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How Surgeons Think to Avoid Error: A Case Study of the Neurovascular Bundle Sparing During a Robotic Prostatectomy J. Surg. Educ. (IF 2.9) Pub Date : 2024-03-13 Avril Lusty MD FRCSC, Janet Alexanian PhD, Simon Kitto PhD, Tim Wood PhD, Luke T. Lavallée MDCM FRCSC MSc, Chris Morash MD FRCSC, Ilias Cagiannos MD FRCSC, Rodney H. Breau MSc MD FRCSC, Isabelle Raîche MD FRCSC MAEd
To illustrate how experts efficiently navigate a “slowing down moment” to obtain optimal surgical outcomes using the neurovascular bundle sparing during a robotic prostatectomy as a case study. A series of semistructured interviews with four expert uro-oncologists were completed using a cognitive task analysis methodology. Cognitive task analysis, CTA, refers to the interview and extraction of a general
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The Price of Productivity: Evaluating the Cost of a Research Year J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-28 Taylor G. Hallman BS, Umer Qureshi MEd, Kristof S. Gutowski BS, Christian Arcelona BS, Rachel Donaldson MS, Arun K. Gosain MD
Research years during medical school are becoming increasingly common amongst applicants to competitive residency programs. As many of these positions are unpaid, it is important to consider the financial implications of these experiences and the feasibility of participation from students of all backgrounds. This study aims to quantify the cost of a research year during medical school. We identified
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Mixed Signals: Navigating the Obstetrics and Gynecology Signaling Initiative J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-26 Alexandria C. Kraus MD, John L. Dalrymple MD, Ezra Schwartz MD MSc, Gimena Marzan MD, Sarah Nelson MD, Helen K. Morgan MD, Maya M. Hammoud MD MBA, Omar M. Young MD
There are few published accounts of the obstetrics and gynecology (OBGYN) specialty-specific experience with a formal signaling program. Prior studies examining other medical specialties’ experiences with signaling are quantitative, having not examined the complexity of the residency applicant experience by directly engaging applicants; therefore, this study aimed to describe the lived experiences
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Defining Practice Readiness in Pediatric Surgery Fellowship: A Qualitative Analysis J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-25 Brianna Spencer MD, Rebecca Moreci MD, Jennine Weller MD, Julie Evans MS, Biren P. Modi MD MPH, Brian Gray MD, Peter Ehrlich MD MSc, Alan Ladd MD, Craig Lillehei MD, Samuel Alaish MD, Samir Gadepalli MD MBA, Ronald B. Hirschl MD, Erika Newman MD, Benjamin Zendejas MD MSc, Gurjit Sandhu PhD
While competency-based training is at the forefront of educational innovation in General Surgery, Pediatric Surgery training programs should not wait for downstream changes. There is currently no consensus on what it means for a pediatric surgery fellow to be “practice-ready”. In this study, we aimed to provide a framework for better defining competency and practice readiness in a way that can support
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A Look at Demographics and Transition to Virtual Assessments: An Analysis of Bias in the American Board of Surgery General Surgery Certifying Exams J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-24 Beatriz Ibáñez PhD, Andrew T. Jones PhD, D. Rohan Jeyarajah MD, Daniel L. Dent MD, Caroline Prendergast PhD, Carol L. Barry PhD
The goals of this study were (1) to assess if examiner ratings in the American Board of Surgery (ABS) General Surgery Cetifying Exam (CE) are biased based on the gender, race, and ethnicity of the candidate or the examiners, and (2) if the format of delivering of the exams, in-person or virtual, affects how examiners rate candidates. We included every candidate-examiner combination for first time takers
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Future Surgical Leaders: Resident Perception Of Longitudinal Leadership And Non-Technical Skills Curriculum J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-24 David R. Mann, Christopher S. Thomas, Raphael H. Parrado, G. Tyler Rives, Cynthia L. Talley
A paucity of formal leadership training programs exists for residents, and outcomes of those are limited in reporting. Based on a robust needs assessment, our program created a longitudinal cohort curriculum, Future Surgical Leaders, for residents and fellows of all levels to provide training in nontechnical skills. Our objective was to evaluate surgical resident short-term outcomes and satisfaction
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Proficiency Levels and Validity Evidence for Scoring Metrics for a Virtual Reality and Inanimate Robotic Surgery Simulation Curriculum J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-24 Juan C. Tellez BS, Imad Radi MD, Rodrigo E. Alterio MD, Madhuri B. Nagaraj MDMS, Haley B. Baker MD, Daniel J. Scott MD, Herbert J. Zeh MD, Patricio M. Polanco MDFACS
