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Surgical Council on Residency Education

M J Hajjar-Nejad, Natalia Kubicki, David Morales, Stephen M Kavic
BACKGROUND: Quality improvement (QI) activities are an integral part of residency training. We started the process to implement team-based, multilevel QI project streams within our academic surgical residency by studying resident perceptions. OBJECTIVE: Our residency carried out 6 QI projects in line with the American Council for Graduate Medical Education competencies. A resident survey was completed in 2016 to measure resident perceptions of an individual versus team-based QI project approach...
November 21, 2018: Journal of Surgical Education
John R Spratt, Melissa Brunsvold, David Joyce, Tom Nguyen, Mara Antonoff, Gabriel Loor
OBJECTIVE: We sought to examine the feasibility of a home practice curriculum of vascular anastomosis in cardiovascular surgery using a low-fidelity simulation platform and to examine its effectiveness in skill acquisition in senior surgical trainees. DESIGN: We organized a multicenter prospective randomized study of senior residents and fellows, who were oriented to a low-fidelity cardiac simulator and an 8-week curriculum of independent practice of aortic and coronary anastomosis...
October 23, 2018: Journal of Surgical Education
Ankita Gupta, Kate Meriwether, Guy Hewlett
OBJECTIVES: The United States has seen an increasing number of child-bearing women in medical training. We aimed to compare the prevalence of exclusive breastfeeding across varied specialties, whose trainees may face different obstacles to breastfeeding. MATERIALS AND METHODS: An online survey querying the duration and barriers to breastfeeding was sent to Accreditation Council for Graduate Medical Education (ACGME) and American Osteopathic Association (AOA) programs...
October 22, 2018: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Alexander F Post, Adam Y Li, Jennifer B Dai, Akbar Y Maniya, Syed Haider, Stanislaw Sobotka, Tanvir F Choudhri
OBJECTIVE: Spinal surgery is taught and practiced within 2 different surgical disciplines, neurological surgery and orthopedic surgery. We have provided a unified analysis of academic productivity measured using the h-index attributable to spine-focused faculty at U.S. residency programs. METHODS: A total of 278 Accreditation Council for Graduate Medical Education training programs were assessed to identify 923 full-time faculty members with a spinal surgery designation, as defined by spine fellowship training or case volume >75% in spine surgery...
September 27, 2018: World Neurosurgery
Christopher DuCoin, Alexandra Hahn, Maria Baimas-George, Douglas P Slakey, James R Korndorffer
The surgical community has expressed concern that residents do not receive the same caliber training as their predecessors and the increase in fellowships have been described as secondary to perceived lack of preparation. Yet, data show no change in total cases even after implementation of the 80-hour workweek. It is hypothesized that the increasing subspecialization of general surgery may decrease in certain resident case numbers. Data were collected from the Accreditation Council for Graduate Medical Education (ACGME) General Surgery Case Logs National Data Report (1999-2014) of mean number of procedures per resident for 19 surgical categories...
September 1, 2018: American Surgeon
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
Jonathan Schoen, Alexandra Birch, Vincent Adolph, Taylor Smith, Russell Brown, Amy Rivere, George Fuhrman
OBJECTIVE: In response to our faculty's concerns about the quality and reliability of feedback from general surgery residents, we developed a novel faculty assessment tool. This study was designed as an interim analysis of the tool's effectiveness and discriminatory ability. METHODS: Our department's educational leadership developed milestones in 7 domains that were scored from 1 to 4, with each level representing an educational approach that ranged from ineffective (1) to ideal (4)...
September 15, 2018: Journal of Surgical Education
Minhaj S Khaja, William M Sherk, Paul G Gauger, David T Hughes, N Reed Dunnick, Janet E Bailey, Wael E Saad
The training paradigm of the interventional radiologist has quickly evolved with the approval of the integrated interventional radiology (IR) residency by the American Board of Medical Specialties and the Accreditation Council of Graduate Medical Education. Prior to appointment in an integrated IR program, a resident must complete a preliminary clinical year, which may be surgical, medical, or transitional. The unique procedural- and clinical-based skillset required of the IR resident is best aligned with a surgical preliminary year...
September 6, 2018: Academic Radiology
Caitlin C Chambers, Stephanie B Ihnow, Emily J Monroe, Linda I Suleiman
BACKGROUND: American medical schools have gradually achieved balance in the sex of medical graduates over the past 4 decades. However, orthopaedic surgery has remained disproportionately male-dominated. Our aim was to quantify this discrepancy across surgical specialties at the residency training and academic faculty levels. We additionally sought to evaluate the prevalence of women in orthopaedic subspecialty and research societies. METHODS: Publicly available data from the Association of American Medical Colleges (AAMC) and the Accreditation Council for Graduate Medical Education (ACGME) for the 2005-2006 to 2016-2017 academic years were pooled for analysis of sex in surgical residency programs...
September 5, 2018: Journal of Bone and Joint Surgery. American Volume
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
E Christopher Ellison, Timothy M Pawlik, David P Way, Bhagwan Satiani, Thomas E Williams
BACKGROUND: In 2008, we projected that a deficit in the general surgical workforce would grow to 19% by 2050. We reexamined population-based general surgical workforce projections to determine the impact of recent changes in population estimates and trends in certification and General Surgery Residency. METHODS: We reviewed the Census Bureau data and the potential pool of general surgeons defined by American Board of Surgery certificates, residents completing Accreditation Council for Graduate Medical Education-approved General Surgery Residency and combined American Board of Surgery and osteopathic certificates averaged from 2007-2016...
