical residents) performing a vascular surgery rotation were enrolled in a prospective, randomized, 2-cohort study...
October 7, 2016: Journal of Surgical Education
Henry B Colaco, Katie Hughes, Eyiyemi Pearse, Magnus Arnander, Duncan Tennent
OBJECTIVE: We have developed a low-cost, portable shoulder simulator designed to train basic arthroscopic skills. This study aimed to establish the construct validity of the simulator by determining which parameters discriminated between experience levels and to assess the experience of using the simulator. DESIGN: Participants were given an introductory presentation and an untimed practice run of a 6-step triangulation task using hooks and rubber bands. A total of 6 consecutive attempts at the task were timed, and the number of times the participant looked at their hands during the task was recorded...
October 5, 2016: Journal of Surgical Education
Mikael L Soucisse, Kerianne Boulva, Lucas Sideris, Pierre Drolet, Michel Morin, Pierre Dubé
BACKGROUND: As surgical training is evolving and operative exposure is decreasing, new, effective, and experiential learning methods are needed to ensure surgical competency and patient safety. Video coaching is an emerging concept in surgery that needs further investigation. DESIGN: In this randomized controlled trial conducted at a single teaching hospital, participating residents were filmed performing a side-to-side intestinal anastomosis on cadaveric dog bowel for baseline assessment...
October 5, 2016: Journal of Surgical Education
Lisa Caulley, Alexandra E Quimby, Nick Barrowman, Katherine Moreau, Jean-Philippe Vaccani
OBJECTIVE: To inform institutional policies regarding call encounters through an evaluation of the effect of home-call on academic experience and fatigue among surgical residents. This study conducted an assessment of the nature of resident call encounters premidnight and postmidnight and a comparative analysis of sleep deprivation and efficiency in residents during home-call and off call. DESIGN, SETTING, AND PARTICIPANTS: All Otolaryngology-Head and Neck Surgery residents (n = 9) at single Canadian institution were asked to establish the time and nature of call encounters during home-call...
October 4, 2016: Journal of Surgical Education
Flemming Bjerrum, Jeanett Strandbygaard, Susanne Rosthøj, Teodor Grantcharov, Bent Ottesen, Jette Led Sorensen
BACKGROUND: Laparoscopic appendectomy is a commonly performed surgical procedure, but few training models have been described for it. We examined a virtual reality module for practising a laparoscopic appendectomy. METHODS: A prospective cohort study with the following 3 groups of surgeons (n = 45): novices (0 procedures), intermediates (10-50 procedures), and experienced (>100 procedures). After being introduced to the simulator and 1 familiarization attempt on the procedural module, the participants practiced the module 20 times...
October 4, 2016: Journal of Surgical Education
Mark T Dawidek, Victoria A Roach, Michael C Ott, Timothy D Wilson
OBJECTIVE: A major challenge in laparoscopic surgery is the lack of depth perception. With the development and continued improvement of 3D video technology, the potential benefit of restoring 3D vision to laparoscopy has received substantial attention from the surgical community. Despite this, procedures conducted under 2D vision remain the standard of care, and trainees must become proficient in 2D laparoscopy. This study aims to determine whether incorporating 3D vision into a 2D laparoscopic simulation curriculum accelerates skill acquisition in novices...
October 4, 2016: Journal of Surgical Education
Srinivas M Susarla, Erin M Rada, Joseph Lopez, Edward W Swanson, Devin Miller, Richard J Redett, Anand R Kumar
OBJECTIVE: To assess the relationship between the H index and the academic rank among full-time academic craniofacial surgeons. DESIGN: This was a cross-sectional study of full-time academic craniofacial surgeons. SETTING: Data were compiled and analyzed at the Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital. RESULTS: The study sample included 127 full-time academic craniofacial surgeons. Overall, 89% were men, the mean number of years since completion of training was 16...
October 4, 2016: Journal of Surgical Education
Asra Hashmi, Rohan Policherla, Hector Campbell, Faraz A Khan, Adam Schumaier, Faisal Al-Mufarrej
OBJECTIVE: To evaluate the comprehensiveness of plastic surgery program websites. DESIGN: American Medical Association interactive database was accessed for the list of integrated plastic surgery programs, in June 2015. Since then, 67 plastic surgery program websites were accessed and searched for the presence or absence of 31 criteria, which were further grouped into 5 categories: First, program contact information; second, training and research; third, program setup; fourth, benefits and facilities; and fifth, information for applicants...
October 4, 2016: Journal of Surgical Education
Machiko Shimmura-Tomita, Shigeto Shimmura, Kazuo Tsubota, Jun Shimazaki
BACKGROUND: Reports on keratoplasty by residents are rare compared to those on cataract surgery. The aim of this study was to compare the results and surgery time of penetrating keratoplasty performed by residents and an experienced cornea surgeon. METHODS: The medical records and surgery videos of the first 5 penetrating keratoplasty procedures by 4 residents were reviewed and compared with those in 20 penetrating keratoplasty procedures by an experienced cornea surgeon...
October 4, 2016: Journal of Surgical Education
Henry Hoffmann, Daniel Oertli, Robert Mechera, Salome Dell-Kuster, Rachel Rosenthal, Richard Reznick, Hugh MacDonald
OBJECTIVE: Quality of surgical training in the era of resident duty-hour restrictions (RDHR) is part of an ongoing debate. Most training elements are provided during surgical service. As exposure to surgical procedures is important but time-consuming, RDHR may affect quality of surgical training. Providing structured training elements may help to compensate for this shortcoming. DESIGN: This binational anonymous questionnaire-based study evaluates frequency, time, and structure of surgical training programs at 2 typical academic teaching hospitals with different RDHR...
