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Journal of Surgical Education

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https://www.readbyqxmd.com/read/28483440/have-we-come-as-far-as-we-had-hoped-discrimination-in-the-residency-interview
#1
Kara Hessel, Peter DiPasco, Lyndsey Kilgore, Casey Shelley, Alvin Perry, Jamie Wagner
OBJECTIVE: The primary objective was to use a pilot survey of fourth-year medical students at our institution to determine if female residency applicants were asked potentially illegal questions regarding family status and childbearing more frequently than male applicants. Secondary objectives included comparing the use of potentially illegal questions in surgical versus nonsurgical specialties and between community and academic residency programs. DESIGN: A 20-item questionnaire was distributed to all fourth-year medical students at the University of Kansas School of Medicine...
May 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28479071/effectiveness-of-a-1-hour-extended-focused-assessment-with-sonography-in-trauma-session-in-the-medical-student-surgery-clerkship
#2
Cassandra Krause, Reed Krause, Raymond Krause, Nephtali Gomez, Zan Jafry, Vi Am Dinh
OBJECTIVE: To demonstrate the effectiveness of incorporating 1 hour of ultrasound training on the extended focused assessment with sonography in trauma (eFAST) into the year-3 medical student surgical clerkship. DESIGN: A prospective cohort study where participants served as self-controls. One hour of instruction in the eFAST examination, along with 3 required observed examinations, was incorporated into the year-3 surgery clerkship. Effectiveness of the training was evaluated by a preliminary and posttraining assessment...
May 4, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28457876/comparative-analysis-of-simulated-versus-live-patient-based-fast-focused-assessment-with-sonography-for-trauma-training
#3
Yen-Yi Juo, Chi Quach, Jonathan Hiatt, O Joe Hines, Areti Tillou, Sigrid Burruss
OBJECTIVE: To investigate whether simulated patient (SP)-based training has comparable efficacy as live patient (LP)-based training in teaching Focused Abdominal Sonography for Trauma (FAST) knowledge and skill competencies to surgical residents. DESIGN: A randomized pretest/intervention/posttest controlled study design was employed to compare the participants' performance in written and practical examinations regarding FAST examination after SP-based versus LP-based training...
April 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28457875/perceived-value-of-a-program-to-promote-surgical-resident-well-being
#4
Arghavan Salles, Cara A Liebert, Micaela Esquivel, Ralph S Greco, Rebecca Henry, Claudia Mueller
OBJECTIVE: The demands of surgical residency are intense and threaten not only trainees' physical wellness, but also risk depression, burnout, and suicide. Our residency program implemented a multifaceted Balance in Life program that is designed to improve residents' well-being. The purpose of this study was to evaluate the program utilization and perceived value by residents. DESIGN, SETTING, PARTICIPANTS: Residents (n = 56, 76% response rate) were invited to participate in a voluntary survey from December 2013 to February 2014 regarding utilization, barriers to use, and perceived value of 6 program components (refrigerator, After Hours Guide, psychological counseling sessions, Resident Mentorship Program, Class Representative System, and social events)...
April 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28454688/loma-linda-global-surgery-elective-first-1000-cases
#5
Dustin K Donley, Cassandra K Graybill, Arega Fekadu, Ryan A Hayton
OBJECTIVE: To determine the nature and volume of surgical cases being performed by US general surgery residents during a global surgery elective. DESIGN: Retrospective review of case logs from 2012 to 2016. SETTING: Malamulo Mission Hospital is a rural hospital in southern Malawi. PARTICIPANTS: Rotating residents from a US-based general surgery residency program. RESULTS: Residents performed 12 cases per week from a variety of surgical disciplines...
April 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28462814/from-dv-trainer-to-real-robotic-console-the-limitations-of-robotic-skill-training
#6
Kun Yang, Hang Zhen, Nicolas Hubert, Manuela Perez, Xing Huan Wang, Jacques Hubert
OBJECTIVES: To investigate operators' performance quality, mental stress, and ergonomic habits through a training curriculum on robotic simulators. DESIGN: Forty volunteers without robotic surgery experience were recruited to practice 2 exercises on a dV-Trainer (dVT) for 14 hours. The simulator software (M-score(a)) provided an automatic evaluation of the overall score for the surgeons' performance. Each participant provided a subjective difficulty score (validity to be proven) for each exercise...
April 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28434885/early-performance-on-an-eye-surgery-simulator-predicts-subsequent-resident-surgical-performance
#7
Ramak Roohipoor, Mehdi Yaseri, Amir Teymourpour, Carolyn Kloek, John B Miller, John I Loewenstein
OBJECTIVE: To examine early performance on an eye surgery simulator and its relationship to subsequent live surgical performance in a single large residency program. DESIGN: Retrospective study. SETTING: Massachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology. METHODS: In a retrospective study, we compared performance of 30 first-year ophthalmology residents on an eye surgery simulator to their surgical skills as third-year residents...
