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General Surgery Residency

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https://www.readbyqxmd.com/read/28734949/the-program-evaluation-committee-in-action-lessons-learned-from-a-general-surgery-residency-s-experience
#1
Shanley B Deal, Heather Seabott, Lily Chang, Adnan A Alseidi
OBJECTIVE: To evaluate the success of the annual program evaluation process and describe the experience of a Program Evaluation Committee for a General Surgery residency program. DESIGN: We conducted a retrospective review of the Program Evaluation Committee's meeting minutes, data inputs, and outcomes from 2014 to 2016. We identified top priorities by year, characterized supporting data, summarized the improvement plans and outcome measures, and evaluated whether the outcomes were achieved at 1 year...
July 19, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28730776/institutional-variations-in-nutritional-aspects-of-enhanced-recovery-pathways-after-elective-surgery-for-colon-cancer
#2
Fotios Seretis, Panagiota Kaisari, Kasun Wanigasooriya, Edward Rawstorne, Charalampos Seretis
PURPOSE: Perioperative nutritional optimisation is one of the key aspects of the Enhanced Recovery after Surgery (ERAS) pathway after elective colorectal cancer resections. Despite the general acceptance of ERAS as a safe and cost-effective perioperative care bundle, significant variations in terms of nutritional support exist among colorectal units. METHODS: To assess these variations, we performed a cross-sectional online survey among colorectal surgical residents within a UK region...
May 2017: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/28729189/the-quality-in-training-initiative-giving-residents-data-to-learn-clinical-effectiveness
#3
Morgan M Sellers, Matt Fordham, Craig W Miller, Clifford Y Ko, Rachel R Kelz
BACKGROUND: Training programs are expected to provide clinical outcomes data to residents. Few systems have the necessary infrastructure. We evaluated initial adoption and use of the Quality In-Training Initiative (QITI) platform linking National Surgical Quality Improvement Program (NSQIP) data to trainees. STUDY DESIGN: Proportions of Accreditation Council for Graduate Medical Education general surgery residency programs with differing levels of NSQIP and QITI affiliation were calculated and program characteristics were compared...
July 17, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28728205/-predictability-of-postoperative-pain-and-satisfaction-how-precise-are-we-and-what-is-the-role-of-professional-experience
#4
Ulf Krister Hofmann, Cosima Dobler, Marco Gesicki, Torsten Kluba, Sebastian Scheidt
Background The indication for surgery is justified by an expected improvement for the patient. To evaluate the probability and extent of individual postoperative patient benefit, the surgeon needs to elaborate numerous parameters of potential relevance for the outcome beyond his key competence, that is the technical dimension of the operation. Despite the highest medical standards, individual postoperative satisfaction with surgery is highly variable, even in cases with a technically good result. The aim of the present study was to investigate the individual predictability of postoperative pain and satisfaction in patients with elective musculoskeletal surgery...
July 20, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28719565/burnout-in-orthopaedic-surgeons-a-challenge-for-leaders-learners-and-colleagues-aoa-critical-issues
#5
S Elizabeth Ames, James B Cowan, Keith Kenter, Sanford Emery, David Halsey
Burnout, depression, suicidal ideation, and dissatisfaction with work-life balance have been reported in all medical specialties and at all stages of medical education and practice experience. Burnout consists of progressive emotional, attitudinal, and physical exhaustion. Physicians with burnout may treat patients as objects and feel emotionally depleted. Burnout is characterized by a loss of enthusiasm for work (emotional exhaustion), feelings of cynicism (depersonalization), and a low sense of personal accomplishment...
July 19, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28716310/the-role-of-same-sex-mentorship-and-organizational-support-in-encouraging-women-to-pursue-surgery
#6
Erynne A Faucett, Hilary C McCrary, Tijana Milinic, Tania Hassanzadeh, Simin G Roward, Leigh A Neumayer
INTRODUCTION: While women represent approximately half of all medical students, only 38% of general surgery residents are women. The objective of this study is to explore how access to mentors and organizational support affects career choices. METHODS: In June of 2016, a survey was sent to medical students at a single institution (n = 472). Questions utilized a 5-point Likert scale. A two-sample t-test was used to evaluate data. RESULTS: A total of 160 students participated in the survey...
July 12, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28712687/assessing-residents-readiness-for-or-autonomy-a-qualitative-descriptive-study-of-expert-surgical-teachers-best-practices
#7
Xiaodong Phoenix Chen, Amy M Sullivan, Adnan Alseidi, Gifty Kwakye, Douglas S Smink
PURPOSE: Providing resident autonomy in the operating room (OR) is one of the major challenges for surgical educators today. The purpose of this study was to explore what approaches expert surgical teachers use to assess residents' readiness for autonomy in the OR. We particularly focused on the assessments that experts make prior to conducting the surgical time-out. METHODS: We conducted semistructured in-depth interviews with expert surgical teachers from March 2016 to September 2016...
