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Journal of Surgical Education

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https://www.readbyqxmd.com/read/29222022/do-resident-case-logs-meet-acgme-requirements-a-comparison-between-acute-care-and-elective-cases
#1
Kathryn R Wolf, Zachary A Taylor, Sarah B Placek, Michael W Tsai, Brenton R Franklin, E Matthew Ritter
PURPOSE: Operative experience is at the core of general surgery residency, and recently operative volume requirements for graduating residents were increased. The ACGME has outlined 4 areas of required resident participation and documentation in order for a surgical case to be logged: determination or confirmation of the diagnosis, provision of preoperative care, selection and accomplishment of the operative procedure, and direction of the postoperative care. The purpose of this study was to examine whether general surgery residents are currently meeting the required care participation documentation standard and to examine the effect of acute care vs...
December 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29199083/factors-correlating-with-microsurgical-performance-a-clinical-and-experimental-study
#2
Mark V Schaverien, Jun Liu, Charles E Butler, Jesse C Selber
BACKGROUND: Microsurgery is one the most complex surgical skills to master. The factors correlating with microsurgical performance, however, are poorly understood. Understanding these factors will aid in the training and assessment of microsurgeons. METHODS: A total of 29 microsurgery fellows enrolled in a dedicated 1-year microsurgery fellowship were included in the study. For the clinical evaluations, microsurgical anastomosis performance was evaluated during multiple procedures in the operating room at the start, midpoint, and end of the fellowship by all departmental faculty using a validated microsurgical assessment tool...
November 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29198973/association-of-burnout-with-emotional-intelligence-and-personality-in-surgical-residents-can-we-predict-who-is-most-at-risk
#3
Brenessa Lindeman, Emil Petrusa, Sophia McKinley, Daniel A Hashimoto, Denise Gee, Douglas S Smink, John T Mullen, Roy Phitayakorn
OBJECTIVES: Burnout is common among surgical residents and may be related to personality characteristics, emotional intelligence (EI), or work experiences. DESIGN: Longitudinal cohort study over 1 year. SETTING: Tertiary academic medical centers in the Northeast. PARTICIPANTS: All general surgery residents in 2 programs (n = 143) were invited to complete an electronic survey at 3 time points; 88, 64, and 69 residents completed the survey (overall response rate 52%)...
November 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29191757/does-previous-laparoscopic-experience-influence-basic-robotic-surgical-skills
#4
Marcelo Pimentel, Renan Desimon Cabral, Márcio Machado Costa, Brasil Silva Neto, Leandro Totti Cavazzola
OBJECTIVE: Studies addressing the effect of laparoscopic experience on robotic skills have produced conflicting results. This study aimed to compare simulated robotic surgical tasks using the virtual reality simulator dV-Trainer between laparoscopically experienced surgeons and first-year surgical residents. DESIGN: A cross-sectional study. Participants completed 4 trials of the following tasks on the dV-Trainer: Peg Board 2, Ring and Rail 1, and Suture Sponge 1...
November 27, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29175058/instituting-ultrasound-guided-fna-for-thyroid-nodules-into-a-general-surgery-residency-program-what-we-learned
#5
James R Davis, Allyson L Hale, Joseph A Ewing, Jonathan S Lokey
BACKGROUND: Evaluation of a thyroid nodule is a common referral seen by surgeons and frequently requires ultrasound-guided fine needle aspiration (US-guided FNA). While surgical residents may have sufficient exposure to thyroid surgery, many lack exposure to office-based procedures, such as US-guided FNA. General surgery residents should be provided with knowledge and practical skills in the application of diagnostic and interventional neck ultrasound to manage the common workup of a thyroid nodule...
November 22, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29100919/identifying-nontechnical-skill-deficits-in-trainees-through-interdisciplinary-trauma-simulation
#6
Sarah Sullivan, Krystle Campbell, Joshua C Ross, Ryan Thompson, Alyson Underwood, Anne LeGare, Ingie Osman, Suresh K Agarwal, Hee Soo Jung
OBJECTIVE: The goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions. DESIGN: Wilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators...
November 16, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29146143/reported-mistreatment-during-the-surgery-clerkship-varies-by-student-career-choice
#7
Michael T Kemp, Margaret Smith, Scott Kizy, Michael Englesbe, Rishindra M Reddy
BACKGROUND: Student mistreatment is often a major concern during the surgery clerkship. We hypothesized that mistreatment is decreasing and that career choice may reflect perceived mistreatment. METHODS: We surveyed 2319 physicians about their surgery clerkships. Mistreatment reporting was correlated to physician specialty and medical school graduation year. RESULTS: The response rate was 18.9% (440/2319). Recent graduates reported less mistreatment than more senior graduates (24...
