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Journal of Surgical Education

Ali Bakhsh, Guy F J Martin, Colin D Bicknell, Chris Pettengell, Celia Riga
OBJECTIVE: To measure the physiological stress response associated with high-fidelity endovascular team simulation. DESIGN: This is a prospective cohort study. SETTING: This study was performed at St Mary's Hospital (Imperial College London, London, UK), in a tertiary setting. PARTICIPANTS: Thirty-five participants (10 vascular surgical residents, 4 surgical interns, 12 theatre nurses, 2 attending vascular surgeons, 6 medical students and 1 technician) were recruited from the Imperial Vascular Unit at St Mary's Hospital, Imperial College London by direct approach...
December 6, 2018: Journal of Surgical Education
Yvonne Ying, Christine Seabrook
OBJECTIVE: Being a strong health advocate is recognized as being an important part of being a good surgeon. Residency training programs have struggled with teaching health advocacy beyond didactic sessions, and in a way that encourages trainees to incorporate changes into their practice. This curriculum development aimed to incorporate reflective practice to encourage patient compassion and advocacy. DESIGN: Community service was incorporated as a mandatory component of a postgraduate surgical training program...
November 29, 2018: Journal of Surgical Education
Adam N Paine, Bradley L Krompf, Turner M Osler, James C Hebert
INTRODUCTION: Surgical care contributes significantly to the fiscal challenges facing the US health care system. Multiple studies have demonstrated surgeons' lack of awareness of the costs associated with individual portions of surgical care, namely operating room supplies. We sought to assess surgeon and trainee awareness of the comprehensive charges and reimbursements associated with procedures they perform. METHODS: We administered a voluntary anonymous survey to attending surgeons, general surgery residents, and fourth-year medical students who applied to general surgery residencies...
November 25, 2018: Journal of Surgical Education
Mackenzie C Lees, Bin Zheng, Lia M Daniels, Jonathan S White
OBJECTIVE: The objective of this study was to explore and better characterize the factors affecting confidence during surgical training. DESIGN: This was a qualitative research study in which we conducted semistructured interviews with surgical residents to explore factors affecting their confidence. SETTING: This study was conducted at the University of Alberta Hospital, a tertiary care center located in Edmonton, Alberta, Canada. PARTICIPANTS: Residents from the University of Alberta General Surgery residency program were invited to participate from each postgraduate year (PGY) 2, 3, and 4 for a total of 7 participants (3 PGY-2, 3 PGY-3, and 1 PGY-4; 3 male, and 4 female)...
November 23, 2018: Journal of Surgical Education
David A Cook, Becca L Gas, David R Farley, Matthew Lineberry, Nimesh D Naik, Francisco J Cardenas Lara, Anthony R Artino
OBJECTIVES: An incremental (growth) theory of intelligence (mindset), compared with an entity (fixed) mindset, has been associated with improved motivation and performance. Interventions to induce incremental beliefs have improved performance on non-surgical motor tasks. We sought to evaluate the impact of 2 brief interventions to induce incremental beliefs in the context of learning a surgical task. DESIGN: Two randomized experiments. PARTICIPANTS AND SETTING: Secondary school students participating in medical simulation-based training activities at an academic medical center...
November 22, 2018: Journal of Surgical Education
MaryJoe K Rice, Mazen S Zenati, Stephanie M Novak, Amr I Al Abbas, Amer H Zureikat, Herbert J Zeh, Melissa E Hogg
OBJECTIVE: Providing feedback to surgical trainees is a critical component for assessment of technical skills, yet remains costly and time consuming. We hypothesize that statistical selection can identify a homogenous group of nonexpert crowdworkers capable of accurately grading inanimate surgical video. DESIGN: Applicants auditioned by grading 9 training videos using the Objective Structured Assessment of Technical Skills (OSATS) tool and an error-based checklist...