Our institution recently implemented a virtual reality (VR) skills curriculum for general surgery residents using the SimNow simulator. Based on a content alignment study, we revised the curriculum to include only 20 of 33 VR tasks and we added 3 previously validated inanimate tasks. The purpose of this study was to establish expert-derived proficiency levels for all tasks and to evaluate the validity
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Influence of Applicant Interview Format Choice on Demographics and Outcomes from the Residency Match J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-22 Saad S. Shebrain MD MMM, Kent Grosh MD, Paula M. Termuhlen MD, Robert G. Sawyer MD
Studies of virtual interviews (VI) for residency lack contemporaneous In-person Interview (IPI) comparators, leaving uncertain the impact of interview mode on the match process. The study aims to evaluate the effect of allowing candidates to choose interview format, the VI versus IPI, on demographic characteristics of candidates and on rank order list (ROL) position. A Cohort study of residency applicants
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Investigating Workplace Support and the Importance of Psychological Safety in General Surgery Residency Training J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-22 Feyisayo Ojute BS, Paul Adam Gonzales MD, Michael Berler BA, Nicole Puente BS, Brianna Johnston, Damin Singh MBBS, Anya Edwards MD MBA, Joseph Lin MD, Carter Lebares MD, General Surgery Research Collaborative on Resident Wellbeing
Workplace interventions that increase support can mitigate burnout, improve workplace satisfaction, and increase well-being. Our aim is to provide evidence-based targets to inform future work for operationalizing support in general surgery residency. This is a 2-part mixed-methods cross-sectional study. Part 1 analyzed qualitative data from focus groups (April 2021-May 2022). Part 2 comprised an online
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Psychological Impact of the COVID-19 Pandemic on Canadian Surgical Residents: A Province-Wide Study J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-22 Jessica J. Lie MD MPH, Caroline Huynh MD, Jennifer Li MD MHSc FRCSC FACS, Nicole Mak MD FRCSC, Sam M. Wiseman BSc MD FRCSC FACS
The objective of this study was to evaluate the psychological impact of the COVID-19 pandemic on surgical residents. An online survey was distributed evaluating multiple domains: demographics, health and socioeconomic factors, clinical experience, educational experience, and psychological outcomes. The Mayo Clinic Resident Well-Being Index (RWBI) was used as a validated measure of resident mental health
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Measuring Chief Resident Skill and Entrustment Progression in An Operative Coaching Program: Four Years’ Experience J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-22 Michael R. Go MD FACS, Amber L. Traugott MD FACS, Aslam Ejaz MD FACS, Courtney Collins MD FACS, Alan E. Harzman MD FACS, E. Christopher Ellison MD FACS, Xiaodong (Phoenix) Chen PhD
Operative coaching (OC) may facilitate improvement of surgery residents’ competencies by optimizing learning and teaching. We investigated how residents’ operative skills and prospective entrustment (PE) progress throughout the chief year in our OC program, how OC is perceived by participants, and how OC may facilitate learning and teaching. This is a mixed-methods study conducted within the Ohio State
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Investigating First Year Surgery Residents' Expectations of Demand, Control, and Support During Training J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-22 Feyisayo Ojute BS, Paul Adam Gonzales MD, T. Roxana Ghadimi BS, Anya Edwards MD MBA, Marieke van der Schaaf PhD, Carter Lebares MD
To provide a more granular understanding of the expectations of general surgery interns regarding workplace demand, control, and support prior to starting training. General surgery (GS) interns are at highest risk for burnout and attrition. Maslach frames burnout as resulting from a mismatch between workplace expectations and reality. Occupational science demonstrates workplace demand, control, and
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The Role of Three-Dimensional Modeling to Improve Comprehension of Liver Anatomy and Tumor Characteristics for Medical Students and Surgical Residents J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-22 Laura Alaimo MD, Andrea Marchese MD, Damiano Vignola MD, Diletta Roman MD, Simone Conci MD PhD, Mario De Bellis MD, Corrado Pedrazzani MD, Tommaso Campagnaro MD PhD, Gessica Manzini BCH MS, Alfredo Guglielmi MD, Andrea Ruzzenente MD PhD
