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Journal of Surgical Education

Samantha L Ahle, James M Healy, Kevin Y Pei
OBJECTIVE: Medical students' abilities to predict postoperative complications and death are unknown. We hypothesize that medical students will lack confidence in determining surgical risk and will significantly overestimate surgical risk for post-operative morbidities and mortality. DESIGN: Participants were invited to participate in an electronic, anonymous survey to assess their ability to predict surgical risk. The survey presented 7 complex clinical scenarios representative of a diverse general surgery practice...
August 9, 2018: Journal of Surgical Education
Shanley B Deal, Mackenzie R Cook, Dorothy Hughes, Michael Sarap, Tyler G Hughes, Karen Brasel, Adnan A Alseidi
OBJECTIVE: The current shortage of surgeons in rural and smaller communities is predicted to get worse. In this study, we solicited practicing rural surgeons' opinions about the skill set needed in a rural practice in order to inform curriculum development for general surgery residents who intend to embark on rural careers. DESIGN: We developed an online survey consisting of demographic questions and closed- and open-ended questions regarding current practice environment and scope of practice...
August 9, 2018: Journal of Surgical Education
M M Mrdutt, R A Weber, L M Burke, J S Thomas, H T Papaconstantinou, C T Cable
OBJECTIVE: To quantify the replacement cost of patient care provided by surgical residents and build a Graduate Medical Education (GME) value analysis model. DESIGN: Our Graduate Medical Education Executive Steering Committee designed a resident replacement cost model, based on patient care hours (adjusted for educational activities and a clinical efficiency factor, differential cost of faculty supervision for residents vs. APPs, and current program financials (revenue minus expenses)...
August 9, 2018: Journal of Surgical Education
Jason Yuen, Samiul Muquit, Peter C Whitfield
OBJECTIVES: As open-access journals have become increasingly common, it has provided more options for researchers to publish their work and improved access of information to the public. However, some open-access journals charge the authors processing fee on submission. In certain cases, this can be rather expensive. This study is the first study to specifically assess the cost of publishing in exclusively open-access, peer-reviewed surgical journals, and their correlation with journal impact, in the form of 6 bibliometrics...
August 9, 2018: Journal of Surgical Education
Brendon M Esquibel, Colette T O'Heron, Elizabeth J Arnold, Kara J Kallies, Benjamin T Jarman
OBJECTIVE: International experiences are an increasingly emphasized feature of general surgery residency programs. In 2008, an international elective (IE) was implemented for general surgery residents at our institution. This effort was augmented by the establishment of a pathway for formal approval of IEs by the American Board of Surgery and Accreditation Council for Graduate Medical Education in 2012. DESIGN: A retrospective review of Accreditation Council for Graduate Medical Education case logs was completed...
August 9, 2018: Journal of Surgical Education
Andrew R Hutchins, Roberto J Manson, Reginald Lerebours, Alfredo E Farjat, Morgan L Cox, Brian P Mann, Sabino Zani
OBJECTIVE: The purpose of this research is to study the early stages of the Senhance learning curve to report how force feedback impacts learning rate. This serves as an exploratory investigation into assumptions that fellows and faculty will adjust faster to the Senhance in comparison with residents, and that force feedback will not hinder skill acquisition. DESIGN: In this study, participants completed the peg transfer and precision cutting task from the Fundamentals of Laparoscopic Surgery (FLS) manual skills assessment five times each using the Senhance while instrument motion was tracked...
August 8, 2018: Journal of Surgical Education
John Synovec, Leah Plumblee, William Barfield, Harris Slone
OBJECTIVE: Previously published studies have evaluated Orthopedic In-Training Examination sports medicine questions, but none have evaluated whether question difficulty has changed over time. DESIGN: Sports medicine subsection questions between 2012 and 2016 were evaluated and compared with previously published data on Orthopedic In-Training Examination from 2004 to 2009. Question categories were classified into 1 of 3 taxonomy levels-basic recall, diagnosis, and advanced problem solving...
