1,893 results match your criteria Journal of Surgical Education [Journal]


Efficacy of Medical Students as Stop the Bleed Participants and Instructors.

J Surg Educ 2019 Feb 15. Epub 2019 Feb 15.

Louisiana State University School of Medicine, New Orleans, Louisiana.

Objective: The Stop the Bleed (STB) program trains lay rescuers to identify and control life-threatening bleeding. Recently, medical students were allowed to become coinstructors. The aim of this study was to assess the efficacy of medical student course participation as both learners and instructors. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.006DOI Listing
February 2019

Identifying the Essential Portions of the Skill Acquisition Process Using Item Response Theory.

J Surg Educ 2019 Feb 15. Epub 2019 Feb 15.

Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Objective: Item response theory (IRT) was originally developed to make performance assessments more accurate. However, IRT analysis of the intraoperative performance of surgical trainees could help identify the elements that the trainees find difficult during the skill acquisition process. The aim of this study was to identify the essential portions of the skill acquisition process of a surgical procedure using the IRT. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.015DOI Listing
February 2019

National Trends in Orthopaedic Surgery Resident Adult Case Logs.

J Surg Educ 2019 Feb 14. Epub 2019 Feb 14.

St. Joseph's University Medical Center, Department of Orthopaedic Surgery, Paterson, New Jersey.

Objective: Our purpose was to assess United States data to determine if there were changes in the number of adult cases that graduating orthopaedic surgery resident logged.

Design: We assessed the Accreditation Council for Graduate Medical Education data from 2010 to 2016 to identify the number of cases that were reported by graduating orthopaedic surgery residents through the United States. Specifically, we analyzed the mean total number of adult cases per graduating resident. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.003DOI Listing
February 2019

Value and Barriers to Use of the SIMPL Tool for Resident Feedback.

J Surg Educ 2019 Feb 12. Epub 2019 Feb 12.

University of Kentucky, Department of Surgery, Lexington, Kentucky. Electronic address:

Objective: The System for Improving and Measuring Procedural Learning (SIMPL) is a smart-phone application used to provide residents with an evaluation of operative autonomy and feedback. This study investigated the perceived benefits and barriers to app use.

Design: A database of previously performed SIMPL evaluations was analyzed to identify high, low, and never users. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.012DOI Listing
February 2019

Influence of Trainer Role, Subspecialty and Hospital Status on Consultant Workplace-based Assessment Completion.

J Surg Educ 2019 Feb 8. Epub 2019 Feb 8.

Wales Deanery PGMDE School of Surgery, Health Education and Improvement Wales, Nantgarw, Cardiff, United Kingdom. Electronic address:

Objective: Performance assessment is challenging to administer and validate, yet remains central to patient safety and quality of care. The aim of this study was to evaluate Consultant Surgeon trainer performance with respect to Workplace Based Assessment (WBA) completion.

Design: All WBAs for 60 Core Surgical Trainees (n = 2932) recorded in one academic year were analyzed using the Intercollegiate Surgical Curriculum Progamme. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.013DOI Listing
February 2019

Cognitive Apprenticeship in Orthopaedic Surgery: Updating a Classic Educational Model.

J Surg Educ 2019 Feb 6. Epub 2019 Feb 6.

Department of Orthopaedic Surgery, Northwestern Memorial Hospital, Chicago, Illinois.

Traditional apprenticeships have been used through history as a teaching model for wide variety of skills. These apprenticeships are characterized by practical, on-the-job training in which the apprentice observes and assists a master in the completion of a task, and thereby learns the skills needed to complete that task on his or her own. Cognitive apprenticeship is a modified version of this traditional teaching method which is differentiated from the traditional apprenticeship model primarily by its educational goals; cognitive apprenticeships are used to teach skills which require internal thought processes which cannot be readily observed externally by the teacher or the student. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.009DOI Listing
February 2019

The Current State of the 0+5 Integrated Vascular Surgery Residency Training Paradigm: A Scoping Review of the Literature.

J Surg Educ 2019 Feb 1. Epub 2019 Feb 1.