November 21, 2018: Journal of Surgical Education
M J Hajjar-Nejad, Natalia Kubicki, David Morales, Stephen M Kavic
BACKGROUND: Quality improvement (QI) activities are an integral part of residency training. We started the process to implement team-based, multilevel QI project streams within our academic surgical residency by studying resident perceptions. OBJECTIVE: Our residency carried out 6 QI projects in line with the American Council for Graduate Medical Education competencies. A resident survey was completed in 2016 to measure resident perceptions of an individual versus team-based QI project approach...
November 21, 2018: Journal of Surgical Education
Maj Andrew Hall, Darrin Speegle, Cdr Jacob Glaser
OBJECTIVE: The main objective of this paper is to create a model to predict the amount of trauma experience at a level 1 trauma center a visiting surgeon can expect to obtain with near certainty, in a specific amount of time, to maintain trauma skills. DESIGN: The trauma database of level 1 trauma center (Saint Louis University Hospital, a military civilian partnership site) was examined to identify all urgent trauma cases between 1 October 2015 and 30 September 2017...
November 21, 2018: Journal of Surgical Education
Sarah B Placek, Brenton R Franklin, E Matthew Ritter
OBJECTIVE: Higher emotional Intelligence (EI) is linked to improved doctor-patient relationships, empathy, teamwork, communication skills, stress management, and leadership in medicine. This study analyzes the effects of age, postgraduate year (PGY), gender, and prior military experience on EI in military general surgery residents, and compares these to the general population and civilian surgery residents. DESIGN: This is a retrospective, observational study. Results were analyzed using independent sample t test and linear regression to compare general surgery residents with the normative population and civilian general surgery residents...
November 19, 2018: Journal of Surgical Education
Rachel R Kelz, Morgan M Sellers, Ryan Merkow, Rajesh Aggarwal, Clifford Y Ko
OBJECTIVE: There is growing awareness of the need to provide surgical residents with training in quality and safety. Previous studies have revealed a need for a formal curriculum, but the content and structure of such a curriculum has not been defined. Our objective was to develop a surgery resident curriculum using a consensus, team-building approach. DESIGN: This study consisted of moderated, structured focus groups using a nominal group technique to guide discussion...
November 19, 2018: Journal of Surgical Education
Natalie Justicz, Joseph R Dusseldorp, Jennifer C Fuller, Myriam Leandre, Patrick Marc Jean-Gilles, Jennifer Kim, Tessa Hadlock, Mack Cheney
OBJECTIVES: (1) To describe electronic communication between global surgeons and trainees in a low-middle income country (LMIC) and to gauge appeal of the WhatsApp platform (2) To introduce a novel intensive ear reconstruction teaching module for surgical capacity building using simulation in a LMIC. DESIGN: Prospective cohort study. SETTING: University-based medical center in Haiti. PARTICIPANTS: Eleven otolaryngology trainees and faculty in Haiti...
November 19, 2018: Journal of Surgical Education
Erika Schmitz, Sonshire Figueira, Jacinthe Lampron
OBJECTIVE: Traumatic injury is the first cause of death for Canadians aged 1 to 44 years old. To reduce the global burden of injury, the need for healthcare professionals with injury prevention proficiency is growing. The aim of this study was to review the literature to identify and analyze current injury prevention curriculums amongst medical undergraduate and residency programs. DESIGN: A systematic literature review (no date restriction was used) was conducted using Embase, Medline, ERIC, and CINAHL...
November 19, 2018: Journal of Surgical Education
Gi Lim, Aimee K Gardner
BACKGROUND: Emotional intelligence (EQ) has been proposed to be a critical competency necessary for complex and interpersonal interactions for healthcare providers. OBJECTIVE: The goal of this study was to examine how EQ impacts surgical residents' ability to deliver bad news. METHOD: Residents participated in a patient death simulation, and instructed to disclose the news to the patient's sister. The encounter was recorded and graded according to a 10-point delivering bad news checklist (1%-100%)...