Studying liver anatomy can be challenging for medical students and surgical residents due to its complexity. Three-dimensional visualization technology (3DVT) allows for a clearer and more precise view of liver anatomy. We sought to assess how 3DVT can assist students and surgical residents comprehend liver anatomy. Data from 5 patients who underwent liver resection for malignancy at our institution
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You Want to be a Surgical Leader? Consider Training Elsewhere – An Observation of How Training Background May Impact Leadership Selection J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-21 Mary Alex Parks BS, Jeremy T. Gaskins PhD, Allie Jin BS, Susan Galandiuk MD, Sandra L. Kavalukas MD
The significance of thought differences has always held importance in medicine, but it could be considered as increasingly acknowledged and valued to a greater extent in recent times as more emphasis is placed on diversity, equity, and inclusion. These unique perspectives have been examined according to race, gender, and ethnicity, but there is limited published data examining the prevalence of leadership
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Barriers to Breastfeeding During Surgery Residency J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-21 Simin Golestani MD, Tatiana Cardenas MD MS FACS, Katherine Koepp BS, Jessica Efird MD, Pedro G. Teixeira MD FACS, Marissa Mery MD, Joseph Dubose MD FACS, Marc D. Trust MD, Michelle Bach MS, Sadia Ali MPH, Carlos V.R. Brown MD FACS
Breastfeeding is a highly demanding experience, especially for surgical residents who pump after returning to work. We believe that there are obstacles to pumping and opportunities exist to improve support for this group. The objective of this study was to understand the experience of breastfeeding surgery residents and find opportunities for increased support. Surveys were sent out through the Association
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Language in the Teaching Operating Room: Expressing Confidence Versus Community J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-21 Aarya Ramprasad BS, Imaima Casubhoy BS, Austin Bachar BS, Melanie Meister MD, Brenda Bethman PhD, Gary Sutkin MD
Previous work has analyzed residency letters of recommendation for agentic and communal language, but this has not been applied to spoken language. Our objective was to analyze intraoperative spoken language by attending and resident surgeons for the use of agentic and communal language. We completed a linguistic inquiry and word count (LIWC) analysis on 16 operating room transcripts (total time 615
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Resident Remediation: A National Survey of Urology Program Directors J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-21 David S. Han MD MS, Gina M. Badalato MD, Tiffany E. Murano MD, Christopher B. Anderson MD MPH
To describe formal remediation rates and processes in urology training programs nationally. We performed a cross-sectional study by surveying program directors (PDs) through the Society of Academic Urologists. Formal remediation was defined as the process initiated when resident competency deficiencies were significant enough to necessitate documentation and notification of the Graduate Medical Education
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Doctors of Osteopathic Medicine as Plastic Surgery Residents: Demographics, Credentials, and Pathways to Residency J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-21 Layne N. Raborn MD, Rami Elmorsi MD, Brandon T. Smith MD MS, Malke Asaad MD, Rebecca Kelley DO, Francesco M. Egro MD MSc MRCS
Doctors of Osteopathic Medicine (DOs) are sparsely represented within plastic and reconstructive surgery (PRS) and recent changes including the elimination of step 1 scoring have further disadvantaged DO applicants. The demographics, degrees, and scholarly output of DO PRS trainees were compared to that of Doctors of Medicine (MDs) to identify areas of focus which could be used to increase competitiveness
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Racial and Ethnic Disparities in Otolaryngology Applicants and Residents: Recruiting a Diverse Workforce J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-20 Bruna Pino BA, Preetha S. Velu BA, Jessica R. Levi MD
The purpose of this study is to examine the racial and ethnic representation of otolaryngology applicants and residents and determine if there have been any improvements in recruiting a diverse workforce over the past several years. A retrospective study was conducted on self-reported race and ethnicity data of otolaryngology applicants to United States residency programs from 2016 to 2022 from the
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Teaching the Limitations of Large Language Models in Medical School J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-15 Araliya N. Gunawardene, Gabriella Schmuter
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Factors Influencing Exam Performance of Surgical Trainees in Sub-Saharan Africa: A Retrospective Analysis of the College of Surgeons in East, Central, and Southern Africa Membership Examination J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-30 Lawa Shaban, Eric O'Flynn, Wakisa Mulwafu, Eric Borgstein, Abebe Bekele, Niraj Bachheta, Debbi Stanistreet, Jakub Gajewski
