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Journal of Surgical Education

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https://www.readbyqxmd.com/read/28291725/in-situ-operating-room-based-simulation-a-review
#1
Lily Owei, Christopher J Neylan, Raghavendra Rao, Robert C Caskey, Jon B Morris, Richard Sensenig, Ari D Brooks, Daniel T Dempsey, Noel N Williams, Joshua H Atkins, Dimitry Y Baranov, Kristoffel R Dumon
OBJECTIVE: To systematically review the literature surrounding operating room-based in situ training in surgery. METHODS: A systematic review was conducted of MEDLINE. The review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, and employed the Population, Intervention, Comparator, Outcome (PICO) structure to define inclusion/exclusion criteria. The Kirkpatrick model was used to further classify the outcome of in situ training when possible...
March 10, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28284655/improving-resident-performance-in-oculoplastic-surgery-a-new-curriculum-using-surgical-wet-laboratory-videos
#2
Kapil Mishra, Mariam Mathai, Robert C Della Rocca, Harsha S Reddy
OBJECTIVE: To develop a new oculoplastic curriculum that incorporates learning theory of skill acquisition. To develop and evaluate the effectiveness of instructional videos for an oculoplastic surgical wet laboratory. DESIGN: Proof of concept, randomized controlled trial. SETTING: New York Eye and Ear Infirmary of Mount Sinai-tertiary care academic institution. PARTICIPANTS AND METHODS: In total, 16 ophthalmology residents were randomly assigned to 1 of 2 groups and given either video and text or text instructions alone for the following 2 procedures: blepharoplasty and eyelid laceration repair...
March 8, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28284654/validation-of-a-web-based-curriculum-for-resident-education-in-orthopedic-surgery-j-surg-educ-2016-1060-65
#3
Barrett Boody, Patrick Johnston, Andrew Pugely, Daniel Miller, Jeffrey Geller, William Payne, James Boegener, Michael Schafer, Matthew Beal
No abstract text is available yet for this article.
March 8, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28283375/psychomotor-testing-for-orthopedic-residency-applicants-a-pilot-study
#4
Johnathan F Williams, Shawna L Watson, Dustin K Baker, Brent A Ponce, Gerald McGwin, Shawn R Gilbert, Joseph G Khoury
OBJECTIVE: The purpose of this study was to develop an objective motor skills testing system to aid in the evaluation of potential orthopedic residents. DESIGN: Participants attempted a battery of 5 motor skills tests (4 novel tests and the Grooved Pegboard [GPT] Test) in one 10-minute session. A percentile-based scoring system was created for each test based on raw scores. One-way analysis of variance was used to compare testing scores among 3 cohorts. Each novel test and overall scores were compared with GPT scores as a relative measure of validity...
March 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28259488/initial-comparison-of-resident-and-attending-milestones-evaluations-in-plastic-surgery
#5
Amy Yao, Benjamin B Massenburg, Lester Silver, Peter J Taub
BACKGROUND: Graduate medical education has recently undergone a major archetypal shift toward competency-based evaluations of residents' performance. The implementation of the Milestones program by the Accreditation Council for Graduate Medical Education (ACGME) is a core component of the shift, designed to ensure uniformity in measuring residency knowledge using a series of specialty-specific achievements. This study evaluates the correlation between residents' self-evaluations and program directors' assessments of their performance...
March 2, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28259487/factors-associated-with-publication-impact-at-shoulder-and-elbow-surgery-fellowships
#6
Seth R Cope, Emma B Holliday, Jeremy S Somerson
OBJECTIVE: Quantitative metrics for comparing fellowship programs are lacking in orthopedic surgery. The purpose of this work was to determine the publication citation frequency at shoulder and elbow fellowships in the United States and to identify factors associated with increased productivity. METHODS: American shoulder and elbow fellowship program faculty members in 2015 were identified. Research productivity metrics such as academic career duration, total publications, publications between 2010 and 2014 and total citations were recorded for each faculty member...
March 1, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28258939/improving-orthopedic-resident-knowledge-of-documentation-coding-and-medicare-fraud
#7
Matthew A Varacallo, Michael Wolf, Martin J Herman
BACKGROUND: Most residency programs still lack formal education and training on the basic clinical documentation and coding principles. Today's physicians are continuously being held to increasing standards for correct coding and documentation, yet little has changed in the residency training curricula to keep pace with these increasing standards. Although there are many barriers to implementing these topics formally, the main concern has been the lack of time and resources. Thus, simple models may have the best chance for success at widespread implementation...