August 8, 2018: Surgery
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
Danby Kang, Selma Siddiqui, Hannah Weiss, Ziad Sifri, Sanjay Krishnaswami, Benedict Nwomeh, Raymond Price, John Tarpley, Samuel Finlayson, Mamta Swaroop
BACKGROUND: In response to the growing interest in global surgery among trainees, international surgical rotation (ISR) was approved as a formal elective of resident curriculum. To define ISR's role, we aim to identify the six core competencies of Accreditation Council for Graduate Medical Education (ACGME) in individual institution's experience. DATA SOURCES: This is a systematic literature review studying general surgery resident experience in ISR as it pertains to the ACGME core competencies...
August 2, 2018: American Journal of Surgery
Benjamin J Shore, Patricia E Miller, Kenneth J Noonan, Donald S Bae
BACKGROUND: Recently the American Board of Orthopaedic Surgery and the Accreditation Council of Graduate Medical Education have identified the treatment of septic arthritis of the hip in children as a milestone skill for all US orthopaedic residents. The purpose of this study was to test correlation between clinical knowledge and examination score on a mobile app-based training module for the treatment of pediatric septic hip arthritis. METHODS: A 4-part simulation model on surgical decision-making associated with the treatment of pediatric septic arthritis was developed through expert consensus...
October 2018: Journal of Pediatric Orthopedics
Alexander R Cortez, Vikrom K Dhar, Jeffrey J Sussman, Timothy A Pritts, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although national operative volumes have remained stable, surgical educators should appreciate the changing experience of today's surgical residents. We set out to evaluate operative volume trends at our institution and study the impact of resident learning styles on operative experience. MATERIALS AND METHODS: The Accreditation Council for Graduate Medical Education operative log data from 1999 to 2017 for a single general surgery residency program were examined...
September 2018: Journal of Surgical Research
Alexander R Cortez, Gianna D Katsaros, Vikrom K Dhar, F Thurston Drake, Timothy A Pritts, Jeffrey J Sussman, Michael J Edwards, R Cutler Quillin
BACKGROUND: Although overall operative volume has remained stable since the implementation of duty hours, more detailed analyses suggest shifts in the resident operative experience. Understanding these differences allows educators to better appreciate the impact of the current training environment on resident preparation for practice. METHODS: National Accreditation Council for Graduate Medical Education case logs from 1990 to 2016 were reviewed. Statistical analysis was performed using analysis of variance and linear regression analysis...
September 2018: Surgery
Xiaoxi Feng, Jennifer Colvin, Judith French, Jane Wey
OBJECTIVE: There is no standardized method of communication regarding the arrival of outside hospital (OSH) transfers at our institution. We utilized quality improvement methodologies to enhance sign-out, benefiting both resident workflow and patient care. DESIGN: A dynamic census log of pending OSH transfers was created. Total number of OSH transfers (with or without prior notification), time to admission orders, and resident self-reported preparedness in receiving/triaging OSH admissions were measured before and after implementation of the census log tool...
June 7, 2018: Journal of Surgical Education
Amit R T Joshi, Mary E Klingensmith, Mark A Malangoni, Keith A Delman, James R Korndorffer, Douglas S Smink, Kerry B Barrett, Mark Hickey
INTRODUCTION: The Surgical Council on Resident Education (SCORE) has presented a workshop annually at the annual meeting of the Association of Program Directors (APDS) to discuss the evolution of the SCORE portal and best practices for implementation within residency training programs. METHODS/RESULTS: A review of the literature was undertaken, along with a summation of discussion at these several workshops. A history of the SCORE project and a summary of its organizational framework and content are presented...
May 21, 2018: Journal of Surgical Education
Steven T DiSegna, Timothy D Kelley, Deborah M DeMarco, Abhay R Patel
It is unclear how the Accreditation Council for Graduate Medical Education (ACGME) resident duty hour restriction has affected attending orthopaedic surgeons in their first year of practice. The purpose of this study was to compare the clinical preparedness of first-year orthopaedic attending surgeons who trained with ACGME duty hour regulations versus those trained without regulations. Senior orthopaedic surgeons with greater than 10 years of experience were surveyed and results indicate that first-year attendings who trained with ACGME duty hour regulations required more supervision reviewing cases preoperatively, required more assistance completing operative cases, had inferior technical skills, had more major operative complications, had poorer physical exam skills, and delivered an inferior quality of care...
December 0: Journal of Surgical Orthopaedic Advances
Alexander Lanigan, Mark Spaw, Christopher Donaghe, Joseph Brennan
Introduction: The field of otolaryngology has become the leading specialty in the management of head and neck pathology and trauma. Graduate medical education programs tasked to train military head and neck surgeons within the Department of Defense (DoD) maintain certification by ensuring adequate surgical case volume and training. In recent years, surgical case numbers have declined due to an overall healthy active duty patient population and deployments of residency faculty. As such, a novel initiative between the San Antonio Military Medical Center and the South Texas Veteran's Healthcare system was developed to provide seamless care among active duty service members, dependents, retirees, and veterans...
November 1, 2018: Military Medicine
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