Introduction The College of Surgeons of East, Central, and Southern Africa (COSECSA) has been expanding surgical training in sub-Saharan Africa to respond to the shortage in the region. However, acquiring surgical skills requires rigorous training, and these skills are repeatedly assessed throughout training. Therefore, understanding the factors influencing these assessments is crucial. Previous research
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Association of Residency Applicants’ Hobbies and Subsequent Technical Proficiency Ratings as General Surgery Chief Residents: A Multi-Institutional Study J. Surg. Educ. (IF 2.9) Pub Date : 2024-02-02 James Cook, Christian de Virgilio, Amanda Purdy, V. Prasad Poola, Juliana Tolles, Brian Smith, Eric Simms, Kristine E. Calhoun, Benjamin Jarman, Edgardo S. Salcedo, Edgar Frey, Esther Wu, Vatche Agopian, Chad Cryer, Ross Fleischman, Karen J. Dickinson, Mayank Roy, Amy Han, Farin Amersi
To determine whether participation in certain hobbies (e.g., participation in sports, playing musical instruments, or other hobbies requiring fine motor skills), preresidency, are associated with higher technical skills ratings at the time of residency graduation. Faculty members from 14 general surgery residency programs scored individual graduates from 2017 to 2020 on their technical skills using
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Trends in Surgical Critical Care Fellowship Match: An Analysis of National Resident Matching Program Data J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-30 Amir H. Sohail, Ivan B. Ye, Meher Oberoi, Kevin A. Martinez, Abu Baker Sheikh, Koral Cohen, Umar Bhatti, D'andrea K. Joseph
Abstract not available
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Competency in Robotic Surgery: Standard Setting for Robotic Suturing Using Objective Assessment and Expert Evaluation J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-29 Taseen F. Haque, J. Everett Knudsen, Jonathan You, Alvin Hui, Hooman Djaladat, Runzhuo Ma, Steven Cen, Mitchell Goldenberg, Andrew J. Hung
Objective Surgical skill assessment tools such as the End-to-End Assessment of Suturing Expertise (EASE) can differentiate a surgeon's experience level. In this simulation-based study, we define a competency benchmark for intraoperative robotic suturing using EASE as a validated measure of performance. Design Participants conducted a dry-lab vesicourethral anastomosis (VUA) exercise. Videos were each
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Piloting a National Curricular Resource for the Transition to Surgical Residency: Characteristics of Participating Schools and Their Students J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-28 Amy Jayas, Ajit K. Sachdeva, Keith A. Delman, Adam S. Kabaker, Patrice Gabler Blair, Renee Overton, Douglas Grbic, Dorothy A. Andriole
Objective To determine the extent to which U.S. Liaison Committee of Medical Education (LCME)-accredited medical schools chose to participate in piloting a national curricular resource, the American College of Surgeons/Association of Program Directors in Surgery/Association of Surgical Education Resident Prep Curriculum (“ACS-surgery-prep curriculum”), and implications of such participation for student
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Clinical Outcomes of Standardized Central Venous Catheterization Simulation Training: A Comparative Analysis J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-26 Jessica M. Gonzalez-Vargas, Elizabeth Sinz, Jason Z. Moore, Scarlett R. Miller
Objective A standardized ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) using online- and simulation-based training was first designed and then large-scale deployed at a teaching hospital institution to improve CVC surgical education. To understand the impact that the standardized training might have on patient complications, this study focuses on identifying the impact
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Free-Viewpoint Video in Open Surgery: Development of Surgical Arena 360 J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-26 Daichi Kitaguchi, Koichiro Kumano, Ryotaro Takatsuki, Chun Xie, Shinji Hashimoto, Yoshimasa Akashi, Itaru Kitahara, Tatsuya Oda
Objective We aimed to apply the free-viewpoint video technology developed and introduced mainly for sports spectators to an open surgical video recording system. Design Prospective feasibility study. Setting University of Tsukuba Hospital, Ibaraki, Japan. Participants Patients who underwent open pancreaticoduodenectomy for pancreatic cancer between December 2022 and March 2023 were included. The gastrojejunal