August 8, 2018: Journal of Surgical Education
Jennifer Steiman, Sarah A Sullivan, John Scarborough, Lee Wilke, Carla Pugh, Richard H Bell, K Craig Kent
OBJECTIVE: To assess competency in surgical residents with bundled assessments using a surgical entrustable professional activity (SEPA) framework. DESIGN: A pilot study was conducted using a combination of validated assessment tools (multiple choice exam (MCE) questions from the Surgical Council on Resident Education [SCORE], the Clinical Assessment and Management Examination - Outpatient (CAMEO) form, the Virtual Surgical Patient (VSP) website, and a procedure-specific Operative Performance Rating System [OPRS]) to determine competency in surgical residents in the treatment of breast cancer and gallbladder disease, respectively...
August 7, 2018: Journal of Surgical Education
Mohammad Raheel Jajja, Marvi Tariq, Salila Shoaib Hashmi, Thomas F Dodson, Rashida Ahmed
OBJECTIVE: International Medical Graduates (IMGs) secured greater than 10% of all general surgery (GS) residency positions in the US during the past decade. The Match process remains competitive, with a significant number of IMGs performing dedicated research before residency application. The impact of such research remains largely unknown. We aimed to provide an objective analysis of the impact of dedicated research time on obtaining a categorical GS residency position. DESIGN: Data for National Resident Matching Program Match results from 2008-2017 was compiled from annual Match lists of the Aga Khan University, Medical College (Karachi, Pakistan)...
August 7, 2018: Journal of Surgical Education
Stephen B Shapiro, Kara J Kallies, Andrew J Borgert, Colette T O'Heron, Benjamin T Jarman
OBJECTIVE: Letters of recommendation (LOR) describe applicants being considered for Surgery Residencies. Although objective measures have been studied, the descriptive language of LOR and changes over time has yet to be evaluated. The objective of this study was to evaluate the descriptions of autonomy, teamwork, and ACGME core competencies in the LOR of applicants over time. DESIGN: After IRB approval, LOR of residents who matriculated into our Surgery Residency were evaluated...
August 7, 2018: Journal of Surgical Education
Sean T Campbell, John P Kleimeyer, Jeffrey L Young, Michael J Gardner, Kirkham B Wood, Julius A Bishop
OBJECTIVE: We asked the following questions: 1. Does the use of an structured review instrument (SRI) at journal club increase presentation quality, as measured objectively by a standardized evaluation rubric? 2. Does SRI use increase the time required to prepare for journal club? 3. Does SRI use positively impact presenter perceptions about confidence while presenting, satisfaction, and journal club effectiveness, as measured by postparticipation surveys? DESIGN: A prospective study was designed in which a grading rubric was developed to evaluate journal club presentations...
August 7, 2018: Journal of Surgical Education
Renata R Urban, Amin A Ramzan, David W Doo, Henry L Galan, Lorie Harper, Kenan Omurtag, Tyler M Muffly, Jeanelle Sheeder, Saketh R Guntupalli
OBJECTIVE: To evaluate the perceptions of current and former fellows in obstetrics and gynecology (OBG) subspecialties of their readiness for fellowship training. METHODS: A previously used survey was modified and distributed in 2016 to current and former fellows in gynecologic oncology, maternal-fetal medicine, reproductive endocrinology-infertility, and female pelvic medicine and reconstructive surgery. The survey explored domains of professionalism, independent practice, psychomotor ability, clinical evaluation, and scholarship...
August 7, 2018: Journal of Surgical Education
Ryan Thompson, Sarah Sullivan, Krystle Campbell, Ingie Osman, Brianna Statz, Hee Soo Jung
PURPOSE: Timely debriefing following a simulated event supports learners in critically reflecting on their performance and areas for improvement. Content of debriefing has been shown to affect learner skill acquisition and retention. The use of good judgment statements from debriefing facilitators is considered superior to judgmental or nonjudgmental statements. Ideally, the majority of the conversation will consist of learner self-reflection and focused facilitation rather than directive performance feedback...
