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General Surgery Residency

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https://www.readbyqxmd.com/read/29349544/interpretation-of-motion-analysis-of-laparoscopic-instruments-based-on-principal-component-analysis-in-box-trainer-settings
#1
Ignacio Oropesa, Fernando Pérez Escamirosa, Juan A Sánchez-Margallo, Silvia Enciso, Borja Rodríguez-Vila, Arturo Minor Martínez, Francisco M Sánchez-Margallo, Enrique J Gómez, Patricia Sánchez-González
BACKGROUND: Motion analysis parameters (MAPs) have been extensively validated for assessment of minimally invasive surgical skills. However, there are discrepancies on how specific MAPs, tasks, and skills match with each other, reflecting that motion analysis cannot be generalized independently of the learning outcomes of a task. Additionally, there is a lack of knowledge on the meaning of motion analysis in terms of surgical skills, making difficult the provision of meaningful, didactic feedback...
January 18, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29342008/the-r2c2-model-in-residency-education-how-does-it-foster-coaching-and-promote-feedback-use
#2
Joan Sargeant, Jocelyn M Lockyer, Karen Mann, Heather Armson, Andrew Warren, Marygrace Zetkulic, Sophie Soklaridis, Karen D Könings, Kathryn Ross, Ivan Silver, Eric Holmboe, Cindy Shearer, Michelle Boudreau
PURPOSE: The authors previously developed and tested a reflective model for facilitating performance feedback for practice improvement, the R2C2 model. It consists of four phases: relationship building, exploring reactions, exploring content, and coaching. This research studied the use and effectiveness of the model across different residency programs and the factors that influenced its effectiveness and use. METHOD: From July 2014-October 2016, case study methodology was used to study R2C2 model use and the influence of context on use within and across five cases...
January 16, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29336769/processes-of-health-care-delivery-education-and-provider-satisfaction-in-acute-care-surgery-a-systematic-review
#3
DeGirolamo Kristin, Patrick B Murphy, Karan D'Souza, Jacques X Zhang, Neil Parry, Elliott Haut, W Robert Leeper, Ken Leslie, Kelly N Vogt, S Morad Hameed
In recent years, significant workload, high acuity, and complexity of emergency general surgery conditions have led hospitals to replace the traditional on-call model with dedicated acute care surgery (ACS) service models. A systematic search of Ovid, EMBASE, and MEDLINE was undertaken to examine the impact of ACS services on health-care delivery processes and cost, education, and provider satisfaction. From 1827 papers, reviewers identified 22 studies that met inclusion criteria and subsequently used The Evidence-Based Practice for Improving Quality method and Newcastle-Ottawa Scale to score quality and level of evidence...
December 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29335101/outcomes-and-complication-rates-of-primary-resident-performed-cataract-surgeries-at-a-large-tertiary-care-county-hospital
#4
Cameron Clarke, Shazia F Ali, Michael Murri, Saagar N Patel, Li Wang, Marie Tuft, Mitchell P Weikert, Zaina Al-Mohtaseb
PURPOSE: To identify the preoperative risk factors, intraoperative events, and postoperative complications increasing the risk for poor visual outcomes in resident-performed cataract surgeries at a tertiary-care county hospital. SETTING: Ben Taub General Hospital, Houston, Texas, USA. DESIGN: Retrospective case series. METHODS: Resident-performed cataract surgeries were analyzed for risk factors, comorbidities, and intraoperative and postoperative complications...
December 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/29322173/association-of-surgical-practice-patterns-and-clinical-outcomes-with-surgeon-training-in-university-or-nonuniversity-based-residency-program
#5
Morgan M Sellers, Luke J Keele, Catherine E Sharoky, Christopher Wirtalla, Elizabeth A Bailey, Rachel R Kelz
Importance: Important metrics of residency program success include the clinical outcomes achieved by trainees after transitioning to practice. Previous studies have shown significant differences in reported training experiences of general surgery residents at nonuniversity-based residency (NUBR) and university-based residency (UBR) programs. Objective: To examine the differences in practice patterns and clinical outcomes between surgeons trained in NUBR and those trained in UBR programs...