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Redefining Trauma Training in Canada: A National Delphi Study on Curriculum, Educational Resources, and Training Initiatives J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-27 Joanna F. Ryan, Paul T. Engels, Kelly N. Vogt, Samuel Minor, Brett D. Mador
This study aims to develop a set of curriculum recommendations to support trauma training in Canadian general surgery residency programs. A modified Delphi study was conducted with a panel of trauma and surgical education experts. Proposed curriculum components were developed from Canadian trauma surgery exposure and educational needs assessment data. Panelists were asked to rate each potential curriculum
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Longitudinal Integrated Clerkships and Undergraduate Surgical Education: A Scoping Review and Gap Analysis J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-25 Mary E. Moya-Mendez, Steven Thornton, Kristen E. Rhodin, Qimeng Gao, Harold J. Leraas, Cory J. Vatsaas
Objective Longitudinal integrated clerkships (LICs) are an increasingly popular approach to medical student clinical education, and the literature describing them is expanding. Despite this, there is a lack of understanding for how surgery didactics and skills are currently taught as a part of the LIC curriculum. Design We conducted a scoping literature review in July 2022 using terms related to LIC
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Standardization and Implementation of a Surgical Coaching Model for Pediatric Urology J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-26 Hailey Silverii, Nicolas Fernandez, Jennifer Ahn, Thomas Lendvay, Margarett Shnorhavorian, Byron Joyner, Kathleen Kieran, Mark Cain, Paul Merguerian
To bridge gaps in proficiency and encourage life-long learning following training, coaching models have been utilized in multiple surgical fields; however, not within pediatric urology. In this review of our methodology, we describe the development of a coaching model at a single institution. In our initial experience, the perceived most beneficial aspect of the program was the goal setting process
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Preliminary Development of a Program ABSITE Dashboard (PAD) to Guide Curriculum Innovation J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-08 Brian Carter, Jason Sidrak, Brandie Wagner, Claire Travis, Mark Nehler, Nicole Christian
Purpose Medical Knowledge for general surgery residents’ is assessed by the American Board of Surgery In- Training Examination (ABSITE). ASBITE score reports contain many metrics residency directors can utilize to assess resident progress and perform program evaluation. The purpose of this study was to develop a framework to evaluate program effectiveness in teaching specific subtest and subtopic areas
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Medical Student Perceptions of Academic Surgery: Rose-Colored Glasses or Jaded Prism? J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-04 Mikhal A. Yudien, Ari D. Brooks, Cary B. Aarons
Objective Stereotypes of surgeons are pervasive and play a role in medical students’ decisions about pursuing a surgical career. This study aimed to determine: (1) how medical students’ perceptions of surgery and surgeons changed following exposure to surgery during clerkship rotations; and (2) if gender and racial/ethnic identification played a role in this process. Design, Setting, and Participants
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Comparing Faculty and Trainee Evaluators of First-Year Resident Skills J. Surg. Educ. (IF 2.9) Pub Date : 2024-01-03 Rachel L. McCaffrey, Kyle Cassling, Mario Davidson, Rondi Kauffmann, Julia Shelton, Christina E. Bailey, Kyla Terhune
Objective To determine if senior residents are comparable to faculty in assessing first-year resident skills on their overall assessment. Background As resident training moves towards a competency-based model, innovative approaches to evaluation and feedback through simulation need to be developed for both procedural as well as interpersonal and communication skills. In most areas of simulation, the
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Use of Innovative Technology in Surgical Training in Resource-Limited Settings: A Scoping Review J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-30 Kayoung Heo, Samuel Cheng, Emilie Joos, Shahrzad Joharifard
Background There has been a rapid growth in interest in global surgery. This increased commitment to improving global surgical care, however, has not translated into an equal exchange of surgical information between high-income countries (HICs) and low-income countries (LMICs). In recent years, a greater emphasis has been placed on training local medical personnel in order to increase surgical capacity
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Impact of Surgical Resident Education and EMR Standardization in Enhancing ERAS Adherence and Outcomes in Colorectal Surgery J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-30 Sami Shoucair, Said Alnajjar, Ali Sattari, Anyelin Almanzar, David Lisle, Vinay K. Gupta