University of Illinois - Chicago, Department of Medical Education and Department of Pathology, Chicago, Illinois.

Background: The 0+5 integrated vascular surgery residency program (IVSR) was introduced as a training model toward board certification in vascular surgery over 10 years ago. The pros and cons of this training model have been debated.

Objective: The purpose of this review is to investigate, using qualitative methods, what is known about the development, implementation, and outcomes of the IVSR paradigm. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.007DOI Listing
February 2019

The Golden Opportunity: Multidisciplinary Simulation Training Improves Trauma Team Efficiency.

J Surg Educ 2019 Jan 30. Epub 2019 Jan 30.

Wake Forest University School of Medicine, Department of Surgery, Winston-Salem, North Carolina.

Objective: Every trauma patient has a golden hour, and resuscitation efficiency within that hour has large implications for patients. We instituted simulation based trauma resuscitation training with the hypothesis that it would improve trauma team efficiency.

Methods: Five simulation training sessions were conducted with immediate debriefing. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.003DOI Listing
January 2019

A Binational Need Assessment to Define the Level of Endovascular Expertise Required by Vascular Surgical Trainees.

J Surg Educ 2019 Jan 30. Epub 2019 Jan 30.

Faculty of Medicine and Health, The University of Sydney School of Medicine, Sydney, NSW, Australia. Electronic address:

Background: There has been a shift toward competency-based surgical education programs to improve trainee performance and achieve better patient outcomes. Endovascular procedures comprise a significant volume of vascular surgery, but the current methods for assessing the endovascular competence of vascular trainees in Australia and New Zealand are suboptimal. The objective of this study was to perform a need assessment to define the scope of endovascular expertise required by vascular surgical trainees to later aid in the development of novel surgical training assessment tools. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183082
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http://dx.doi.org/10.1016/j.jsurg.2019.01.006DOI Listing
January 2019
2 Reads

The Inter-Rater Reliability of Technical Skills Assessment and Retention of Rater Training.

J Surg Educ 2019 Jan 29. Epub 2019 Jan 29.

Division of General Surgery, Department of Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; The Ottawa Hospital, Ottawa, Ontario, Canada; Department of Innovation in Medical Education (DIME), University of Ottawa, Ottawa, Ontario, Canada.

Background: The inter-rater reliability (IRR) of laparoscopic skills assessment is usually determined in the context of motivated raters from a single subspecialty practice group with significant experience using similar tools. The purpose of this study was to determine the IRR among attending surgeons of different experience and practices, the extent of rater training that is necessary to achieve good IRR, and if rater training is retained over periods of nonuse.

Methods: In Part 1, 5 surgeons of different practice backgrounds assessed 3 laparoscopic cholecystectomy videos using the Global Operative Assessment of Laparoscopic Skills instrument. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183064
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http://dx.doi.org/10.1016/j.jsurg.2019.01.001DOI Listing
January 2019
8 Reads

Perceptions Regarding Mentorship Among General Surgery Trainees With Academic Career Intentions.

J Surg Educ 2019 Jan 28. Epub 2019 Jan 28.

Department of General Surgery, The University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Objective: Effective mentorship may be an opportunity to mitigate career de-prioritization, improve stress management, and bolster professional growth. Relatively few studies address specific challenges that occur for general surgery trainees. We conducted a focus group-based investigation to determine facilitators/barriers to effective mentorship among general surgery residents, who are intending to pursue an academic career. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.006DOI Listing
January 2019
2 Reads

Detecting Mental Workload in Surgical Teams Using a Wearable Single-Channel Electroencephalographic Device.

J Surg Educ 2019 Jan 25. Epub 2019 Jan 25.

Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain; Joint Center University of Granada-Spanish Army Training and Doctrine Command, Spain.

Objective: To assess the sensitivity of an electroencephalographic (EEG)-based index, the prefrontal beta power, to quantify the mental workload in surgeons in real scenarios. Such EEG-based index might offer unique and unbiased measures of overload, a crucial factor when designing learning and training surgical programs.