November 3, 2018: Journal of Surgical Education
Ari D Schuman, Curtis J Heisel, Kristian M Black, Niki Matusko, Catherine M Gilbert, Chrystina L James, Rishindra M Reddy
OBJECTIVE: Evaluate the relationship between medical school factors (including preclinical mentorship, order of clerkships, and clerkship grades) and matching into surgical specialties. DESIGN: Clerkship information, match data, and data on structured preclinical research obtained from 2010 to 2015 for a single institution was obtained and analyzed using multivariate analysis. SETTING: University of Michigan Medical School. PARTICIPANTS: Seven hundred and forty-six students who took both the Internal Medicine and Surgery clerkships between 2010 and 2015 and have since participated in the match...
November 3, 2018: Journal of Surgical Education
Michael P DeWane, Peter S Yoo
No abstract text is available yet for this article.
November 2, 2018: Journal of Surgical Education
Dara A O'Keeffe, Emmeline Nugent, Karen Neylon, Ronán M Conroy, Paul Neary, Eva M Doherty
OBJECTIVE: To investigate whether scores on a psychological measure of concentration and interpersonal characteristics, The Attentional and Interpersonal Style Inventory (TAIS), are associated with performance of surgical skills. DESIGN: Postgraduate surgical trainees completed an operative surgical skills assessment in the simulation laboratory and the psychological measure (TAIS). The surgical skills assessment consisted of 6 tasks (3 per trainee): laceration suturing; lipoma excision; incision and closure of a laparotomy wound; bowel anastomosis; saphenofemoral junction ligation and basic laparoscopic skills...
October 25, 2018: Journal of Surgical Education
John R Spratt, Melissa Brunsvold, David Joyce, Tom Nguyen, Mara Antonoff, Gabriel Loor
OBJECTIVE: We sought to examine the feasibility of a home practice curriculum of vascular anastomosis in cardiovascular surgery using a low-fidelity simulation platform and to examine its effectiveness in skill acquisition in senior surgical trainees. DESIGN: We organized a multicenter prospective randomized study of senior residents and fellows, who were oriented to a low-fidelity cardiac simulator and an 8-week curriculum of independent practice of aortic and coronary anastomosis...
October 23, 2018: Journal of Surgical Education
Aimee K Gardner, Douglas S Smink, Bradford G Scott, James R Korndorffer, David Harrington, E Matthew Ritter
INTRODUCTION: Rigorous selection processes are required to identify applicants who will be the best fit for training programs. This study provides a national snapshot of selection practices used within surgical residency programs and their associated financial costs. METHODS: A 17-item online survey was distributed to General Surgery Program Directors (PDs) via the Association of Program Directors in Surgery listserv. The survey examined program characteristics, applicant pool size, and interview day components of the prior match year...
October 23, 2018: Journal of Surgical Education
Julia T Saraidaridis, Thomas E Read, Peter W Marcello, David J Schoetz, Lawrence C Rusin, David A Kleiman, Nelya Melnitchouk, Patricia L Roberts, Elizabeth M Breen
OBJECTIVE: Colorectal surgery (CRS) training has seen many changes over the years. This study sought to identify aspects of CRS residency curriculum that were most valued by recent graduates and what changes could be made to improve training. DESIGN: Semistructured interviews were performed with board-certified colorectal surgeons 2 to 7 years removed from their CRS residency. Interview responses were qualitatively analyzed and converted to coded, categorizable data...
October 17, 2018: Journal of Surgical Education
Arthur Rawlings, Jennifer Doty, Amanda Frevert, Jacob Quick
PURPOSE: Nondesignated preliminary residents (N-DPRs) in General Surgery face difficult challenges of overcoming failure to match and quickly reentering the match again with little time to significantly improve their application. Programs with N-DPRs should take seriously their responsibility for helping these residents obtain a successful career path just as they do for their categorical residents. This study evaluates an intervention to improve the matching of N-DPRs into desired positions...
October 15, 2018: Journal of Surgical Education
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