July 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28712686/using-touch-surgery-to-improve-surgical-education-in-low-and-middle-income-settings-a-randomized-control-trial
#8
Gisele Juru Bunogerane, Kathryn Taylor, Yihan Lin, Ainhoa Costas-Chavarri
BACKGROUND/OBJECTIVE: There is a severe surgical workforce shortage in Rwanda. Innovative educational tools must be introduced to train more residents and increase surgical capacity. Touch Surgery (TS) is a smartphone application that offers trainees the opportunity to practice operations; however, its effect is unknown in low- and middle-income countries. Our objectives were to determine the training effect of TS and its feasibility for use in surgery education in a low-resource setting...
July 13, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28705485/trainees-as-agents-of-change-in-the-opioid-epidemic-optimizing-the-opioid-prescription-practices-of-surgical-residents
#9
Alexander S Chiu, James M Healy, Michael P DeWane, Walter E Longo, Peter S Yoo
OBJECTIVE: Opioid abuse has become an epidemic in the United States, causing nearly 50,000 deaths a year. Postoperative pain is an unavoidable consequence of most surgery, and surgeons must balance the need for sufficient analgesia with the risks of overprescribing. Prescribing narcotics is often the responsibility of surgical residents, yet little is known about their opioid-prescribing habits, influences, and training experience. DESIGN: Anonymous online survey that assessed the amounts of postoperative opioid prescribed by residents, including type of analgesia, dosage, and number of pills, for a series of common general surgery procedures...
July 10, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28698900/simulation-based-mastery-learning-for-endoscopy-using-the-endoscopy-training-system-a-strategy-to-improve-endoscopic-skills-and-prepare-for-the-fundamentals-of-endoscopic-surgery-fes-manual-skills-exam
#10
E Matthew Ritter, Zachary A Taylor, Kathryn R Wolf, Brenton R Franklin, Sarah B Placek, James R Korndorffer, Aimee K Gardner
INTRODUCTION: The fundamentals of endoscopic surgery (FES) program has considerable validity evidence for its use in measuring the knowledge, skills, and abilities required for competency in endoscopy. Beginning in 2018, the American Board of Surgery will require all candidates to have taken and passed the written and performance exams in the FES program. Recent work has shown that the current ACGME/ABS required case volume may not be enough to ensure trainees pass the FES skills exam...
July 11, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28691429/effectiveness-of-bariatric-procedures-based-on-selected-laboratory-parameters-of-patients-from-rural-areas-in-polish-population
#11
Regina Sierżantowicz, Jolanta Lewko, Lech Trochimowicz, Bożena Kirpsza, Jacek Dadan, Hady Razak Hady
BACKGROUND: The latter are inhabited by over 15 million people, i.e. 39.5% of Polish population, including about 5 million rural residents in the Podlaskie voivodeship. The incidence of obesity is associated with increased prevalence of obesity-related conditions. The conducted studies do not confirm the efficacy of conservative treatment obesity, but show that bariatric procedures produce the best long-term results. OBJECTIVES: The aim of the study was to present the effects of bariatric obesity treatment (LAGB, SG, RYGB) on body mass index (BMI), selected diabetes control parameters, dyslipidemia, hepatic and renal enzymes, blood count, and hypertension control...
June 27, 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28688968/are-surgical-milestone-assessments-predictive-of-in-training-examination-scores
#12
Mary K Kimbrough, Carol R Thrush, Emily Barrett, Frederick R Bentley, Kevin W Sexton
OBJECTIVES: With the recent utilization of Accreditation Council for Graduate Medical Education developmental milestones as part of resident evaluation, we sought to explore whether milestone-based ratings were associated with American Board of Surgery In-Training Examination (ABSITE) scores. METHODS: Mid-year milestone ratings were obtained from the Accreditation Council for Graduate Medical Education Accreditation Database System for years 2014, 2015, and 2016 for all postgraduate years 1-5 general surgery residents in our program and paired with ABSITE scores (n = 69) from January of the following year...
July 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28688664/a-novel-flight-surgeon-training-model-at-a-joint-military-and-civilian-surgical-residency-program
#13
Erik S DeSoucy, Scott A Zakaluzny, Joseph M Galante
BACKGROUND: Graduating military preliminary interns are often required to fill flight surgeon billets. General surgery preliminary interns get experience evaluating surgical and trauma patients, but receive very little training in primary care and flight medicine. At a joint military and civilian training program, we developed a supplemental curriculum to help transition our interns into flight medicine. METHODS: From 2013 to 2016, we developed a lecture series focused on aerospace medicine, primary care, and specialty topics including dermatology, ophthalmology, orthopedics, pediatrics, psychiatry, and women's health...