Design: The experiment followed a 2 × 2 × 2 within subjects design with 3 factors: (1) Surgical Role during the surgery (primary surgeon vs. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.005DOI Listing
January 2019
1 Read

Effect of Community and Academic Surgical Rotation Sites on Medical Student Performance Outcomes and Career Choices.

J Surg Educ 2019 Jan 25. Epub 2019 Jan 25.

Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana. Electronic address:

Objective: We hypothesize that students exposed to both academic and community surgery clerkship sites will have higher National Board of Medical Examiners Subject Exam in Surgery (NBME SES) scores and be more likely to pursue a career in a surgical specialty.

Design: The NBME surgery subject exam scores and National Resident Matching Program (NRMP) results were collected for all medical students rotating through the surgery clerkship over 4 years. Permutations of sites were analyzed against exam scores and match rates into surgical and nonsurgical specialties. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183073
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http://dx.doi.org/10.1016/j.jsurg.2019.01.002DOI Listing
January 2019
4 Reads

Incorporating a Detailed Case Log System to Standardize Robotic Colon and Rectal Surgery Resident Training and Performance Evaluation.

J Surg Educ 2019 Jan 19. Epub 2019 Jan 19.

Colon and Rectal Surgery, St Joseph Mercy Hospital Ann Arbor, Ann Arbor, Michigan. Electronic address:

Objective: This study was designed to evaluate a novel case log used as part of a standardized robotic colon and rectal surgery resident training program.

Design: This observational study describes a detailed procedure log developed to standardize training of residents in robotic colorectal surgery. The procedure log tracks resident total case numbers and execution of specific steps of eleven colorectal procedures. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.011DOI Listing
January 2019

Evaluating and Exploring Variations in Surgical Resident Emotional Intelligence and Burnout.

J Surg Educ 2019 Jan 15. Epub 2019 Jan 15.

Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee.

Objective: Surgery resident burnout rates are on the rise, ranging from 50% to 69%. Burnout is associated with increased risk of error and poorer patient satisfaction. Emotional intelligence (EI) is defined as the capacity to be aware of, control, and express one's emotions, and to handle interpersonal relationships judiciously and empathetically. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183019
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http://dx.doi.org/10.1016/j.jsurg.2018.11.004DOI Listing
January 2019
6 Reads

Evolution of Workforce Diversity in Surgery.

J Surg Educ 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA. Electronic address:

Objective: Assessing workforce diversity over time is essential to understanding how it has evolved and anticipating its future. We conducted the current study to evaluate gender, racial/ethnic, and duty trends over the past decade in general surgery and surgical subspecialties.

Design: This is a cross-sectional study. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.009DOI Listing
January 2019

Using Implementation Science to Adapt a Training Program to Assist Surgeons with High-Stakes Communication.

J Surg Educ 2019 Jan - Feb;76(1):165-173. Epub 2018 Jul 4.

Department of Surgery, University of Wisconsin. Madison, Wisconsin; Department of Medical History and Bioethics. University of Wisconsin. Madison, Wisconsin. Electronic address:

Objective: Surgeons often conduct difficult conversations with patients near the end of life, yet surgical education provides little formalized communication training. We developed a communication tool, Best Case/Worst Case, and trained surgeons using a one-on-one resource intensive format that was effective but difficult to scale for widespread dissemination. We aimed to generate an implementation package to teach surgeons using fewer resources without sacrificing fidelity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183007
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http://dx.doi.org/10.1016/j.jsurg.2018.05.015DOI Listing
July 2018
10 Reads

Mentoring Sideways-A Model of Resident-to-Resident Research Mentorship.

J Surg Educ 2019 Jan - Feb;76(1):1-3. Epub 2018 Jul 4.

Department of Surgery, Yale School of Medicine, New Haven Connecticut; National Clinician Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.

The traditional apprenticeship model of research mentorship, where residents pursue research projects directed by attending surgeons, may be ill-suited to optimize research innovation, productivity, and leadership experience. This is particularly true in an era of ever mounting demands of academic attending surgeons, easier availability of powerful clinical databases, and more residents beginning training with prior research experience and advanced degrees. To help makeup the gaps of traditional research mentorship, we propose a complementary peer-focused, "sideways mentorship" approach. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.05.016DOI Listing

Informed Consent Education in Obstetrics and Gynecology: A Survey Study.