Objective Our study aimed at investigating the degree of adherence to ERAS pathway at our institution and to evaluate the role of providing resident education and a standardized EMR order set in improving adherence and patient surgical outcomes. Design The study is prospective in nature and consists of two phases with a preintervention cohort to assess adherence to ERAS protocol and a postintervention
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Impact of Mentoring for Underrepresented Groups in Undergraduate Medical Education: A Systematic Review J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Aoife A Feeley, Iain H Feeley, Eoin Sheehan, Camilla Carroll, Joseph Queally
Objectives Despite efforts to mitigate challenges to advance underrepresented groups (URG) groups’ representation in medical education, diversity remains underwhelming. In response to this several mentoring programs to increase diversification within medical education have been implemented. However, the impact of these programs on URG representation across disciplines is unknown. The aim of this review
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Who Benefits? An Assessment of Resident Benefits at Top 50 Academic Institutions J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-28 Harold J. Leraas, Lillian Kang, Doreen Chang, Colin Martz, Ahmad Mourad, Marcelo Cerullo, Kristen E. Rhodin, John Migaly, Elisabeth T Tracy
Objective Residency serves as a crucial time in the professional and personal development of young physicians. Extensive effort is devoted to the clinical training of residents across the country. However, many residents report concerns with compensation, quality of life, and benefits during their clinical training. We sought to evaluate the benefits packages of resident physicians in comparison with
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Effect of Feedback Modality on Simulated Surgical Skills Learning Using Automated Educational Systems– A Four-Arm Randomized Control Trial J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Recai Yilmaz, Ali M. Fazlollahi, Alexander Winkler-Schwartz, Anna Wang, Hafila Hassan Makhani, Ahmad Alsayegh, Mohamad Bakhaidar, Dan Huy Tran, Carlo Santaguida, Rolando F. Del Maestro
Objective To explore optimal feedback methodologies to enhance trainee skill acquisition in simulated surgical bimanual skills learning during brain tumor resections. Hypotheses (1) Providing feedback results in better learning outcomes in teaching surgical technical skill when compared to practice alone with no tailored performance feedback. (2) Providing more visual and visuospatial feedback results
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Active Teaching Techniques Using Virtual Didactics: Novel Experience From a National Neurosurgery Resident Course J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Martina Stippler, Sarah E. Blitz, Carolyn Quinsey, David Limbrick, Richard Byrne, Greg Zipfel, Nathan R. Selden
Objective To investigate the attitudes of neurosurgery residents regarding active teaching techniques and virtual didactics based on a national neurosurgery resident sample. We also evaluated the relative cost and time commitment required for faculty participation in virtual versus in-person resident courses. Design The Society of Neurological Surgeons (SNS) national junior resident courses (JRCs)
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Can an Orthopedic Hip Fracture Simulator Advance Orthopedic Residents’ Hip Fracture Fixation Skills to an Expert Level? J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Annie Weber, Nathan N. O'Hara, Gerard P. Slobogean, R. Frank Henn, Robert V. O'Toole, Marcus F. Sciadini
Objective This study was undertaken to evaluate hip fracture simulator training and orthopedic resident skill attainment. We hypothesized that after 6 training sessions, improvement in post-training scores in junior residents would exceed that of senior residents and that senior residents would attain expert level proficiency sooner. Design Thirty orthopedic residents from a single institution completed
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Standing in Unity Amidst Change: A Group Mentorship Model that Addresses the Logistical and Emotional Needs of Applicants for Surgical Residency J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Gordana Rasic, Loreski Collado, Anna Kobzeva-Herzog, Tracey Dechert
OBJECTIVE For medical students, applying to general surgery residency is a complex and multifactorial process that can be fraught with significant challenges. The COVID-19 pandemic generated additional uncertainty and distress for applicants given the temporary suspension of in-person clinical rotations and transition to virtual residency interviews. However, despite the significant changes introduced