September 30, 2016: Journal of Surgical Education
Moayad A Al Zamil, Mostafa A Arafa
OBJECTIVE: To investigate the level of knowledge and awareness of the cost of the currently used blood investigations, imaging studies, admission cost, and surgical instrument among surgeons in Saudi Arabia. DESIGN: It was a cross-section study conducted in Riyadh city, the capital of Saudi Arabia. SETTING: Multihealth centers including main University hospital, Military hospitals, and Ministry of health hospitals. All surgeons in the health facilities were invited to participate in the study...
September 27, 2016: Journal of Surgical Education
Kathryn L Butler, David A Hirsh, Emil R Petrusa, D Dante Yeh, Dana Stearns, David E Sloane, Jeffrey A Linder, Gaurab Basu, Lisa A Thompson, Marc A de Moya
OBJECTIVE: Optimal methods for medical student assessment in surgery remain elusive. Faculty- and housestaff-written evaluations constitute the chief means of student assessment in medical education. However, numerous studies show that this approach has poor specificity and a high degree of subjectivity. We hypothesized that an objective structured clinical examination (OSCE) in the surgery clerkship would provide additional data on student performance that would confirm or augment other measures of assessment...
September 27, 2016: Journal of Surgical Education
Jason Silvestre, Christopher Runyan, Jesse A Taylor
OBJECTIVE: In North America, the number of craniofacial surgery fellowship graduates is increasing, yet an analysis of practice settings upon graduation is lacking. We characterize the practice types of recent graduates of craniofacial fellowship programs in the United States and Canada. DESIGN: A 6-year cohort of craniofacial fellows in the United States and Canada (2010-2016) were obtained from craniofacial programs recognized by the American Society of Craniofacial Surgery...
September 26, 2016: Journal of Surgical Education
Aussama Nassar, Angela Coates, Faiz Tuma, Forough Farrokhyar, Susan Reid
OBJECTIVES: To develop a novel assessment tool for trainees-led trauma resuscitation. Assess psychometric properties of the proposed tool. Evaluate feasibility and utility of the tool. INTRODUCTION: Trauma resuscitation is a structured and complex process involving unique sets of skills. There is currently no published structured formative evaluation tool for trauma trainees. Therefore, many trauma trainees rely upon limited, unstructured feedback on their performance...
September 26, 2016: Journal of Surgical Education
Jay N Nathwani, Rebekah M Fiers, Rebecca D Ray, Anna K Witt, Katherine E Law, ShannonM DiMarco, Carla M Pugh
OBJECTIVE: The purpose of this study is to coevaluate resident technical errors and decision-making capabilities during placement of a subclavian central venous catheter (CVC). We hypothesize that there would be significant correlations between scenario-based decision-making skills and technical proficiency in central line insertion. We also predict residents would face problems in anticipating common difficulties and generating solutions associated with line placement. DESIGN: Participants were asked to insert a subclavian central line on a simulator...
September 23, 2016: Journal of Surgical Education
Jason W Kempenich, Ross E Willis, Robert J Blue, Mohammed J Al Fayyadh, Robert M Cromer, Paul J Schenarts, Kent R Van Sickle, Daniel L Dent
OBJECTIVE: To decipher if patient attitudes toward resident participation in their surgical care can be improved with patient education regarding resident roles, education, and responsibilities. DESIGN: An anonymous questionnaire was created and distributed in outpatient surgery clinics that had residents involved with patient care. In total, 3 groups of patients were surveyed, a control group and 2 intervention groups. Each intervention group was given an informational pamphlet explaining the role, education, and responsibilities of residents...
September 20, 2016: Journal of Surgical Education
Abbey L Fingeret, Tracey Arnell, John McNelis, Mindy Statter, Lisa Dresner, Warren Widmann
OBJECTIVE: We sought to determine whether sequential participation in a multi-institutional mock oral examination affected the likelihood of passing the American Board of Surgery Certifying Examination (ABSCE) in first attempt. DESIGN: Residents from 3 academic medical centers were able to participate in a regional mock oral examination in the fall and spring of their fourth and fifth postgraduate year from 2011 to 2014. Candidate׳s highest composite score of all mock orals attempts was classified as risk for failure, intermediate, or likely to pass...
September 20, 2016: Journal of Surgical Education
Sagar S Shah, Francisco B Sapigao, Maria B J Chun
OBJECTIVE: Cultural competency(CC) in surgical residency curricula is not the novel idea it was fourteen years ago when the ACGME challenged program directors to teach and assess six core competencies. CC is recognized as a component of "patient care", "professionalism", and "interpersonal and communication skills." The results of five programs (2004-2012) with CC curricula were identified in a 2013 paper by Ly and Chun. The primary objective of this paper is to provide the current status of CC curricula in general surgery residency programs...
September 20, 2016: Journal of Surgical Education
Jonathan C Barnwell, Jason J Halvorson, Robert D Teasdall, Eben A Carroll
OBJECTIVE: To evaluate orthopedic resident perceptions of a didactic curriculum presented in traditional and case-based formats. DESIGN: Prospective cohort study using anonymous web-based survey after each conference evaluating resident perceptions of faculty participation, didactic delivery, content, and overall conference value. Conferences were structured as primarily case-based or traditional lecture. Logistic analysis was performed to determine factors predictive of rating a conference as valuable time spent...
September 20, 2016: Journal of Surgical Education
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