J Surg Educ 2019 Jan 2. Epub 2019 Jan 2.

Female Pelvic Medicine and Reconstructive Surgery, Department of Women's Health, Hartford Hospital, Hartford, Connecticut 06106.

Objective: The practice of obstetrics and gynecology poses specific ethical challenges for informed consent (IC). Data regarding resident confidence with the IC process are lacking. Our objective was to evaluate obstetrics and gynecology residents' education, experience, and confidence related to IC. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183077
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http://dx.doi.org/10.1016/j.jsurg.2018.12.005DOI Listing
January 2019
4 Reads

Gender and Letters of Recommendation: A Linguistic Comparison of the Impact of Gender on General Surgery Residency Applicants.

J Surg Educ 2018 Dec 28. Epub 2018 Dec 28.

Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.

Objective: We investigated letters of recommendation for general surgery residency applicants to determine if any gender-based disparities exist.

Design: A dictionary of over 400 terms describing applicants and 24 unique categories into which these terms were classified was created. Word count and language comparisons were performed using linguistic analysis software to assess for differences in applicant characterization, letter length, and writing style between male and female applicants and letter writers. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.007DOI Listing
December 2018

Trauma Technical Skill and Management Exposure for Junior Surgical Residents - The "SAVE Lab 1.0".

J Surg Educ 2018 Dec 27. Epub 2018 Dec 27.

Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.

Objective: The "Surgery for Abdomino-thoracic ViolencE (SAVE)" animate lab engages surgical residents in the management of complex penetrating injuries. We hypothesized that residents will improve their understanding of the management of trauma patients and will perform skills that they have not previously performed in training.

Design: Pre- and postlab assessments were reviewed from surgical residents participating in the SAVE lab over 2 years (2017-2018). Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.003DOI Listing
December 2018

Identification of Warning Signs During Selection of Surgical Trainees.

J Surg Educ 2018 Dec 26. Epub 2018 Dec 26.

Department of Sociology, Lund University, Lund, Sweden. Electronic address:

Objective: The aim was to document empirical observations about antecedents to and practices of unsuitable behaviours amongst surgical trainees and develop an interview guide that could be used for the selection process.

Design: A mixed methods design was adopted combining a survey distributed to senior surgeons and heads of departments, followed by semi-structured interviews with experienced surgeons.

Setting: All surgical departments and hospitals in The South Swedish Health Care Region. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183064
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http://dx.doi.org/10.1016/j.jsurg.2018.12.002DOI Listing
December 2018
6 Reads

Surgery Tutor for Computational Assessment of Technical Proficiency in Soft-Tissue Tumor Resection in a Simulated Setting.

J Surg Educ 2018 Dec 17. Epub 2018 Dec 17.

Department of Surgery, Queen's University, Kingston, Ontario, Canada.

Background: In competency-based medical education, progression between milestones requires reliable and valid methods of assessment. Surgery Tutor is an open-source motion tracking platform developed to objectively assess technical proficiency during open soft-tissue tumor resections in a simulated setting. The objective of our study was to provide evidence in support of construct validity of the scores obtained by Surgery Tutor. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.005DOI Listing
December 2018

"Development of an Academic Surgical Student Program for Enhancing Student-Faculty Engagement".

J Surg Educ 2018 Dec 15. Epub 2018 Dec 15.

University of Michigan Medical School, Ann Arbor, Michigan; Section of Thoracic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan. Electronic address:

Objective: We describe an innovative medical student surgery interest group and its influence on mentorship and career exploration.

Design: SCRUBS, created to promote interest in academic surgery, is student-led, with continual surgical faculty and resident involvement. Its 3-component programming focuses on clinical skills, research, and mentorship opportunities for medical students to get involved in academic surgery early in medical education. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.007DOI Listing
December 2018

Focused Resident Education and Engagement in Quality Improvement Enhances Documentation, Shortens Hospital Length of Stay, and Creates a Culture of Continuous Improvement.

J Surg Educ 2018 Dec 12. Epub 2018 Dec 12.