February 28, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28242169/an-analysis-of-future-publications-career-choices-and-practice-characteristics-of-research-presenters-at-an-american-college-of-surgeons-state-conference-a-15-year-review
#8
Humera F Ahmad, Benjamin T Jarman, Kara J Kallies, Stephen B Shapiro
OBJECTIVES: The Accreditation Council for Graduate Medical Education requires scholarly activity within general surgery residency programs. The association between in-training research presentations and postgraduation publications is unknown. We hypothesized that surgical trainee presentations at an American College of Surgeons (ACS) state chapter meeting resulted in peer-reviewed publications and future scholarly activity. DESIGN: The ACS Wisconsin state chapter meeting agendas from 2000 to 2014 were reviewed to identify all trainees who delivered podium presentations...
February 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28238705/an-informed-consent-program-enhances-surgery-resident-education
#9
Sarah E Koller, Ryan F Moore, Michael B Goldberg, Jeanette Zhang, Daohai Yu, Charles B Conklin, Richard E Milner, Amy J Goldberg
OBJECTIVE: First-year residents often obtain informed consent from patients. However, they typically receive no formal training in this area before residency. We wished to determine whether an educational program would improve residents' comfort with this process. DESIGN: Our institution created an informed consent educational program, which included a didactic component, a role-play about informed consent, and a simulation exercise using standardized patients. Residents completed surveys before and after the intervention, and responses to survey questions were compared using the signed-rank test...
February 23, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28238704/effectiveness-of-a-perioperative-transthoracic-ultrasound-training-program-for-students-and-residents
#10
Juliet June Ray, Jonathan P Meizoso, Valerie Hart, Davis Horkan, Vicente Behrens, Krishnamurti A Rao, Charles A Karcutskie, Joshua Lenchus, Carl I Schulman, Roman Dudaryk
OBJECTIVE: Focused ultrasound (US) is being incorporated across all levels of medical education. Although many comprehensive US courses exist, their scope is broad, requiring expert instructors, access to simulation, and extensive time commitment by the learner. We aim to compare learning across levels of training and specialties using a goal-directed, web-based course without live skills training. DESIGN: A prospective observational study of students and residents from medicine, surgery, and anesthesiology...
February 23, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28215494/2d-versus-3d-in-laparoscopic-surgery-by-beginners-and-experts-a-randomized-controlled-trial-on-a-pelvitrainer-in-objectively-graded-surgical-steps
#11
Johannes Spille, Antonia Wenners, Ulrike von Hehn, Nicolai Maass, Ulrich Pecks, Liselotte Mettler, Ibrahim Alkatout
BACKGROUND AND OBJECTIVE: Progress in endoscopic surgery in the past few decades has led to the application of 3-dimensional (3D) procedures in operating rooms. This permits patient- and surgeon-friendly operations and also maximizes the superiority of laparoscopy over laparotomy. In this study, we compare 2-dimensional (2D) and 3D endoscopy techniques with regard to time, efficiency, optics, and handling by users with different degrees of experience at 4 difficulty levels. DESIGN: A randomized controlled trial on a pelvitrainer in objectively graded surgical steps for students and postgraduates...
February 16, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28209501/comparing-surgical-clerkship-performance-of-medical-and-physician-assistant-students
#12
Nasser N Alamiri, Charles Miles Maliska, Heather Chancellor-McIntosh, Guido Sclabas
OBJECTIVE: Third-year medical students (MS-III) and second-year physician assistant students (PA-S) have similar core clinical rotations during their education. Uniquely at our institution, both groups rotate together and are assessed by the same evaluation and grading standards. This study compares the performance of MS-III and PA-S during their combined surgical clerkship rotation. DESIGN: A retrospective analysis on students' final clerkship grades, individual grades for clinical performance evaluation, objective structured clinical examination, faculty tutorials, and National Board of Medical Education (NBME) general surgery examination for academic years 2013 and 2014...
February 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28188004/introducing-a-morbidity-and-mortality-conference-in-rwanda
#13
Egide Abahuje, Innocent Nzeyimana, Jennifer L Rickard
OBJECTIVES: To assess the structure, format, and educational features of a morbidity and mortality (M&M) conference in Rwanda. To determine factors associated with adverse events and to define opportunities for improvement. DESIGN: Retrospective, descriptive study of all cases presented at a surgical M&M conference over a 1-year period. Cases were reviewed for factors associated with adverse events and opportunities for improvement. Factors were characterized as delays in presentation, delays in diagnosis, delays in the operating room, errors in judgment, technical errors, advanced disease, and missing resources or malnutrition...