April 20, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28427944/creating-a-global-acute-care-surgery-fellowship-to-meet-international-need
#8
Amina I Merchant, Camila B Walters, Julie Valenzuela, Kelly A McQueen, Addison K May
INTRODUCTION: Existing Acute Care Surgery (ACS) fellowships are positioned to develop well-trained surgeons with specific skills to facilitate improvements in care delivery in Global ACS. Many resident and fellowship programs offer clinical electives that expose trainees to operative experiences, exposing trainees to the needs in resource-challenged settings. However, most lack a focus on long-term development and research designed to enhance the country's local skills, capability, and capacity...
April 17, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28412270/how-surgeons-conceptualize-talent-a-qualitative-study-using-sport-science-as-a-lens
#9
Rune Dall Jensen, Mette Krogh Christensen, Kori A LaDonna, Mikkel Seyer-Hansen, Sayra Cristancho
OBJECTIVES: Debates prevail regarding the definition of surgical talent, and how individuals with the potential to become talented surgeons can be identified and developed. However, over the past 30 years, talent has been studied extensively in other domains. The objectives of this study is to explore notions of talent in surgery and sport in order to investigate if the field of surgical education can benefit from expanding its view on talented performances. Therefore, this study aims to use the sport literature as a lens when exploring how surgeons conceptualize and define talent...
April 12, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28408309/evaluation-of-feedback-systems-for-the-third-year-surgical-clerkship
#10
E G Carey, C Wu, E S Hur, S J Hasday, N P Rosculet, M T Kemp, S Weir, S Ryszawa, G Sandhu, D T Hughes, Rishindra M Reddy
OBJECTIVE: To compare faculty-to-student feedback rates from 2 different data sets: direct observation cards (direct evidence) and end-of-clerkship questionnaires (ECQs, secondary student reporting). We as authors hypothesized that direct evidence from observation cards would yield higher rates of feedback, compared with student-reported ECQs. DESIGN: Data were gathered from 2 consecutive medical classes of the third-year surgical clerkship. Data were analyzed retrospectively...
April 10, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28392267/what-is-known-about-the-attributes-of-a-successful-surgical-trainer-a-systematic-review
#11
Ben Dean, Luke Jones, Patrick Garfjeld Roberts, Jonathan Rees
BACKGROUND: Surgical training has been subject to significant upheaval in recent years with an increasingly rigorous assessment regimen for trainees. The assessment of surgical trainers is less well evolved by comparison. Recent proposals from the Royal College of Surgeons of England recommend "professionalising the trainers." However, they do not suggest any accepted or validated methods of trainer assessment, nor do they indicate how these might be implemented and monitored in a real-world training program to determine their effect on trainee outcomes...
April 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28385488/what-are-the-training-gaps-for-acquiring-laparoscopic-suturing-skills
#12
Ghada Enani, Yusuke Watanabe, Katherine M McKendy, Elif Bilgic, Liane S Feldman, Gerald M Fried, Melina C Vassiliou
INTRODUCTION: Advanced laparoscopic suturing is considered a challenging skill to acquire. The aim of this study was to investigate the learning process for advanced laparoscopic suturing in the operating room to understand the obstacles trainees face when trying to master the skill. METHODS: A qualitative methodology using semistructured interviews and field observations was used. Data were analyzed using a Grounded Theory approach. Participants were general surgery residents and surgeons with advanced minimally invasive surgery (MIS) experience...
April 3, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28373078/objective-measurement-of-clinical-competency-in-surgical-education-using-electrodermal-activity
#13
Jacob A Quick, Alex D Bukoski, Jennifer Doty, Bethany J Bennett, Megan Crane, Stephen L Barnes
OBJECTIVE: Within the realm of surgical education, there is a need for objective means to determine surgical competence and resident readiness to operate independently. We propose a novel, objective method of assessing resident confidence and clinical competence based on measurement of electrodermal activity (EDA) during live surgical procedures. We hypothesized that with progressive training, EDA responses to the stress of performing surgery would exhibit decline, elucidating an objective correlate of clinical competence...
March 31, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28363676/variable-operative-experience-in-hand-surgery-for-plastic-surgery-residents
#14
Jason Silvestre, Ines C Lin, Lawrence Scott Levin, Benjamin Chang
BACKGROUND: Efforts to standardize hand surgery training during plastic surgery residency remain challenging. We analyze the variability of operative hand experience at U.S. plastic surgery residency programs. METHODS: Operative case logs of chief residents in accredited U.S. plastic surgery residency programs were analyzed (2011-2015). Trends in fold differences of hand surgery case volume between the 10th and 90th percentiles of residents were assessed graphically...
