1,940 results match your criteria Journal of Surgical Education [Journal]


The PreOp Program: Intensive Preclinical Surgical Exposure is Associated With Increased Medical Student Surgical Interest and Competency.

J Surg Educ 2019 Apr 17. Epub 2019 Apr 17.

Weill Cornell Medicine, New York, New York; Department of Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York. Electronic address:

Objective: As medical students' interest in surgical fields wanes, we investigated the impact of a preclinical surgical exposure program on students' attitudes toward pursuing surgical careers.

Design: This is a prospective longitudinal study of PreOp, a preclinical rotation-based surgical exposure program for first-year medical students, from 2013 to 2017. Surveys assessed PreOp rotation quality, students' surgical interest, and students' self-reported preparedness for the surgical clerkship. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.019DOI Listing

Communication Skills Training for General Surgery Residents.

J Surg Educ 2019 Apr 18. Epub 2019 Apr 18.

Department of Medicine, Adult Palliative Care Services, Columbia University Medical Center, New York, New York.

Background: Although good communication skills are essential for surgeons, there is no formal communication training during general surgery residency.

Objectives: To implement a communication skills training program based on evidence-based teaching methods in general surgery residency.

Design: We developed a 2-hour communication skills training program for general surgery residents, consisting of a small group skill practice session using role play with simulated patients along with real-time feedback from facilitators and observing peer residents. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.04.001DOI Listing

Perceived Barriers to the Development of Technical Skill Proficiency in Surgical Clerkship.

J Surg Educ 2019 Apr 16. Epub 2019 Apr 16.

Division of General Surgery, London Health Sciences Center, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Objective: Medical students are expected to achieve proficiency in a prescribed set of technical skills during surgical clerkship. However, available literature indicates students routinely report a lack of confidence and proficiency in these skills. Our study aims to identify barriers to technical skill development encountered by medical students during surgical clerkship with the goal of developing interventions to address these barriers. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183076
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http://dx.doi.org/10.1016/j.jsurg.2019.03.020DOI Listing
April 2019
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Hospital Teaching Status Impacts Surgical Discharge Efficiency.

J Surg Educ 2019 Apr 12. Epub 2019 Apr 12.

Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Objective: There is a paucity of data regarding the efficiency of care provided by teaching hospitals. Yet, instruction on transitions in care and an understanding of systems-based practice are key components of modern graduate medical education. We aimed to determine the relationship between hospital teaching status and the discharge efficiency from a surgical service. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183095
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http://dx.doi.org/10.1016/j.jsurg.2019.03.022DOI Listing
April 2019
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Moving Along: Team Training for Emergency Room Trauma Transfers (TERT).

J Surg Educ 2019 Apr 12. Epub 2019 Apr 12.

LSU Health New Orleans School of Medicine, New Orleans, Louisiana.

Objectives: To determine whether high fidelity simulation-based training (SBT) of interprofessional teams involving trauma transfers has an immediate impact on participants' team-based attitudes and behaviors.

Design: A quasi-experimental, pre-/postintervention comparison design examined high fidelity SBT of inter-professional teams using a 2 scenario format with immediate after action structured debriefing. Pre-/postsession Readiness for Inter-Professional Learning Scale (RIPLS, 19 items, Likert-type) surveys as well as Interprofessional Teamwork (IPT, 15 items, Likert-type) questionnaires, and postscenario participant- and observer-rated Teamwork Assessment Scales (TAS, 3 subscales, 11 items, Likert-type) were completed during each training session. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183088
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http://dx.doi.org/10.1016/j.jsurg.2019.03.013DOI Listing
April 2019
3 Reads

Enhancing Formative Feedback in Orthopaedic Training: Development and Implementation of a Competency-Based Assessment Framework.

J Surg Educ 2019 Apr 10. Epub 2019 Apr 10.

Department of Surgery, McMaster University, Hamilton, Ontario, Canada; Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Ontario, Canada. Electronic address:

Objective: The purpose of this study was to develop, implement, and evaluate the effectiveness of an assessment framework aimed at improving formative feedback practices in a Canadian orthopaedic postgraduate training program.

Methods: Tool development began in 2014 and took place in 4 phases, each building upon the previous and informing the next. The reliability, validity, and educational impact of the tools were assessed on an ongoing basis, and changes were made accordingly. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.015DOI Listing

Understanding the Clinical Implications of Resident Involvement in Uncommon Operations.

J Surg Educ 2019 Apr 9. Epub 2019 Apr 9.

Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Objective: The objective of this study was to examine uncommon operations in greater detail given that the outcomes of uncommon operations are largely understudied. This study examines the incidence of postoperative events and the role of the resident following uncommon operations.