Comprehensive Aortic Center, Cardiovascular Thoracic Institute, Keck Medical Center of University of Southern California, Los Angeles, California. Electronic address:

Purpose: System-based practice with an emphasis on quality improvement (QI) is a recent initiative for the American College of Surgeons and a core-competency for surgical trainees. Few surgical training programs have a curriculum for hospital-based QI.

Methods: Our vascular surgery service implemented several QI initiatives focused on decreasing length of stay (LOS) by targeting resident education and engagement. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.09.016DOI Listing
December 2018
1 Read

Using Audience Response Systems for Real-Time Learning Assessments During Surgical Morbidity and Mortality Conference.

J Surg Educ 2018 Nov 4;75(6):1535-1543. Epub 2018 Jul 4.

Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address:

Objective: Morbidity and mortality (M&M) conference is a mainstay of surgical education. However, its effectiveness is poorly described. The purpose of this study was to demonstrate the feasibility of a real-time audience response system for learner assessment during M&M. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.05.010DOI Listing
November 2018

Documenting or Operating: Where Is Time Spent in General Surgery Residency?

J Surg Educ 2018 Nov;75(6):e97-e106

Department of Surgery, Duke University, Durham, North Carolina.

Objective: The utilization of electronic health records (EHR) has become essential in the daily activities of physicians for documentation and as an information source. However, the amount of time spent by residents utilizing the EHR has not been thoroughly evaluated, particularly within surgical specialties. This study aims to analyze EHR usage by general surgery residents and to assess the association between this use and case volume at a single academic institution. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183021
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http://dx.doi.org/10.1016/j.jsurg.2018.10.010DOI Listing
November 2018
1 Read

Validation of the Omni: A Novel, Multimodality, and Longitudinal Surgical Skills Assessment.

J Surg Educ 2018 Nov;75(6):e218-e228

Department of Surgery, Duke University, Durham, North Carolina.

Objective: The breadth of technical skills included in general surgery training continues to expand. The current competency-based training model requires assessment tools to measure acquisition, learning, and mastery of technical skill longitudinally in a reliable and valid manner. This study describes a novel skills assessment tool, the Omni, which evaluates performance in a broad range of skills over time. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183021
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http://dx.doi.org/10.1016/j.jsurg.2018.10.012DOI Listing
November 2018
10 Reads

An Evaluation of the Impact of High-Fidelity Endovascular Simulation on Surgeon Stress and Technical Performance.

J Surg Educ 2018 Dec 6. Epub 2018 Dec 6.

Imperial Vascular Unit, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, United Kingdom.

Objective: To measure the physiological stress response associated with high-fidelity endovascular team simulation.

Design: This is a prospective cohort study.

Setting: This study was performed at St Mary's Hospital (Imperial College London, London, UK), in a tertiary setting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183064
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http://dx.doi.org/10.1016/j.jsurg.2018.10.015DOI Listing
December 2018
1 Read

Health Advocacy Competency: Integrating Social Outreach into Surgical Education.

J Surg Educ 2018 Nov 29. Epub 2018 Nov 29.

Office of Surgical Education, Department of Surgery, University of Ottawa, Ottawa, Ontario, Canada. Electronic address:

Objective: Being a strong health advocate is recognized as being an important part of being a good surgeon. Residency training programs have struggled with teaching health advocacy beyond didactic sessions, and in a way that encourages trainees to incorporate changes into their practice. This curriculum development aimed to incorporate reflective practice to encourage patient compassion and advocacy. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.006DOI Listing
November 2018

Use of a Novel Measure of Nontechnical Skills in Surgical Trainees: Is There an Association With Technical Skills Performance?

J Surg Educ 2019 Mar - Apr;76(2):519-528. Epub 2018 Oct 26.

National Surgical Training Centre, Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address:

Objective: To investigate whether scores on a psychological measure of concentration and interpersonal characteristics, The Attentional and Interpersonal Style Inventory (TAIS), are associated with performance of surgical skills.