January 10, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29311019/the-ideal-ear-position-in-caucasian-females
#6
P Niclas Broer, Aung Thiha, Denis Ehrl, Sammy Sinno, Sabrina Juran, Caroline Szpalski, Reuben Ng, Milomir Ninkovic, Lukas Prantl, Paul I Heidekrueger
PURPOSE: Ear position contributes significantly to facial appearance. However, while objective measurements remain the foundation for esthetic evaluations, little is known about how an ear should ideally be positioned regarding its rotational axis. This study aimed to further evaluate whether there exists a universally applicable ideal ear axis, and how sociodemographic factors impact such preferences. MATERIALS AND METHODS: An interactive online survey was designed, enabling participants to change the axis of a female model's ear in terms of its forward and backward rotation...
December 26, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29309940/interim-analysis-of-a-prospective-multi-institutional-study-of-surgery-resident-experience-with-flexibility-in-surgical-training
#7
Darren R Cullinan, Paul E Wise, Keith A Delman, John R Potts, Michael M Awad, Timothy J Eberlein, Mary E Klingensmith
BACKGROUND: The Flexibility in Surgical Training (FIST) consortium project was designed to evaluate the feasibility and resident outcomes of optional subspecialty-focused training within general surgery residency training. STUDY DESIGN: Following approval by the American Board of Surgery, R4 and R5 residents were permitted to customize up to 12 of the final 24 months of residency for early tracking into one of nine subspecialty tracks. A prospective IRB-approved study was designed across seven institutions to evaluate the impact of this option on operative experience, in-service exam (ABSITE) and ACGME milestone performance, and resident and program director (PD) perceptions...
January 5, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29307096/surgical-training-in-robotic-surgery-surgical-experience-of-robotic-assisted-transabdominal-preperitoneal-inguinal-herniorrhaphy-with-and-without-resident-participation
#8
Jessica Gonzalez-Hernandez, Purvi Prajapati, Gerald Ogola, Ryan D Burkart, Lam D Le
Robotic-assisted surgery is becoming more popular in general surgery. Implementation of a robotic curriculum is necessary and will influence surgical training. The aim of this study is to compare surgical experience and outcomes with and without resident participation in robotic inguinal herniorrhaphy. A retrospective review of patients who underwent either unilateral or bilateral robotic-assisted transabdominal preperitoneal (TAPP) inguinal herniorrhaphy, with and without resident participation as console surgeons from January through December 2015, was performed...
January 6, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29306578/utility-of-a-standardized-fourth-year-medical-student-surgical-preparatory-curriculum-program-director-perceptions
#9
Melissa K Stewart, Rebecca C Henry, Jesse M Ehrenfeld, Kyla P Terhune
OBJECTIVE: Each July, surgical interns arrive to residency with variable skills, knowledge, and clinical experience. To standardize and improve intern preparation, the American College of Surgeons (ACS), Association of Program Directors in Surgery, and Association for Surgical Education developed a pilot Resident Prep Curriculum (RPC). To date, no studies have analyzed these efforts. We aimed to discern program director (PD) perceptions of RPC participants as an initial means of analysis...