July 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28688662/improving-resident-well-being-and-clinical-learning-environment-through-academic-initiatives
#14
Nathaniel Lee, Nital Appelbaum, Michael Amendola, Kelley Dodson, Brian Kaplan
BACKGROUND: Organizational effects on job satisfaction, burnout, work-life balance, and perceived support have not been studied in the context of the clinical learning environment. We evaluated the relationship between academic resources and resident well-being, the clinical learning environment, and in-service examination performance of surgical residents. MATERIALS AND METHODS: Residents of general surgery and surgical specialty programs were recruited from March 2016 through June 2016 across the Southeast, Mid-Atlantic, and Northeast regions...
July 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28688650/pilot-evaluation-of-the-computer-based-assessment-for-sampling-personal-characteristics-test
#15
Edward S Shipper, Laura M Mazer, Sylvia Bereknyei Merrell, Dana T Lin, James N Lau, Marc L Melcher
BACKGROUND: High attrition rates hint at deficiencies in the resident selection process. The evaluation of personal characteristics representative of success is difficult. Here, we evaluate a novel tool for assessing personal characteristics. MATERIALS AND METHODS: To evaluate feasibility, we used an anonymous voluntary survey questionnaire offered to study participants before and after contact with the CASPer test. To evaluate the CASPer test as a predictor of success, we compared CASPer test assessments of personal characteristics versus traditional faculty assessment of personal characteristics with applicant rank list position...
July 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28678064/who-makes-it-to-the-end-a-novel-predictive-model-for-identifying-surgical-residents-at-risk-for-attrition
#16
Heather L Yeo, Jonathan S Abelson, Jialin Mao, Frank Lewis, Fabrizio Michelassi, Richard Bell, Art Sedrakyan, Julie A Sosa
OBJECTIVE: We present 8-year follow-up data from the intern class of 2007 to 2008 using a novel, nonparametric predictive model to identify those residents who are at greatest risk of not completing their training. BACKGROUND: Nearly 1 in every 4 categorical general surgery residents does not complete training. There has been no study at a national level to identify individual resident and programmatic factors that can be used to accurately anticipate which residents are most at risk of attrition out...
July 3, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28676300/can-residents-be-trained-and-safety-maintained
#17
Marina Gorelik, Steven Godelman, Adel Elkbuli, Lauren Allen, Dessy Boneva, Mark McKenney
INTRODUCTION: Teaching hospitals and faculty need to balance the educational mission for training residents with patient safety. There are no data studying the change in trauma patient outcomes before and after implementation of a surgical residency. The objective of this study was to compare trauma center outcomes before and after the advent of a surgical training program. We predicted that patient-centric outcome metrics would not be affected by the integration of surgical residents into trauma patient care...
July 1, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28668291/comparison-of-simulation-based-assessments-and-faculty-ratings-for-general-surgery-resident-milestone-evaluation-are-they-telling-the-same-story
#18
Aimee K Gardner, Kareem AbdelFattah
BACKGROUND: The goal of this article is to examine the role of simulation in documenting resident nontechnical competencies outlined by the general surgery milestones, and compare those assessments to faculty ratings. METHODS: Trainees completed a multiphasic simulation scenario to assess ability to obtain informed consent, lead a preoperative time out, crisis management, communication, and delivering bad news. Assessments from this scenario were compared with ratings of these same competencies collected from clinical rotations...
August 16, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28666959/a-multicenter-prospective-comparison-of-the-accreditation-council-for-graduate-medical-education-milestones-clinical-competency-committee-vs-resident-self-assessment
#19
Ryan S Watson, Andrew J Borgert, Colette T O Heron, Kara J Kallies, Richard A Sidwell, John D Mellinger, Amit R Joshi, Joseph M Galante, Lowell W Chambers, Jon B Morris, Robert K Josloff, Marc L Melcher, George M Fuhrman, Kyla P Terhune, Lily Chang, Elizabeth M Ferguson, Edward D Auyang, Kevin R Patel, Benjamin T Jarman
OBJECTIVE: The Accreditation Council for Graduate Medical Education requires accredited residency programs to implement competency-based assessments of medical trainees based upon nationally established Milestones. Clinical competency committees (CCC) are required to prepare biannual reports using the Milestones and ensure reporting to the Accreditation Council for Graduate Medical Education. Previous research demonstrated a strong correlation between CCC and resident scores on the Milestones at 1 institution...
June 27, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28666958/at-home-preresidency-preparation-for-general-surgery-internship-a-pilot-study
#20
T K Pandian, Eeeln H Buckarma, Monali Mohan, Becca L Gas, Nimesh D Naik, Eduardo F Abbott, Apram Jyot, Muhammad H Zeb, Stephanie F Heller, David R Farley
OBJECTIVE: To create a novel "at-home" preresidency preparatory adjunct for medical students entering surgical residency. DESIGN: Preparatory resources were mailed to match medical students before residency matriculation in 2015. This included "how-to" videos, low-cost models, and surgical instruments for 5 "stations" (arterial blood gas analysis, anatomy and imaging knowledge, knot tying ability, and suturing dexterity) of our program's biannual general surgery intern objective assessment activity (Surgical Olympics: total 13 stations, 10 points each)...
June 27, 2017: Journal of Surgical Education
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