Design: We identified uncommon general surgical operations using the ACS National Surgical Quality Improvement Program Participant Use file (2008-2011). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183066
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http://dx.doi.org/10.1016/j.jsurg.2019.03.011DOI Listing
April 2019
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Compassion Fatigue in Surgical Trainees.

J Surg Educ 2019 Apr 9. Epub 2019 Apr 9.

Sunnybrook Research Institute, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objective: Compassion fatigue (CF) is the profound sense of emotional exhaustion that care providers can experience as the result of helping others in distress. CF can contribute to burnout (BO), depression, and stress-related illness. While surgeons and surgical trainees may be at high risk for developing CF, it has not been adequately characterized or explored in this population. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183075
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http://dx.doi.org/10.1016/j.jsurg.2019.03.012DOI Listing
April 2019
2 Reads

Pre-education Enhances the Success of Manual Training for Orthopedic Surgery Residents.

J Surg Educ 2019 Apr 8. Epub 2019 Apr 8.

Division of Orthopaedic Surgery, McGill University Health Centre, Montreal, Quebec, Canada.

Introduction: Surgical skill training is difficult due to limited resources and the associated risks in the clinical setting. There have been many studies that have looked at optimizing resident skill techniques out of the operating room to optimize intraoperative teaching. Specifically, as seen in spine surgery performing a laminectomy with a high-speed drill is difficult and requires many hours of training and guidance before a resident can feel comfortable to adequately complete the laminectomy with minimal risk of adverse effects. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.005DOI Listing
April 2019
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Development of a Spine Surgical Skills and Written Assessment for Orthopaedic Surgery Residents.

J Surg Educ 2019 Apr 5. Epub 2019 Apr 5.

The Ohio State University Wexner Medical Center, Department of Orthopaedics, Columbus, Ohio. Electronic address:

Objective: The objective of this study was to develop an assessment module for orthopaedic spine surgery residents which is cost-effective and can reliably test knowledge and surgical skills.

Design: A ten-question multiple choice question and hands-on spine sawbones combination assessment was prospectively administered to consenting PGY-3 and PGY-4 residents before and after their 8-week spine rotation. Pre- and postrotation scores were compared using the paired t-test. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.011DOI Listing

ERAS and the NRMP and Their Roles in Residency Recruitment-A Primer for Surgical Program Directors.

J Surg Educ 2019 Apr 4. Epub 2019 Apr 4.

Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

The process of residency recruitment involves medical schools, training programs, and applicants. These 3 constituencies collaborate through 2 nonprofit organizations-Electronic Residency Application Service and the National Resident Match Program. An overview of both organizations and their functions is presented to help surgical training directors better understand the roles of these 2 important stakeholders in recruitment. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.010DOI Listing
April 2019
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The Use of Teaching Associates for Knee and Shoulder Examination: A Comparative Effectiveness Analysis.

J Surg Educ 2019 Apr 5. Epub 2019 Apr 5.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany. Electronic address:

Objective: Musculoskeletal diseases and injuries are the most common cause of long-term pain and physical disability. Thus, every medical graduate should be able to perform a structured examination of the musculoskeletal system. Besides the see-one-do-one principle, other teaching methods have been proposed to be effective. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.006DOI Listing

Milestones on the Plastic Surgery In-Service Training Examination.

J Surg Educ 2019 Apr 4. Epub 2019 Apr 4.

Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address:

Background: The Plastic Surgery Milestones Project was implemented in 2014 to establish standards for competency based resident education. In restructuring educational activities under the Milestones, various pedagogical tools have been revised. However, these standards have not yet been applied to the Plastic Surgery In-Service Training Examination. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.014DOI Listing
April 2019
2 Reads

Objective Measures of Communication Behavior Predict Clinical Performance.

J Surg Educ 2019 Apr 4. Epub 2019 Apr 4.

School of Industrial Engineering, Purdue University, West Lafayette, Indiana. Electronic address:

Objective: Effective teamwork and communication are critical to patient outcomes, and subjective assessment tools have been studied in predicting team performances. However, inherent biases remain while using subjective assessment tools. This study hypothesizes that objective communication features can assess and predict clinical performance. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.017DOI Listing

Six Sigma Methodology and Postoperative Information Reporting: A Multidisciplinary Quality Improvement Study With Interrupted Time-Series Regression.

J Surg Educ 2019 Apr 3. Epub 2019 Apr 3.

Department of Surgery, University of Washington Medical Center, Seattle, Washington; Department of Surgery, University of Washington Medical Center, Seattle, Washington.

