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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
Laura Torbeck, Gary Dunnington
BACKGROUND: Departments within academic medical centers are typically comprised of clinical and research faculty, administrative staff, residents, and in many instances advance practice providers (APPs). Each member of these groups of people, at 1 point, took time, effort, and money to recruit, hire, and train. It is therefore important to consider ways to increase the "return on investment" of hiring each member of a department as well as maintaining a high level of department vitality...
October 13, 2018: Journal of Surgical Education
Austin D Williams, Barry D Mann, Jeremy Lipman
OBJECTIVE: We sought to perform a comprehensive review of how journal club (JC) is utilized in surgical residencies, including the goals, structure and outcomes of the educational activity, and any changes made since the 2003 implementation of the 80-hour weekly resident duty hour limit. DESIGN: A random, representative cohort of 75 of the 266 US general surgery residency programs was identified, and Program Directors were asked to complete an 18-question electronic survey about to the ways in which their program utilizes JC...
October 13, 2018: Journal of Surgical Education
Faraz Mahmood, Jeffrey Bortman, Rabia Amir, John Mitchell, Vanessa Wong, Ruby Feng, Zhifeng Gao, Yannis Amador, Mario Montealegre-Gallegos, Tara Kent, Robina Matyal
OBJECTIVE: Proficiency in the use of ultrasound is presently not an ACGME required core competency for accredited surgical training. There should be a basic unified ultrasound curriculum for surgical trainees. We developed a multimodal ultrasound-training program to ensure baseline proficiency and readiness for clinical performance without impacting trainee duty hours. DESIGN: We developed and implemented a multimodal curriculum for ultrasound education and its use as a supplement to clinical evaluation of unstable patients...
October 12, 2018: Journal of Surgical Education
Manuel Castillo-Angeles, Rodrigo Calvillo-Ortiz, Danilo Acosta, Ammara A Watkins, Amy Evenson, Katharyn M Atkins, Tara S Kent
OBJECTIVE: Trainee mistreatment, either intentional or unintentional, negatively affects the learning environment. This study was undertaken to evaluate the impact of an educational intervention about mistreatment and the learning environment on general surgery residents. DESIGN: Video-based modules were developed and added to the residency curriculum. Modules provided definitions and examples of active and passive mistreatment and components of positive and negative learning environments...
October 11, 2018: Journal of Surgical Education
Heather E Hoops, Michael R Burt, Karen Deveney, Karen J Brasel
OBJECTIVE: The objective of this study was to explore the views and expectations that practicing general surgeons have of their junior colleagues who have recently finished training. DESIGN: This is a qualitative study performed using focus group data consisting of open-ended questions concentrating on essential qualities and attributes of surgeons, behaviors observed in newly-graduated surgeons, and appropriate oversight of junior partners. Qualitative analysis was performed using grounded theory methodology with transcripts coded by 3 independent reviewers...
October 11, 2018: Journal of Surgical Education
John A Weigelt, Lewis Flint
No abstract text is available yet for this article.
October 11, 2018: Journal of Surgical Education
Adrian G Santini, Melanie L Korndorffer, Matthew J Barraza, Hillary R Johnson, Jamie L Kaplan, Christopher G DuCoin, Emma K Satchell, James R Korndorffer
OBJECTIVE: This study aims to identify program-specific critical factors in a student's path to general surgery and how different factors contribute to our high rate of matriculation. DESIGN: Semi-structured interviews were conducted focusing on critical factors in student's decision processes to pursue general surgery. Three investigators independently evaluated the transcripts and identified recurring themes based on phenomenological qualitative methods until saturation was achieved...
October 11, 2018: Journal of Surgical Education
Saeed Tarabichi, Michelle DeLeon, Nicole Krumrei, Joseph Hanna, Nell Maloney Patel
OBJECTIVE: To determine the effectiveness of competition on education conference attendance rate with a secondary goal of increased performance on in-service examination performance within a single academic general surgery residency. DESIGN: By using a competition-based model of learning, we aimed to increase the overall resident attendance to weekly education conference as well as performance on in-service examination. Residents were given weekly reading assignments which were supplemented with lectures from faculty with expert knowledge of a given topic on a weekly basis...
October 10, 2018: Journal of Surgical Education
Rodrigo Calvillo-Ortiz, Kristin E Raven, Manuel Castillo-Angeles, Ammara A Watkins, Courtney E Barrows, Benjamin C James, Christopher G Boyd, Jonathan F Critchlow, Tara S Kent
OBJECTIVE: In surgical training, most assessment tools focus on advanced clinical decision-making or operative skill. Available tools often require significant investment of resources and time. A high stakes oral examination is also required to become board-certified in surgery. We developed Individual Clinical Evaluation (ICE) to evaluate intern-level clinical decision-making in a time- and cost-efficient manner, and to introduce the face-to-face evaluation setting. DESIGN: Intern-level ICE consists of 3 clinical scenarios commonly encountered by surgical trainees...
October 4, 2018: Journal of Surgical Education
Yang Kun, Jacques Hubert, Luo Bin, Wang Xing Huan
OBJECTIVE: Video-based teaching is considered highly effective in debriefing, especially in minimally invasive surgeries. In this study, the benefits of using a new integrated video recording system, were investigated and compared to those of the standard basic skills robotic training procedure. DESIGN: Fifty residents from the 2nd and 3rd year medical faculty without any experience of robot usage or laparoscopy were randomized into 2 groups: group A--a natural self-training group without a trainer, and group B--a self-training group assisted by an integrated video recording system during training...