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Paths to Success for Medical Students Without a Home Orthopedic Surgery Residency Program in the Post-COVID-19 Digital Era J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Edouard J. Augustin, Vincent J.H. Yao, Zachariah Samuel
Abstract not available
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Financial Relationships in General Surgery Education: Recent Trends in Industry Payments to General Surgery Residency Leadership J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Hassan Aziz, Diana Hockett, Lawrence Feng, Shriya Kane, Nicole Segalini, Niklas Hase, Muneera R. Kapadia, Julia Shelton
Introduction Residency programs and their directors frequently receive funding from industry payers. Both general surgery residency program directors (PDs) and assistant program directors (APDs) receive industry funding for various reasons, including educational advancement. This study investigates recent trends in industry payments to both PDs and APDs to better understand the financial relationships
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Evaluation Tools for Assessing Autonomy of Surgical Residents in the Operating Room and Factors Influencing Access to Autonomy: A Systematic Literature Review J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Anaïs Sevestre, Vincent Dochez, Robin Souron, Thibault Deschamps, Norbert Winer, Thibault Thubert
Background Surgical residents in France lack a clear pedagogical framework for achieving autonomy in the operating room. The progressive acquisition of surgical autonomy is a determining factor in the confidence of operators for their future independent practice. Currently, there is no autonomy scale commonly used in Europe. The objective of this study is to identify existing tools for quantifying
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Using Artificial Intelligence to Gauge Competency on a Novel Laparoscopic Training System J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 C. Yoonhee Ryder, Nicole M. Mott, Christopher L. Gross, Chioma Anidi, Leul Shigut, Serena S. Bidwell, Erin Kim, Yimeng Zhao, Blessing Ngoin Ngam, Mark J. Snell, B. Joon Yu, Pawel Forczmanski, Deborah M. Rooney, David R. Jeffcoach, Grace J. Kim
Objective Laparoscopic surgical skill assessment and machine learning are often inaccessible to low-and-middle-income countries (LMIC). Our team developed a low-cost laparoscopic training system to teach and assess psychomotor skills required in laparoscopic salpingostomy in LMICs. We performed video review using AI to assess global surgical techniques. The objective of this study was to assess the
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Making a Stand J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 David O'Regan
Objective This is a review of the advertisements for basic surgical training course on social media and a comment on the ergonomics of the training. Design The author examined social media advertisements (Twitter and Instagram) over 4 months with a focus on stitching courses. No computer algorithm was available or could be made to ensure a comprehensive inclusion of all courses. Results One hundred
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Power Distance Impacts Surgical Staff and Patients J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Joshua G. Kovoor, Aashray K. Gupta, Stephen Bacchi, Brandon Stretton, Robert T. Padbury
Abstract not available
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Educational Podcasts in Plastic Surgery: A Cross-Sectional Analysis of Content, Metrics, and Target Audiences J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 William M. Tian, Tara D. Thomason, Hannah C. Langdell, Anika G. Gnaedinger, Brooke E. Barrow, Jessica M. Berns, Sabrina M. Wang, Brett T. Phillips
Background Podcasts provide an efficient means for asynchronous learning. However, no study to date has thoroughly assessed the landscape of educational podcasts in plastic surgery. Thus, this study aims to evaluate and characterize current educational plastic surgery podcasts to ultimately inform future efforts. Methods Three platforms were queried for educational plastic surgery podcasts: Apple Podcasts
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‘SurgTalk’: The Educational Outcomes Associated With Development of a Surgical Podcast for Undergraduate Medical Students J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Susan O'Neill, Joseph Deegan, Sinéad Ramjit, John V. Reynolds, Claire L Donohoe
OBJECTIVE Educational podcast series are becoming increasingly popular as free open access medical education (FOAMed) resources, however, the educational benefit associated with their use is unclear. The aim of this study was to assess the educational outcomes associated with the implementation of a surgical podcast series for undergraduate medical students. METHODS Two conversational case-based podcast