Design: Postgraduate surgical trainees completed an operative surgical skills assessment in the simulation laboratory and the psychological measure (TAIS). The surgical skills assessment consisted of 6 tasks (3 per trainee): laceration suturing; lipoma excision; incision and closure of a laparotomy wound; bowel anastomosis; saphenofemoral junction ligation and basic laparoscopic skills. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.08.012DOI Listing
October 2018

Surgeons and Surgical Trainees Underestimate the Total Charges and Reimbursements Associated With Commonly Performed General Surgery Procedures.

J Surg Educ 2018 Nov 25. Epub 2018 Nov 25.

Department of Surgery, The University of Vermont Larner College of Medicine, Burlington, Vermont; Department of Surgery, The University of Vermont Medical Center, Burlington, Vermont.

Introduction: Surgical care contributes significantly to the fiscal challenges facing the US health care system. Multiple studies have demonstrated surgeons' lack of awareness of the costs associated with individual portions of surgical care, namely operating room supplies. We sought to assess surgeon and trainee awareness of the comprehensive charges and reimbursements associated with procedures they perform. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.001DOI Listing
November 2018
1 Read

Factors Affecting the Development of Confidence Among Surgical Trainees.

J Surg Educ 2018 Nov 23. Epub 2018 Nov 23.

Department of Surgery, 2D, Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, Alberta, Canada.

Objective: The objective of this study was to explore and better characterize the factors affecting confidence during surgical training.

Design: This was a qualitative research study in which we conducted semistructured interviews with surgical residents to explore factors affecting their confidence.

Setting: This study was conducted at the University of Alberta Hospital, a tertiary care center located in Edmonton, Alberta, Canada. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.016DOI Listing
November 2018
1 Read

Influencing Mindsets and Motivation in Procedural Skills Learning: Two Randomized Studies.

J Surg Educ 2018 Nov 22. Epub 2018 Nov 22.

Department of Medicine, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Electronic address:

Objectives: An incremental (growth) theory of intelligence (mindset), compared with an entity (fixed) mindset, has been associated with improved motivation and performance. Interventions to induce incremental beliefs have improved performance on non-surgical motor tasks. We sought to evaluate the impact of 2 brief interventions to induce incremental beliefs in the context of learning a surgical task. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183027
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http://dx.doi.org/10.1016/j.jsurg.2018.09.018DOI Listing
November 2018
14 Reads

Crowdsourced Assessment of Inanimate Biotissue Drills: A Valid and Cost-Effective Way to Evaluate Surgical Trainees.

J Surg Educ 2018 Nov 21. Epub 2018 Nov 21.

Department of Surgery, Northshore University HealthSystem, Chicago, Illinois. Electronic address:

Objective: Providing feedback to surgical trainees is a critical component for assessment of technical skills, yet remains costly and time consuming. We hypothesize that statistical selection can identify a homogenous group of nonexpert crowdworkers capable of accurately grading inanimate surgical video.

Design: Applicants auditioned by grading 9 training videos using the Objective Structured Assessment of Technical Skills (OSATS) tool and an error-based checklist. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.007DOI Listing
November 2018
3 Reads

Multilevel Quality Improvement Teams: An Alternative Approach for Surgical Academic Training Programs to Meet ACGME Core Competency Milestones.

J Surg Educ 2018 Nov 21. Epub 2018 Nov 21.

University of Maryland School of Medicine, Baltimore, Maryland. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183044
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http://dx.doi.org/10.1016/j.jsurg.2018.10.006DOI Listing
November 2018
5 Reads

Civilian-Military Trauma Partnerships and the Visiting Surgeon Model for Maintaining Medical Readiness.

J Surg Educ 2018 Nov 21. Epub 2018 Nov 21.

Naval Medical Research Unit San Antonio, San Antonio, Texas.

Objective: The main objective of this paper is to create a model to predict the amount of trauma experience at a level 1 trauma center a visiting surgeon can expect to obtain with near certainty, in a specific amount of time, to maintain trauma skills.