February 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28188003/current-status-of-simulation-based-training-tools-in-orthopedic-surgery-a-systematic-review
#14
Michael Morgan, Abdullatif Aydin, Alan Salih, Shibby Robati, Kamran Ahmed
OBJECTIVE: To conduct a systematic review of orthopedic training and assessment simulators with reference to their level of evidence (LoE) and level of recommendation. DESIGN: Medline and EMBASE library databases were searched for English language articles published between 1980 and 2016, describing orthopedic simulators or validation studies of these models. All studies were assessed for LoE, and each model was subsequently awarded a level of recommendation using a modified Oxford Centre for Evidence-Based Medicine classification, adapted for education...
February 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28153385/video-review-as-a-tool-to-improve-orthopedic-residents-performance-of-closed-manipulative-reductions
#15
Nickul S Jain, Ran Schwarzkopf, John A Scolaro
OBJECTIVE: Orthopedic residents commonly perform closed manipulative reductions as a part of their training. Traditionally, this skill is taught early in training but difficult to simulate. Proficiency is achieved through repetition and experience; faculty observation and instruction is unfortunately often limited. Direct resident teaching has been shown to increase competency, comfort, and long-term skill retention. We hypothesize that video review of closed fracture reductions will provide an inexpensive and valuable tool for resident education and improve skill performance...
January 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28131800/changing-objective-structured-clinical-examinations-stations-at-lunchtime-during-all-day-postgraduate-surgery-examinations-improves-examiner-morale-and-stress
#16
Peter A Brennan, Duncan S Scrimgeour, Sheena Patel, Roshnee Patel, Gareth Griffiths, David T Croke, Lee Smith, Richard Arnett
BACKGROUND: Human factors are important causes of error, but little is known about their possible effect during objective structured clinical examinations (OSCE). We have previously identified stress and pressure in OSCE examiners in the postgraduate intercollegiate Membership of the Royal College of Surgeons (MRCS) examination. After modifying examination delivery by changing OSCE stations at lunchtime with no demonstrable effect on candidate outcome, we resurveyed examiners to ascertain whether examiner experience was improved...
January 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28130100/smart-phone-learning-experience-among-vascular-trainees-using-a-response-system-application
#17
Wissam Al-Jundi, Ahmed Kayssi, Giuseppe Papia, Andrew Dueck
OBJECTIVES: Smartphones have become the most important personal technological device. M-learning is learning through mobile device educational technology. We aim to assess the acceptability of a smartphone learning experience among the vascular trainees and determine if results could inform formal teaching efforts. METHODS: A survey of the vascular trainees at a single center was conducted following a trial of smartphone learning experience. A vascular fellow used a smartphone response system application (Polltogo, Inspirapps Inc...
January 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28126380/procedural-skills-of-the-entrustable-professional-activities-are-graduating-us-medical-students-prepared-to-perform-procedures-in-residency
#18
Adrienne N Bruce, Anagha Kumar, Sonya Malekzadeh
PURPOSE: Competency-based medical education has been successfully instituted in graduate medical education through the development of Milestones. Consequently, the Association of American Medical Colleges implemented the core entrustable professional activities initiative to complement this framework in undergraduate medical education. We sought to determine its efficacy by examining the experiences and confidence of recent medical school graduates with general procedural skills (entrustable professional activities 12)...
January 23, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28126379/use-of-eye-tracking-as-an-innovative-instructional-method-in-surgical-human-anatomy
#19
María Luísa Sánchez-Ferrer, María Dolores Grima-Murcia, Francisco Sánchez-Ferrer, Ana Isabel Hernández-Peñalver, Eduardo Fernández-Jover, Francisco Sánchez Del Campo
OBJECTIVE: Tobii glasses can record corneal infrared light reflection to track pupil position and to map gaze focusing in the video recording. Eye tracking has been proposed for use in training and coaching as a visually guided control interface. The aim of our study was to test the potential use of these glasses in various situations: explanations of anatomical structures on tablet-type electronic devices, explanations of anatomical models and dissected cadavers, and during the prosection thereof...
January 23, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28126378/the-role-of-letters-of-recommendation-in-the-selection-process-of-surgical-residents-in-canada-a-national-survey-of-program-directors
#20
Yousef Marwan, Feras Waly, Nizar Algarni, Abdullah Addar, Neil Saran, Linda Snell
OBJECTIVE: Letters of recommendation (LOR) provide valuable information that help in selecting new residents. In this study, we aim to investigate the perceptions of surgical residency program directors (PDs) in Canada on the elements that can affect the strength and value of LOR. DESIGN: Cross-sectional; survey. SETTING: A national survey was conducted using an online questionnaire consisting of 2 main sections to collect data from PDs from all surgical subspecialties...
January 23, 2017: Journal of Surgical Education
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