November 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29127019/a-survey-on-recent-medical-school-graduate-comfort-with-the-level-1-milestones
#8
Michael E Petravick, J Lawrence Marsh, Matthew D Karam, Douglas R Dirschl
OBJECTIVE: The Next Accreditation System implemented 5 levels of milestones for orthopedic surgery residents in 2013. The Level 1 milestones were noted as those "expected of an incoming resident." While the milestones were intended for assessing resident progression and readiness for independent practice, this designation can also be used to assess how well prepared graduating medical students are for beginning an orthopedic surgery residency. The primary objective of this paper is to measure recent medical school graduate comfort with the Level 1 milestones...
November 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29127018/curriculum-using-the-in-situ-operating-room-setting
#9
Raghavendra Rao, Robert C Caskey, Lily Owei, Kathleen O'Connor, Elijah Riddle, Daniel T Dempsey, Joshua Atkins, Dimitry Baranov, Gregory Motuk, Ari D Brooks, Noel Williams, Jon Morris, Kristoffel Dumon
OBJECTIVE: The American College of Surgeons/Association of Program Directors in Surgery is a comprehensive, simulation-based curriculum for General Surgery residents which exists in 3 phases. While phases 1 and 2 deal with core skills and advanced procedures respectively, phase 3 targets team-based skills. To date, the 3rd phase of this curriculum has not seen wide scale implementation. This is a pilot study to verify the feasibility of implementing the phase 3 curriculum in the in-situ setting...
November 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29127017/the-educational-opportunities-provided-by-a-pediatric-orthopedic-urgent-case-review-conference-keep-score-to-provide-a-better-experience
#10
Eric D Shirley, Radu Gheorghe, Kevin M Neal, Gary Kiebzak, Steven L Frick
OBJECTIVE: To evaluate the distribution of conditions presented at a case conference to assess resident educational exposure to acute pediatric orthopedic conditions. DESIGN: Retrospective review of emergency department and inpatient consultations presented at a daily pediatric orthopedic case conference over a 3-year period. Consultations were divided into 3-month resident rotation blocks for analysis. SETTING: Tertiary children's hospital in the southern United States which host residents from 2 orthopedic surgery residency programs...
November 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29122572/characterization-of-vessel-deformations-during-evar-a-preliminary-retrospective-analysis-to-improve-fidelity-of-endovascular-simulators
#11
Laura Cercenelli, Barbara Bortolani, Guido Tiberi, Chiara Mascoli, Ivan Corazza, Mauro Gargiulo, Emanuela Marcelli
OBJECTIVE: During endovascular aneurysm repair (EVAR), vessel deformations occur due to the insertion of tools and deployment of stent grafts in the arteries. We present a method for the characterization of vessel deformations during EVAR, and its application on patient datasets for a preliminary retrospective analysis that may be used to improve fidelity of endovascular simulators. DESIGN: The method provides the extraction of vessel profiles from intraoperative fluoroscopic images and the calculation of a tortuosity index in the 2D fluoroscopy view (τ2D) used to quantify the vessel deformations (δ%) during EVAR caused by the stiff guidewire insertion (δ%Stiff) and the stent graft deployment (δ%Graft), when compared with the undeformed vessel configuration (no device inserted)...
November 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29122571/360%C3%A2-operative-videos-a-randomised-cross-over-study-evaluating-attentiveness-and-information-retention
#12
Cuan M Harrington, Dara O Kavanagh, Gemma Wright Ballester, Athena Wright Ballester, Patrick Dicker, Oscar Traynor, Arnold Hill, Sean Tierney
OBJECTIVE: Although two-dimensional (2D) and three-dimensional videos have traditionally provided foundations for reviewing operative procedures, the recent 360º format may provide new dimensions to surgical education. This study sought to describe the production of a high quality 360º video for an index-operation (augmented with educational material), while evaluating for variances in attentiveness, information retention, and appraisal compared to 2D. DESIGN: A 6-camera synchronised array (GoPro Omni, [California, United States]) was suspended inverted and recorded an elective laparoscopic cholecystectomy in 2016...
November 6, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29097172/beyond-250-a-comprehensive-strategy-to-maximize-the-operative-experience-for-junior-residents
#13
James M Healy, Mark W Maxfield, Daniel G Solomon, Walter E Longo, Peter S Yoo
OBJECTIVES: Among surgical educators, duty-hour restrictions led to concern regarding the adequacy of operative experience during residency, especially for junior residents. The American Board of Surgery recently instituted guidelines mandating "a minimum of 250 operations by the end of the PGY-2 year". A series of programmatic and institutional changes were implemented at our institution to augment the junior resident operative experience and to exceed compliance with this mandate. METHODS: Operative data from Accreditation Council for Graduate Medical Education case logs for categorical and nondesignated preliminary interns from our large academic surgical residency were identified for 5 consecutive academic years, 2011 until 2016...