January 3, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29303855/review-of-readiness-of-us-general-surgery-residents-for-independent-practice-by-george-bc-bohnen-jd-williams-rg-meyerson-sl-schuller-mc-clark-mj-meier-ah-torbeck-l-mandell-sp-mullen-jt-smink-ds-scully-re-chipman-jg-auyang-ed-terhune-kp-wise-pe-choi-jn-foley
#10
https://www.readbyqxmd.com/read/29297088/changes-in-operative-experience-after-the-introduction-of-residency-an-objective-comparison-of-surgical-and-endoscopic-volumes
#11
Kherru Sarah Sim, Jin Yao Teo, Peng Chung Cheow
INTRODUCTION: The SingHealth Residency General Surgery Programme replaced the basic and advanced specialist training (AST) system in Singapore in 2010. The relative merits of both systems continue to be debated, especially concerning the operational readiness of graduating residents. We set out to compare the operative and endoscopic volumes of graduates from the AST system with those from the first graduating batch of the residency programme during their registrar (or equivalent) years, as a reflection of procedural experience gained during traineeship...
January 3, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29291178/a-competency-based-simulation-curriculum-for-surgical-resident-trauma-resuscitation-skills
#12
Matthew L Moorman, Tony R Capizzani, Michelle A Feliciano, Judith C French
Background: Evidence-based curricula for nonprocedural simulation training in general surgery are lacking. Residency programs are required to implement simulation training despite this shortcoming. The goal of this project was the development of a simulation curriculum that measurably improves milestone performance and replaces traditional experienced-based training with a competency-based model. Materials and Methods: SimMan 3G® (Laerdal Medical, Wappingers Falls, NY, USA) was utilized for simulation...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29289752/maintaining-the-fire-but-avoiding-burnout-implementation-and-evaluation-of-a-resident-well-being-program
#13
Taylor S Riall, Joshua Teiman, Michelle Chang, Denzel Cole, Tambre Leighn, Hilary McClafferty, Valentine N Nfonsam
BACKGROUND: There have been few programs designed to improve surgical resident wellbeing and such efforts often lack formal evaluation. STUDY DESIGN: General Surgery residents participated in the Energy Leadership Wellbeing and Resiliency Program. They were assessed at baseline and one year after implementation using the Energy Leadership Index (ELI, measures emotional intelligence), Maslach Burnout Inventory (MBI) General Survey, Perceived Stress Scale (PSS), the Beck Depression Inventory (BDI), and the annual required ACGME resident survey...
December 28, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29289390/personalized-video-feedback-improves-suturing-skills-of-incoming-general-surgery-trainees
#14
Nimesh D Naik, Eduardo F Abbott, Becca L Gas, Brittany L Murphy, David R Farley, David A Cook
BACKGROUND: The American Board of Surgery encourages graduating medical students to prepare for surgical residency before day 1. We sought to determine the impact of personalized video feedback on an advance preparation task. METHODS: We conducted a nonrandomized study comparing video feedback versus no feedback. We sent incoming surgical interns a preparatory package 2 months before starting residency. Trainees video-recorded themselves performing a subcuticular wound closure, 3 times at 3-week intervals, and submitted these for appraisal...
December 27, 2017: Surgery
https://www.readbyqxmd.com/read/29283950/evaluating-resident-perspectives-on-international-humanitarian-missions
#15
Matthew D Chetta, Afaaf Shakir, Laurence S Paek, Gordon K Lee
BACKGROUND: Opportunities for international missions are highly sought after by medical students, residents, and attending plastic surgeons. The educational benefits and ethical considerations of trainees participating in these ventures have been extensively debated. At the time of this writing, many surgical training programs lack the necessary infrastructure or funds to support missions of this sort. Despite the increasing interest, the perceived benefit of international work has not yet been well studied...
December 27, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29282462/evaluation-of-validity-evidence-for-personality-emotional-intelligence-and-situational-judgment-tests-to-identify-successful-residents
#16
Aimee K Gardner, Brian J Dunkin
Importance: The ability to identify candidates who will thrive and successfully complete their residency is especially critical for general surgery programs. Objective: To assess the extent to which 3 screening tools used extensively in industrial selection settings-emotional intelligence (EQ), personality profiles, and situational judgment tests (SJTs)-could identify successful surgery residents. Design, Setting, and Participants: In this analysis, personality profiles, EQ assessments, and SJTs were administered from July through August 2015 to 51 postgraduate year 1 through 5 general surgery residents in a large general surgery residency program...