March 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28363675/effect-of-ongoing-assessment-of-resident-operative-autonomy-on-the-operating-room-environment
#15
Jonathan P Fryer, Ezra N Teitelbaum, Brian C George, Mary C Schuller, Shari L Meyerson, Christina M Theodorou, Joseph Kang, Amy Yang, Lihui Zhao, Debra A DaRosa
OBJECTIVE: We have previously demonstrated the feasibility and validity of a smartphone-based system called Procedural Autonomy and Supervision System (PASS), which uses the Zwisch autonomy scale to facilitate assessment of the operative performances of surgical residents and promote progressive autonomy. To determine whether the use of PASS in a general surgery residency program is associated with any negative consequences, we tested the null hypothesis that PASS implementation at our institution would not negatively affect resident or faculty satisfaction in the operating room (OR) nor increase mean OR times for cases performed together by residents and faculty...
March 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28363674/assessment-of-female-medical-students-interest-in-careers-in-cardiothoracic-surgery
#16
Darci C Foote, James M Meza, Vikram Sood, Rishindra M Reddy
OBJECTIVE: Although over half of medical students are females, women comprise only 21% of cardiothoracic (CT) surgery residency applicants and 5% of the CT workforce. We sought to gain insight into female medical students' perceptions of CT surgery and identify targets to increase interest. DESIGN: A 33-question survey queried career selection factors, perceptions of CT surgery, and ways to increase interest in the field. Responses were stratified by sex and preclinical versus clinical years...
March 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28359680/assessment-of-youtube-content-for-distal-radius-fracture-immobilization
#17
Abdullah Addar, Yousef Marwan, Nizar Algarni, Gregory Berry
OBJECTIVE: Distal radius fractures (DRFs) are the most common orthopedic fractures, with >70% of cases treated by closed immobilization using a short arm cast or a sugar tong splint. However, inadequate immobilization is a risk factor for loss of reduction requiring repeat reduction or surgical treatment. Therefore, education of clinical skills for appropriate immobilization of DRFs is important. With the increasing use of web-based information by medical learners, our aim was to assess the quality and quantity of videos regarding closed immobilization of DRFs on YouTube...
March 27, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28347663/prospective-trial-of-house-staff-time-to-response-and-intervention-in-a-surgical-intensive-care-unit-pager-vs-smartphone
#18
James M Tatum, Terris White, Christopher Kang, Eric J Ley, Nicolas Melo, Matthew Bloom, Rodrigo F Alban
OBJECTIVE: The objective of the study was to characterize house staff time to response and intervention when notified of a patient care issue by pager vs. smartphone. We hypothesized that smartphones would reduce house staff time to response and intervention. DESIGN: Prospective study of all electronic communications was conducted between nurses and house staff between September 2015 and October 2015. The 4-week study period was randomly divided into two 2-week study periods where all electronic communications between intensive care unit nurses and intensive care unit house staff were exclusively by smartphone or by pager, respectively...
March 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28347662/an-assessment-of-the-frequency-of-palliative-procedures-in-thoracic-surgery
#19
Richard K Freeman, Gabriel Arevalo, Anthony J Ascioti, Megan Dake, Raja S Mahidhara
OBJECTIVES: Palliative care is a medical specialty focused on improving the quality of life of patients and their families with life threatening illness by preventing or relieving suffering. An assessment of a thoracic surgery service was performed to identify the scope and frequency of care that was considered palliative and any implications the findings might have on the current thoracic surgery residency curriculum. METHODS: A retrospective review of a prospectively collected database of general thoracic surgery procedures performed over a 5-year period at a single institution was performed...
March 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28343953/development-and-validation-of-a-novel-and-cost-effective-animal-tissue-model-for-training-transurethral-resection-of-the-prostate
#20
Sichuan Hou, Gillian Ross, Iain Tait, Paul Halliday, Benjie Tang
OBJECTIVES: To develop and validate a new and cost-effective animal tissue training model for practicing resection skills of transurethral resection of the prostate (TURP). METHODS AND MATERIALS: A porcine kidney was prepared and restructured to simulate the relevant anatomy of the human prostate. The restructured prostate was connected to an artificial urethra and bladder. Face, content, and construct validity of the model was carried out using a 5-point Likert scale questionnaire, and comparison in task performance between participants and experts was made using observational clinical human reliability analysis...
March 23, 2017: Journal of Surgical Education
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