October 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29111163/professionalism-a-core-competency-but-what-does-it-mean-a-survey-of-surgery-residents
#14
Joshua C Dilday, Elizabeth A Miller, Kyle Schmitt, Brian Davis, Kurt G Davis
OBJECTIVE: Professionalism is 1 of the 6 core competencies of the Accreditation Council of Graduate Medical Education. Despite its obvious importance, it is poorly defined in the literature and an understanding of its meaning has not been evaluated on surgical trainees. The American College of Surgeons (ACS) has previously published tenets of surgical professionalism. However, surgery residents may not share similar views on professionalism as those of the ACS. DESIGN: Surgical residents of all levels at 2 surgery residencies located in the same city were interviewed regarding their personal definitions, thoughts, and experiences regarding professionalism during their training...
October 27, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29102560/can-a-clinician-scientist-training-program-develop-academic-orthopaedic-surgeons-one-program-s-thirty-year-experience
#15
Aaron M Brandt, Samantha A Rettig, Neel K Kale, Joseph D Zuckerman, Kenneth A Egol
BACKGROUND: Clinician-scientist numbers have been stagnant over the past few decades despite awareness of this trend. Interventions attempting to change this problem have been seemingly ineffective, but research residency positions have shown potential benefit. OBJECTIVE: We sought to evaluate the effectiveness of a clinician-scientist training program (CSTP) in an academic orthopedic residency in improving academic productivity and increasing interest in academic careers...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29102559/direct-observation-vs-video-based-assessment-in-flexible-cystoscopy
#16
Julia Dagnaes-Hansen, Oria Mahmood, Sarah Bube, Flemming Bjerrum, Yousif Subhi, Malene Rohrsted, Lars Konge
OBJECTIVE: Direct observation in assessment of clinical skills is prone to bias, demands the observer to be present at a certain location at a specific time, and is time-consuming. Video-based assessment could remove the risk of bias, increase flexibility, and reduce the time spent on assessment. This study investigated if video-based assessment was a reliable tool for cystoscopy and if direct observers were prone to bias compared with video-raters. DESIGN: This study was a blinded observational trial...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29102558/analysis-of-academic-medical-center-graduate-medical-education-websites-for-policies-regarding-restrictive-covenants-in-non-acgme-fellowships
#17
Jeremy S Juern, David M Stahl, John A Weigelt
BACKGROUND: The topic of restrictive covenants in fellowships that are not approved by the Accreditation Council for Graduate Medical Education (ACGME) has not been studied. OBJECTIVE: To investigate the presence of institutional polices at academic medical centers regarding restrictive covenants in non-ACGME fellowships. METHODS: The graduate medical education (GME) office website of 132 academic medical centers was evaluated and searched for the following as of June 1, 2017: presence of any ACGME residency or fellowship, presence of any non-ACGME fellowship, presence of GME policies and procedures, presence of a restrictive covenant policy, and if that policy applies to non-ACGME fellowships...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29102557/textual-analysis-of-general-surgery-residency-personal-statements-topics-and-gender-differences
#18
Laura Ostapenko, Cheryl Schonhardt-Bailey, Jessica Walling Sublette, Douglas S Smink, Nora Y Osman
PURPOSE: Applicants to US general surgery residency training programs submit standardized applications. Applicants use the personal statement to express their individual rationale for a career in surgery. Our research explores common topics and gender differences within the personal statements of general surgery applicants. METHODS: We analyzed the electronic residency application service personal statements of 578 applicants (containing 3,82,405 words) from Liaison Committee on Medical Education-accredited medical schools to a single ACGME-accredited general surgery program using an automated textual analysis program to identify common topics and gender differences...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29079112/what-can-score-web-portal-usage-analytics-tell-us-about-how-surgical-residents-learn
#19
Amit R T Joshi, Aitua Salami, Mark Hickey, Kerry B Barrett, Mary E Klingensmith, Mark A Malangoni
PURPOSE: The Surgical Council on Resident Education (SCORE) was established in 2004 with 2 goals: to develop a standardized, competency-based curriculum for general surgery residency training; and to develop a web portal to deliver this content. By 2012, 96% of general surgery residency programs subscribed to the SCORE web portal. Surgical educators have previously described the myriad ways they have incorporated SCORE into their curricula. The aim of this study was to analyze user data to describe how and when residents use SCORE...
October 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29079111/cross-institutional-evaluation-of-a-mastoidectomy-assessment-instrument
#20
Thomas Kerwin, Brad Hittle, Don Stredney, Paul De Boeck, Gregory Wiet
OBJECTIVE: The objective of this work is to obtain validity evidence for an evaluation instrument used to assess the performance level of a mastoidectomy. The instrument has been previously described and had been formulated by a multi-institutional consortium. DESIGN: Mastoidectomies were performed on a virtual temporal bone system and then rated by experts using a previously described 15 element task-based checklist. Based on the results, a second, similar checklist was created and a second round of rating was performed...
October 24, 2017: Journal of Surgical Education
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