Objective: The postoperative handover is often compromised by reporting inconsistencies between different specialties. We describe a multidisciplinary quality improvement initiative to improve postoperative information reporting.

Design: A quality improvement project with interrupted time-series data collection was undertaken in the postanesthesia care unit between January 2015 and August 2015. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.010DOI Listing

A Surgical Team Simulation to Improve Teamwork and Communication acrossTwo Continents: ViSIOT Proof-of-Concept Study.

J Surg Educ 2019 Apr 4. Epub 2019 Apr 4.

Imperial College Centre for Engagement and Simulation Science, Imperial College London, Dept. Surgery & Cancer, London, United Kingdom; Tulane Center for Advanced Medical Simulation & Team Training, Tulane University School of Medicine, New Orleans, Louisiana.

Background: Team communication in operating rooms is problematic worldwide, and can negatively impact patient safety. Although initiatives such as the World Health Organization's Surgical Safety Checklist have been introduced to improve communication, patient safety continues to be compromised globally, warranting the development of new interventions. Video-based social science methods have contributed to the study of communication in UK ORs through actual observations of surgical teams in practice. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.016DOI Listing
April 2019
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Is Grit the New Fit?-Assessing Non-Cognitive Variables in Orthopedic Surgery Trainees.

J Surg Educ 2019 Apr 3. Epub 2019 Apr 3.

Mayo Clinic, Department of Orthopedic Surgery, Rochester, Minnesota. Electronic address:

Objective: The purpose of this study was to determine overall levels of grit, self-control, and conscientiousness among orthopedic surgery residents, to compare levels of grit across orthopedic resident training levels, and to identify common applicant variables which may correlate with these valuable noncognitive attributes.

Design: A cross-sectional study composed of a confidential electronic survey consisting of a 17-item Grit scale, 10-item Self-control scale, and 9-item Conscientiousness scale was completed by Orthopedic residents and fellows.

Setting: Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN; a tertiary medical center. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.010DOI Listing
April 2019
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Surgery at Sea: Exploring the Training Gap for Isolated Military Surgeons.

J Surg Educ 2019 Apr 2. Epub 2019 Apr 2.

Department of Surgery at the Uniformed Services University, the Walter Reed National Military Medical Center, Bethesda, Maryland.

Objective: Newly-graduated military general surgeons often find themselves isolated at sea, solely responsible for all surgical care of several thousand sailors, regardless of the surgical specialty training required for any individual procedure. This educational need assessment explored trends in afloat surgical care over the last 25years, and assessed trainees' preparedness for their expected role as an isolated surgeon.

Design: A sample of deidentified US Navy Ship's Surgeon case logs were reviewed to determine afloat case load trends in 5 common afloat case categories (urologic/gynecologic, anorectal, hernia, appendectomy, and hand/orthopedic/trauma) from 1990s to 2017. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.008DOI Listing
April 2019
2 Reads

Objective Assessment of the Entrustable Professional Activity Handover in Undergraduate and Postgraduate Surgical Learners.

J Surg Educ 2019 Apr 1. Epub 2019 Apr 1.

Faculty of Medicine, McGill University, Montréal, Quebec, Canada.

Objective: This study used a virtual patient simulation (VPS) to quantifiably and objectively assess undergraduate (UG) to postgraduate (PG) medical learners' acquisition of the entrustable professional activity (EPA) "handover," focusing particularly on the transition to residency. This EPA is critical because it is part of a core competency for UG and PG training in both the United States and Canada, and is essential for patient safety and comprehensive professional communication.

Design: Data were collected from 3 separate groups of participants: 2 UG cohorts from an earlier study, as well as a PG cohort at the beginning of residency. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.008DOI Listing

Stepwise Training in Laparoscopic Surgery for Complex Ileocolonic Crohn's Disease: Analysis of 127 Training Episodes.

J Surg Educ 2019 Mar 28. Epub 2019 Mar 28.

Colorectal Unit, Queen Alexandra Hospital - Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom.

Introduction: The inflammation encountered in Crohn's disease makes a minimally invasive approach challenging due to a thickened mesentery, fistulas, abscesses, and large phlegmons with high reported rates of conversion and septic complications. Aim of this study was to evaluate the feasibility of a stepwise approach to training in laparoscopic surgery for complex Crohn's disease.

Methods: Every surgical procedure was divided in 4different training tasks: access and exposure, bowel mobilization, division of the mesentery, anastomosis. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.009DOI Listing
March 2019
3 Reads

Resident-as-Teacher Programs in General Surgery Residency: Context and Characterization.