August 6, 2018: Journal of Surgical Education
Jennifer C Fuller, Natalie S Justicz, Jennifer Kim, Mack Cheney, Rodrigo Castrillon, Tessa Hadlock
OBJECTIVE: To introduce 3 novel intensive facial plastic and reconstructive surgery teaching modules for surgical capacity building using simulation in a low-middle income country. DESIGN: Prospective cohort study. SETTING: University-based medical center in Quito, Ecuador. PARTICIPANTS: First- and second-year otolaryngology residents in Quito, Ecuador. RESULTS: Residents participated in an intensive 3-day teaching program focused on microtia, nasoseptal abnormalities, and facial paralysis that included didactic lectures, simulation workshops, and live surgery...
August 6, 2018: Journal of Surgical Education
Jennifer Rickard, Faustin Ntirenganya, Georges Ntakiyiruta, Kathryn Chu
INTRODUCTION: Safe and affordable surgical care has been recognized as an important component of global health. One of the challenges in providing safe and affordable surgical care is the shortage of trained surgical workforce. Partnerships have developed between institutions in high-income countries (HICs) and low- and middle-income countries (LMICs) to strengthen and expand surgical education in LMICs. As these relationships evolve, emphasis needs to focus on development of equitable, bilateral partnerships...
August 6, 2018: Journal of Surgical Education
Daniel Berman, Zachary Braig, Brian Simms, Taylor Anderson, Kristen Dougherty, Katrina Marcinkowski, Rachel Seaman
BACKGROUND: Journal clubs exist in a variety of forms in medical schools across the United States. Many incorporate a full spectrum of medical specialties, some are specific to certain interest groups or specialties, and many widely vary in whether or not they are school mandated or student-run. While these clubs are ubiquitously scattered throughout medical education, there has been very little quantitative or qualitative analysis regarding the efficacy of these clubs in enhancing medical students' abilities to evaluate clinical literature...
August 6, 2018: Journal of Surgical Education
Elizabeth J Elsey, Joe West, Gareth Griffiths, David J Humes
OBJECTIVE: General surgery specialty training in the United Kingdom takes 6 years and allows trainees to take time out of training. Studies from the United States have highlighted an increasing trend for taking time out of surgical training for research. This study aimed to evaluate trends in time out of training and the impact on the duration of UK general surgical specialty training. DESIGN, SETTING, AND PARTICIPANTS: A cohort study using routinely collected surgical training data from the Intercollegiate Surgical Curriculum Program database for General surgery trainees registered from August 1, 2007...
August 6, 2018: Journal of Surgical Education
Yazan Aljamal, Humza Saleem, Nicholas Prabhakar, David R Farley
No abstract text is available yet for this article.
August 6, 2018: Journal of Surgical Education
Anna B Newcomb, Chang Liu, Amber W Trickey, Elena Lita, Jonathan Dort
OBJECTIVE: We aimed to assess surgical residents' communication confidence and skills, analyze resident feedback on our ongoing communication curriculum, and report feedback-driven updates. DESIGN: Surgical residents care for patients in the clinic and hospital and participate in a communication curriculum. We measure patient perception of resident communication using the Communication Assessment Tool (CAT). We assess resident skills confidence and collect curriculum feedback after each quarterly session...
August 6, 2018: Journal of Surgical Education
Nomi C Levy-Carrick, Justin C McCarty, Muhammad Ali Chaudhary, Edward J Caterson, Adil H Haider, Andrew J Eyre, Pamela B Mahon, Eric Goralnick
OBJECTIVE: Given rising rates of physician burnout, the potential for clinical skills training programs to develop and reinforce resilience-associated traits in medical students warrants investigation. The primary objective of this study was to examine the impact of a hemorrhage control training program on resilience-associated traits (role-clarity, self-efficacy, and empowerment) in medical students. A secondary objective was to examine the differential impact of additional hands-on skills training...
August 4, 2018: Journal of Surgical Education
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