October 3, 2018: Journal of Surgical Education
Phillip J Mercier, Steven J Skube, Samantha L Leonard, Ashley N McElroy, Tyler G Goettl, Melissa M Najarian, Paula M Termuhlen, Jeffrey G Chipman
OBJECTIVE: The objective of this study was to present the process of developing a rural surgery training track within an established residency program and review the current rural surgery training programs in the nation. DESIGN: This study reviews current rural surgery training opportunities at Accreditation Council for Graduate Medical Education accredited surgical residencies in the United States and presents the process of creating the University of Minnesota's rural surgery training track...
September 29, 2018: Journal of Surgical Education
Nada Gawad, Andrea Marie Ibrahim, Melissa Duffy, Isabelle Raiche, Carolyn Nessim
OBJECTIVE: Certain personality traits assessed during interviews have been shown to negatively predict performance in residency. An informal needs assessment at our institution suggested that it would be particularly important to identify traits associated with maladaptive narcissism (i.e., entitlement, difficulty accepting criticism, and arrogance). The objective of this study was to evaluate an interview station designed to identify narcissistic personality traits among applicants to our general surgery residency program...
September 27, 2018: Journal of Surgical Education
Tyler Freeman, Nikhil Shelke, Rajiv Rajani
BACKGROUND: Due to orthopedic surgery's unique educational model, recent changes within graduate medical education have the potential to impact the methods and outcomes of specialty training significantly. Using Mind the Gap: Representation of Medical Education in Cardiology-Related Articles and Journals (Allred et al., 2016) as a framework, this study investigates educational research within the field of orthopedics. OBJECTIVE: Two main objectives were evaluated: (1) quantitative analysis of the amount and type of orthopedic education-related research in orthopedic, general surgery, and medical education journals and (2) estimate the priority of orthopedic journals to publish education-focused articles...
September 26, 2018: Journal of Surgical Education
Arika Hoffman, Wendy Grant, Melanie McCormick, Emily Jezewski, Praise Matemavi, Alan Langnas
BACKGROUND: No published study has explored gender differences in letters of recommendation for applicants entering surgical subspecialty fellowships. METHODS: We conducted a retrospective review of letters of recommendation to a transplant surgery fellowship written for residents finishing general surgery residency programs. A dictionary of communal and agentic terms was used to explore differences of the letters based on applicant's gender as well as the academic rank and gender of the author...
September 25, 2018: Journal of Surgical Education
Jane Y Zhao, Evan G Kessler, Weidun A Guo
OBJECTIVE: The electronic health record (EHR) has been faulted for the erosion of interprofessional communication and the patient-physician relationship. Surgical residents may be susceptible to communication workarounds facilitated by the EHR, but the full extent is not well understood. A recent ransomware attack with the abrupt return to paper charting provided a unique opportunity to investigate the impact of the EHR on surgical residents' interprofessional communication. We sought to explore how surgical residents perceived communications during the 2-month period when the EHR was inaccessible...
September 23, 2018: Journal of Surgical Education
Jonathan Kam, Sam Khadra, Quoc Hoai Tran, Hannah Ainsworth, Mark Louie-Johnsun, Matthew Winter
OBJECTIVE: This study aims to evaluate the effectiveness of portable video media (PVM) compared to standard verbal communication (SVC) as a novel adjunct for surgical education of junior medical officers and medical students, in terms of knowledge acquisition and participant satisfaction. BACKGROUND: The effective, continued education of final year medical students and junior doctors is the foundation of quality healthcare. The development of new media technologies and rapid internet streaming has resulted in an opportunity for the integration of PVM into medical education...
September 22, 2018: Journal of Surgical Education
Kim A Bjorklund, Nicole Sommer, Michael W Neumeister, Steven J Kasten
OBJECTIVE: The aim of this study was to describe an operative performance rating system for plastic surgery residents and provide validity evidence for the instrument. METHODS: Three plastic surgery residents (PGY levels 1, 5, and 6) from Southern Illinois University School of Medicine (SIUSOM) performed a carpal tunnel release with audio video recording. The 3 videos were reviewed by 8 expert hand surgeons and 3 SIUSOM faculty using the operative performance rating system instrument to assess resident operative performance...
September 22, 2018: Journal of Surgical Education
Amir A Khan, Jan Rakinic, Roger H Kim, John D Mellinger, Sabha Ganai
OBJECTIVE: To evaluate trends in surgical resident exposure to complex oncologic procedures in order to determine whether additional fellowship training is necessary. DESIGN: An observational study of national Accreditation Council for Graduate Medical Education case log statistical reports was conducted to determine the average number of cases for selected oncology-relevant procedures completed during training. Linear regression and Cusick trend tests were used to assess temporal trends with the null hypothesis assuming an estimated slope of zero...
September 22, 2018: Journal of Surgical Education
Benjamin Beran, Kristina Kaljo, Raj Narayan, Paul Lemen
OBJECTIVE: Interviews for residency are important for resident selection, yet how to best perform the interviews remains uncertain. Multiple approaches have been described with a variety of results. Our purpose of this study was to evaluate our Obstetrics-Gynecology residency program's interview structure to determine which interview components have association with performance evaluations completed by physicians and nurses during the residents' years of training at our program. DESIGN: Using only data from our matched residents, existing interview scores from our standard interview process were compared to performance evaluation scores completed by faculty and nursing throughout the training years...
September 22, 2018: Journal of Surgical Education
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