Design: The trauma database of level 1 trauma center (Saint Louis University Hospital, a military civilian partnership site) was examined to identify all urgent trauma cases between 1 October 2015 and 30 September 2017. Using retrospective data, a prospective hypothesis of a mixture of various case exposures a visiting surgeon may experience was made using Monte Carlo statistical methods, various probabilities for wartime relevant specialties were examined. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.008DOI Listing
November 2018

A Cross-Sectional Study of Emotional Intelligence in Military General Surgery Residents.

J Surg Educ 2018 Nov 19. Epub 2018 Nov 19.

Division of General Surgery, USU/Walter Reed Department of Surgery, Bethesda, Maryland.

Objective: Higher emotional Intelligence (EI) is linked to improved doctor-patient relationships, empathy, teamwork, communication skills, stress management, and leadership in medicine. This study analyzes the effects of age, postgraduate year (PGY), gender, and prior military experience on EI in military general surgery residents, and compares these to the general population and civilian surgery residents.

Design: This is a retrospective, observational study. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.013DOI Listing
November 2018

Defining the Content for a Quality and Safety in Surgery Curriculum Using a Nominal Group Technique.

J Surg Educ 2018 Nov 19. Epub 2018 Nov 19.

American College of Surgeons, Chicago, Illinois; Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, California; Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.

Objective: There is growing awareness of the need to provide surgical residents with training in quality and safety. Previous studies have revealed a need for a formal curriculum, but the content and structure of such a curriculum has not been defined. Our objective was to develop a surgery resident curriculum using a consensus, team-building approach. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.005DOI Listing
November 2018

Using Mobile Text and Media to Complement Teaching in a Facial Reconstruction Training Module in Haiti.

J Surg Educ 2018 Nov 19. Epub 2018 Nov 19.

Executive Director, Steven C. and Carmella R. Kletjian Foundation Inc, Boston, Massachusetts.

Objectives: (1) To describe electronic communication between global surgeons and trainees in a low-middle income country (LMIC) and to gauge appeal of the WhatsApp platform (2) To introduce a novel intensive ear reconstruction teaching module for surgical capacity building using simulation in a LMIC.

Design: Prospective cohort study.

Setting: University-based medical center in Haiti. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.09.015DOI Listing
November 2018
9 Reads

Injury Prevention in Medical Education: A Systematic Literature Review.

J Surg Educ 2018 Nov 19. Epub 2018 Nov 19.

The Ottawa Hospital, Ottawa, Ontario, Canada. Electronic address:

Objective: Traumatic injury is the first cause of death for Canadians aged 1 to 44 years old. To reduce the global burden of injury, the need for healthcare professionals with injury prevention proficiency is growing. The aim of this study was to review the literature to identify and analyze current injury prevention curriculums amongst medical undergraduate and residency programs. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.009DOI Listing
November 2018
9 Reads

Emotional Intelligence and Delivering Bad News: The Jury is Still Out.

J Surg Educ 2018 Nov 3. Epub 2018 Nov 3.

School of Health Professions, Department of Surgery, Baylor College of Medicine, Houston, Texas. Electronic address:

Background: Emotional intelligence (EQ) has been proposed to be a critical competency necessary for complex and interpersonal interactions for healthcare providers.

Objective: The goal of this study was to examine how EQ impacts surgical residents' ability to deliver bad news.

Method: Residents participated in a patient death simulation, and instructed to disclose the news to the patient's sister. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183035
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http://dx.doi.org/10.1016/j.jsurg.2018.09.017DOI Listing
November 2018
2 Reads

Student Factors That Influence Clerkship Grades and Matching Into a Surgical Residency.

J Surg Educ 2019 Mar - Apr;76(2):393-400. Epub 2018 Nov 3.

University of Michigan Medical School, Ann Arbor, Michigan; Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan. Electronic address:

Objective: Evaluate the relationship between medical school factors (including preclinical mentorship, order of clerkships, and clerkship grades) and matching into surgical specialties.

Design: Clerkship information, match data, and data on structured preclinical research obtained from 2010 to 2015 for a single institution was obtained and analyzed using multivariate analysis.

Setting: University of Michigan Medical School. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183018
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http://dx.doi.org/10.1016/j.jsurg.2018.08.023DOI Listing
November 2018
21 Reads

When a Surgical Trainee Is Sued: Supporting Residents Through Interactions With the Medicolegal System.