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An Ideal System of Assessment to Support Competency-Based Graduate Medical Education: Key Attributes and Proposed Next Steps J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-29 Rebecca S. Gates, Kayla Marcotte, Rebecca Moreci, Andrew E. Krumm, Kenneth A. Lynch, Christina Bailey, Brian C. George
Competency-based medical education (CBME) is the future of medical education and relies heavily on high quality assessment. However, the current assessment practices employed by many general surgery graduate medical education training programs are subpar. Assessments often lack reliability and validity evidence, have low faculty engagement, and differ from program to program. Given the importance of
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Changing Surgical Culture Through Surgical Education: Introduction to the PACTS Trial J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-23 Benjamin G. Allar, Gezzer Ortega, Maria B.J. Chun, Jorge G. Zarate Rodriguez, John T. Mullen, Kenneth A. Lynch, David T. Harrington, Alexander R. Green, Pamela A. Lipsett, LD Britt, Adil H. Haider, Douglas S. Smink, Tara S. Kent
The Provider Awareness and Cultural dexterity Toolkit for Surgeons (PACTS) curriculum was developed to improve surgical resident cultural dexterity, with the goal of promoting health equity by developing cognitive skills to adapt to individual patients' needs to ensure personal, patient-centered surgical care through structured educational interventions for surgical residents. Funded by the National
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The Effects of Single Accreditation and Pass/Fail Licensing Exams on Osteopathic Medical Students Applying to Surgical Residency Programs J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-23 Olivia Panchal, Kenneth Pereira, Zachary Brennan, Grace Young, Taylor Casey, Sarin N. Paluri, Bracken Burns, Craig Gudakunst, Kristen Conrad-Schnetz
Objective To examine the effects of single accreditation and pass/fail licensing exams on osteopathic (DO) medical students applying for surgical residency. Design Electronic surveys were distributed to 1509 program directors (PD) in 10 surgical specialties. PDs were separated into 2categories based on their program's accreditation status prior to single accreditation: formerly accredited by the American
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Development and Evaluation of Aeyeconsult: A Novel Ophthalmology Chatbot Leveraging Verified Textbook Knowledge and GPT-4 J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-21 Maxwell B. Singer, Julia J. Fu, Jessica Chow, Christopher C. Teng
Objective There has been much excitement on the use of large language models (LLMs) such as ChatGPT in ophthalmology. However, LLMs are limited in that they are trained on unverified information and do not cite their sources. This paper highlights a new methodology to create a generative AI chatbot to answer eye care related questions which uses only verified ophthalmology textbooks as data and cites
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Development of a Competency Framework Defining Effective Surgical Educators J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-22 Neha Sharma, Emily Steinhagen, Jeffrey M Marks, John B Ammori
Objective The objective of this study is to develop a practical framework of competencies and behaviors which define an effective surgical educator. Design A modified Delphi approach was used. A literature review and series of discussions with surgical education experts led to creation of a survey instrument which was sent to surgical faculty and trainees from a single academic institution. The results
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Implementation and Evaluation of a Comprehensive Resident Wellness Curriculum During the COVID-19 Pandemic J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-21 Gianna R. Seeland, Brinley M. Williams, Menaka Yadav, Emily Bowden, Leah W. Antoniewicz, Charlie C. Kilpatrick, Joan M. Mastrobattista, Bani M. Ratan
Objective To evaluate the effectiveness of resident-led and faculty-led initiatives for physician wellness after implementation of a resident wellness program. Design We initiated a wellness curriculum with both resident and faculty-led components in a large academic OB/GYN residency program in October 2020. The curriculum was created and evaluated using the Logic model. Residents were surveyed pre
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Exploring Medical Students’ Perceptions of Peer-to-Peer Interactions Related to Applying to a Surgical Residency J. Surg. Educ. (IF 2.9) Pub Date : 2023-12-22 Michael Ho-Yan Lee, Yajur Iyengar, Dan Budiansky, Paula Veinot, Marcus Law
Objective The objectives were to (1) identify themes related to competitive peer-to-peer interactions elicited from the lived experiences of undergraduate medical students, and (2) understand how these experiences influenced medical students’ choices related to surgical residency programs. Design A qualitative descriptive methodology, with purposive and maximal variation sampling (e.g., selection based