December 27, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29280754/fake-it-til-you-make-it-pressures-to-measure-up-in-surgical-training
#17
Priyanka Patel, Maria A Martimianakis, Nathan R Zilbert, Carween Mui, Melanie Hammond Mobilio, Simon Kitto, Carol-Anne Moulton
PURPOSE: Expectations of certainty and confidence in surgical culture are a source of internal conflict for surgeons and learners, with surgeons describing a pressure to project an image that is, at times, inconsistent with how they feel internally. The authors explored surgical residents' perceptions of "impression management" and its effects on surgical judgment and decision-making. METHOD: The authors used a constructivist grounded theory approach to conduct and analyze 15 semi-structured interviews with general surgery trainees at an urban Canadian academic health center between 2012-2014...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29277387/relationship-of-procedural-numbers-with-meaningful-procedural-autonomy-in-general-surgery-residents
#18
Herbert P Stride, Brian C George, Reed G Williams, Jordan T Bohnen, Megan J Eaton, Mary C Schuller, Lihui Zhao, Amy Yang, Shari L Meyerson, Rebecca Scully, Gary L Dunnington, Laura Torbeck, John T Mullen, Samuel P Mandell, Michael Choti, Eugene Foley, Chandrakanth Are, Edward Auyang, Jeffrey Chipman, Jennifer Choi, Andreas Meier, Douglas Smink, Kyla P Terhune, Paul Wise, Debra DaRosa, Nathaniel Soper, Jay B Zwischenberger, Keith Lillemoe, Jonathan P Fryer
BACKGROUND: Concerns exist regarding the competency of general surgery graduates with performing core general surgery procedures. Current competence assessment incorporates minimal procedural numbers requirements. METHODS: Based on the Zwisch scale we evaluated the level of autonomy achieved by categorical PGY1-5 general surgery residents at 14 U.S. general surgery resident training programs between September 1, 2015 and December 31, 2016. With 5 of the most commonly performed core general surgery procedures, we correlated the level of autonomy achieved by each resident with the number of procedures they had performed before the evaluation period, with the intent of identifying specific target numbers that would correlate with the achievement of meaningful autonomy for each procedure with most residents...
December 22, 2017: Surgery
https://www.readbyqxmd.com/read/29273336/self-appraised-readiness-of-senior-and-graduating-general-surgery-residents-to-perform-thoracic-surgery
#19
Zachary M DeBoard, Michael Paisley, Donald D Thomas
OBJECTIVE: General surgeons perform up to 50% of noncardiac thoracic surgery (TS). Although data show consistent TS case volume during general surgery (GS) residency it is unknown whether this operative trend will persist given potentially limited subspecialty exposure. We sought to determine if certain aspects of residency programs and resident characteristics were associated with trainees' perceived comfort in performing certain basic TS procedures. DESIGN: An anonymous survey was distributed to GS residents regarding program characteristics, presence of a TS residency, and intent to pursue thoracic surgical training, and estimated case volumes of individual procedures...
December 19, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29260126/contribution-of-an-educational-video-to-surgical-education-in-laparoscopic-appendectomy
#20
Eyüp Murat Yılmaz, Aykut Soyder, Murat Aksu, Ali Doğan Bozdağ, Şükrü Boylu, Akay Edizsoy, Şadi Ballı, Mustafa Agah Tekindal
Objective: With recent widespread advances in laparoscopy, providing education on this subject has become a significant challenge. The aim of this study was to determine the degree of contribution made by surgeons to laparoscopic education through an educational video. Material and Methods: A total of 40 volunteer general surgery residents and specialists participated in our study. Before watching the approximately six-minute educational video prepared for laparoscopic appendectomy, the participants were asked to fill out participant information forms and information measurement questionnaire forms...
2017: Turkish Journal of Surgery
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