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Autonomy general surgery residency safety

Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Emil Petrusa, John T Mullen, Roy Phitayakorn
OBJECTIVE: General surgery training has evolved to align with changes in work hour restrictions, supervision regulations, and reimbursement practices. This has culminated in a lack of operative autonomy, leaving residents feeling inadequately prepared to perform surgery independently when beginning fellowship or practice. A resident-run minor surgery clinic increases junior resident autonomy, but its effects on patient outcomes have not been formally established. This pilot study evaluated the safety of implementing a resident-run minor surgery clinic within a university-based general surgery training program...
November 2016: Journal of Surgical Education
Timothy C Flynn
No abstract text is available yet for this article.
September 2011: American Journal of Surgery
Asad J Raja, Alex V Levin
Surgeons, trainees, and patients may be uncomfortable with the secrecy that surrounds the process of teaching and learning surgical procedures. Well structured training programs use a system of graded responsibility, supervision, and evaluation to ensure skill development and patient safety. Patient outcomes are generally excellent in training institutions. Disclosure of the role of trainees and their contribution to care enhances trust.
August 2003: World Journal of Surgery
G Keyes
Legal commentators and court decisions have defined, generally, procedural due process for students and faculty in institutions of higher learning. Dental residents (GPRs, oral surgery residents, etc.) occupy a unique niche in this educational structure. On the one hand they are students pursuing advanced training; on the other, they are employees and instructors in a hospital or similar institution. As advanced student-clinicians, residents have significant autonomy in patient care. Those who are charged with monitoring a resident's care can be held liable for the resident's negligence...
March 1989: Journal of Dental Education
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