J Surg Educ 2018 Nov 2. Epub 2018 Nov 2.

Department of Surgery, Yale School of Medicine, New Haven, Connecticut.

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http://dx.doi.org/10.1016/j.jsurg.2018.10.003DOI Listing
November 2018

Prospective Trial of Low-Fidelity Deliberate Practice of Aortic and Coronary Anastomoses (TECoG 002).

J Surg Educ 2018 Oct 23. Epub 2018 Oct 23.

Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.

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. "Treatment" trainees received a simulator and the curriculum. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183015
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http://dx.doi.org/10.1016/j.jsurg.2018.09.007DOI Listing
October 2018
7 Reads

How Much Are We Spending on Resident Selection?

J Surg Educ 2018 Nov 23;75(6):e85-e90. Epub 2018 Oct 23.

Uniform Services University, Walter Reed Hospital, Bethesda, Maryland.

Introduction: Rigorous selection processes are required to identify applicants who will be the best fit for training programs. This study provides a national snapshot of selection practices used within surgical residency programs and their associated financial costs.

Methods: A 17-item online survey was distributed to General Surgery Program Directors (PDs) via the Association of Program Directors in Surgery listserv. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183019
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http://dx.doi.org/10.1016/j.jsurg.2018.10.001DOI Listing
November 2018
6 Reads

What do Young Colorectal Surgeons Value From Their CRS Residency Training?

J Surg Educ 2018 Oct 17. Epub 2018 Oct 17.

Division of Colon and Rectal Surgery, Lahey Clinic, Burlington, Massachusetts.

Objective: Colorectal surgery (CRS) training has seen many changes over the years. This study sought to identify aspects of CRS residency curriculum that were most valued by recent graduates and what changes could be made to improve training.

Design: Semistructured interviews were performed with board-certified colorectal surgeons 2 to 7 years removed from their CRS residency. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183046
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http://dx.doi.org/10.1016/j.jsurg.2018.09.013DOI Listing
October 2018
5 Reads

Finding Them a Spot: A Successful Preliminary Match Curriculum.

J Surg Educ 2018 Nov 16;75(6):e78-e84. Epub 2018 Oct 16.

University of Missouri, Columbia, Missouri.

Purpose: Nondesignated preliminary residents (N-DPRs) in General Surgery face difficult challenges of overcoming failure to match and quickly reentering the match again with little time to significantly improve their application. Programs with N-DPRs should take seriously their responsibility for helping these residents obtain a successful career path just as they do for their categorical residents. This study evaluates an intervention to improve the matching of N-DPRs into desired positions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183020
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http://dx.doi.org/10.1016/j.jsurg.2018.09.011DOI Listing
November 2018
5 Reads

Designing a Comprehensive Professional Development Program in a Surgery Department: Process, Measures, and Lessons Learned.

J Surg Educ 2018 Oct 13. Epub 2018 Oct 13.

Indiana University, Indianapolis, Indiana.

Background: Departments within academic medical centers are typically comprised of clinical and research faculty, administrative staff, residents, and in many instances advance practice providers (APPs). Each member of these groups of people, at 1 point, took time, effort, and money to recruit, hire, and train. It is therefore important to consider ways to increase the "return on investment" of hiring each member of a department as well as maintaining a high level of department vitality. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.09.008DOI Listing
October 2018

Understanding the Modern Surgical Journal Club.

J Surg Educ 2018 Oct 13. Epub 2018 Oct 13.

Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Objective: We sought to perform a comprehensive review of how journal club (JC) is utilized in surgical residencies, including the goals, structure and outcomes of the educational activity, and any changes made since the 2003 implementation of the 80-hour weekly resident duty hour limit.

Design: A random, representative cohort of 75 of the 266 US general surgery residency programs was identified, and Program Directors were asked to complete an 18-question electronic survey about to the ways in which their program utilizes JC.

Setting: General surgery residency programs of all types, sizes, and in all geographies. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183042
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http://dx.doi.org/10.1016/j.jsurg.2018.09.012DOI Listing
October 2018
6 Reads