J Surg Educ 2019 Mar 28. Epub 2019 Mar 28.

Department of Surgery, Boston Medical Center, Boston, Massachusetts. Electronic address:

Objective: Teaching medical students and junior residents are key components of a surgical resident's role. How surgical residents are formally prepared for their teaching role is not well described. The aim of this study was to characterize the status of formal Resident-as-Teacher Programs (RATPs) in U. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204193005
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http://dx.doi.org/10.1016/j.jsurg.2019.03.004DOI Listing
March 2019
2 Reads

Effectiveness of an In-Service Education Program to Improve Patient Safety Directed at Surgical Residents: A Randomized Controlled Trial.

J Surg Educ 2019 Mar 23. Epub 2019 Mar 23.

Duke University Medical Center, Durham, North Carolina; King Abdulaziz University, Jeddah, Saudi Arabia; Ningxia Medical University, Yinchuan, China.

Background: Patient safety is a critical issue in healthcare services particularly in surgical units and operation rooms because of the high prevalence and risk of medical errors in such settings. This study was conducted to determine whether a 1-day educational intervention can change the attitude and behavior of surgical residents regarding patient safety.

Methods: A total of 90 surgical residents were recruited from 6 university hospitals located in Tehran and Qazvin, Iran, and were randomized to either the intervention or a control group. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183096
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http://dx.doi.org/10.1016/j.jsurg.2019.03.002DOI Listing
March 2019
6 Reads

Fasciotomy Improvement Through Recognition of Errors Course: A Focused Needs Assessment for Error Management Training for Lower Extremity Fasciotomy Performance.

J Surg Educ 2019 Mar 23. Epub 2019 Mar 23.

Department of Surgery, Walter Reed National Military Medical Center/Uniformed Services University of the Health Sciences, Bethesda, Maryland.

Background: Many injuries from recent wars involve extremity trauma secondary to blasts, which predispose patients to developing extremity compartment syndrome. In military studies, 17% of fasciotomies required revision on arrival to a Role 4 hospital, and 41% of these had missed compartments, which is similar to that seen in civilian centers. While training has decreased this rate to 8%, this number is still too high. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.003DOI Listing
March 2019
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Surgical Exploration and Discovery Program: Early Exposure to Surgical Subspecialties and Its Influence on Student Perceptions of a Surgical Career.

J Surg Educ 2019 Mar 20. Epub 2019 Mar 20.

Department of Surgery, University of Ottawa, Faculty of Medicine, The Ottawa Hospital - Civic Campus, Ottawa, Ontario, Canada; University of Ottawa Skills and Simulation Centre (uOSSC), The Ottawa Hospital, Ottawa, Ontario, Canada.

Objective: Interest in pursuing a surgical career has been declining among North American medical students. Numerous factors are known to influence student interest in pursuing surgery as a career, such as prestige, income potential, and overall lifestyle. Given that many of these factors are rooted in bias, it may be possible to properly address several of these stereotypes through first-hand, early exposure to the field of surgery via the Surgical Exploration and Discovery (SEAD) Program. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.03.001DOI Listing
March 2019
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Trends in Routine and Complex Hepatobiliary Surgery Among General and Pediatric Surgical Residents: What is the Next Generation Learning and is it Enough?

J Surg Educ 2019 Mar 19. Epub 2019 Mar 19.

Department of Surgery, Section of Pediatric Surgery at Yale School of Medicine, New Haven, Connecticut. Electronic address:

Objective: Previous studies reveal a correlation between surgical volume and outcomes; thus, a similar relationship likely exists between trainee operative volume and technical competence. While routine hepatobiliary surgery is commonplace, trainee exposure to the more advanced procedures may be lacking. We hypothesize that experience in complex hepatobiliary procedures may be deficient both during general surgery residency and pediatric surgery fellowship training. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.007DOI Listing

In Search of Characterizing Surgical Skill.

J Surg Educ 2019 Mar 16. Epub 2019 Mar 16.

Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, Wisconsin; Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, Wisconsin. Electronic address:

Objective: This paper provides a literature review and detailed discussion of surgical skill terminology. Culminating in a novel model that proposes a set of unique definitions, this review is designed to facilitate shared understanding to study and develop metrics quantifying surgical skill.

Design: Objective surgical skill analysis depends on consistent definitions and shared understanding of terms like performance, expertise, experience, aptitude, ability, competency, and proficiency. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.010DOI Listing

Qualities and Methods of Highly Effective Surgical Educators: A Grounded Theory Model.

J Surg Educ 2019 Mar 15. Epub 2019 Mar 15.

Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Objective: To identify personal qualities and teaching methods of highly effective surgical educators using a novel research design.

Design: In this qualitative study, surgical residents were sent an electronic survey soliciting nominations for faculty perceived as highly effective surgical educators. In-depth, semistructured interviews were conducted with surgeons receiving the most nominations. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.011DOI Listing

InciSioN: Developing the Future Generation of Global Surgeons.

J Surg Educ 2019 Mar 7. Epub 2019 Mar 7.

University of Oxford, Oxford, United Kingdom.

Background: By 2030, an additional 1.27 million surgeons, anaesthesiologists, and obstetricians (SAO) are needed by 2030 to reach the Lancet Commission on Global Surgery's target of 20 SAO providers per 100,000 population. Inclusion of future generations of health workers early in global surgery discussions and interventions is critical to scale-up access to surgical and anaesthesia care and ensure lasting change. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183083
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http://dx.doi.org/10.1016/j.jsurg.2019.02.008DOI Listing
March 2019
3 Reads

The Impact of Medical Student Burnout on Surgery Clerkship Performance.

J Surg Educ 2019 Mar 7. Epub 2019 Mar 7.

Cincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, Ohio.

Objective: Increasing reports on resident burnout have resulted in efforts to improve trainee well-being. Medical student burnout, however, is not well understood. We set out to evaluate burnout among third-year medical students and explore its impact on clerkship performance. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.009DOI Listing

Did a Minimum Case Requirement Improve Resident Surgical Volume for Closed Wrist and Forearm Fracture Treatment in Orthopedic Surgery?

J Surg Educ 2019 Mar 6. Epub 2019 Mar 6.

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota. Electronic address:

Objective: The purpose of this study is to determine whether the 2013 implementation of ACGME minimum case requirements was associated with increased documented case volume of closed manipulation of forearm and wrist fractures (CMFWF) for graduating orthopedic surgery residents.

Design: We reviewed ACGME case log data for CMFWF among graduating orthopedic surgery residents from 2007 to 2016. Annual national mean, and median number of CMFWF performed by residents in the 10th, 30th, 50th, and 90th case volume percentile were evaluated. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.005DOI Listing

Ability of Ophthalmology Residents to Self-Assess Their Performance Through Established Milestones.

J Surg Educ 2019 Mar 5. Epub 2019 Mar 5.

Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Objectives: Accurate self-assessment is an important aspect of practice-based learning and improvement and a critical skill for resident growth. The Accreditation Council for Graduate Medical Education mandates semiannual milestones assessments by a clinical competency committee (CCC) for all ophthalmology residents. There are six core competencies: patient care (PC), medical knowledge, systems-based practice, practice-based learning and improvement, professionalism, and interpersonal communication skills. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.004DOI Listing
March 2019
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Selecting Residents for Predetermined Factors Identified and Thought to be Important for Work Performance and Satisfaction: A Methodology.

J Surg Educ 2019 Mar 4. Epub 2019 Mar 4.

Department of Orthopedics, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire.

Objective: The medical profession seeks to hire and train individuals who consistently meet and/or exceed both job and cultural expectations. Resident selection is often not structured to meet this goal. The objective of this quality improvement project was to evaluate a classic unscripted interview process (OI) in conjunction with a structured, scripted interview process (SI) developed using an established hiring methodology from industry not yet utilized in health care. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183081
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http://dx.doi.org/10.1016/j.jsurg.2019.02.004DOI Listing
March 2019
4 Reads

Does Arthroscopic Simulation Training Improve Triangulation and Probing Skills? A Randomized Controlled Trial.

J Surg Educ 2019 Mar 4. Epub 2019 Mar 4.

Arthrex Inc., Naples, Florida; Arthrex Inc., Naples, Florida.

Objective: To determine the effectiveness of simulator training on basic arthroscopic skills utilizing a novel, low-cost arthroscopic triangulation training system.

Design: A randomized controlled trial of subjects without prior arthroscopy training was conducted, with participants randomized to receive either a fixed protocol of simulation training on a triangulation simulation model (30 minutes of training for 4 consecutive days), or no training. On Days 1 and 5, all participants were evaluated on 3 simulated arthroscopic tasks by an independent observer. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.008DOI Listing
March 2019
3 Reads

Digital Affinity in Medical Students Influences Learning Outcome: A Cluster Analytical Design Comparing Vodcast With Traditional Lecture.

J Surg Educ 2019 May - Jun;76(3):711-719. Epub 2019 Mar 2.

Institute for Medical Teaching and Medical Educational Research, University Hospital Wuerzburg, Würzburg, Germany.

Background/objective: Undergraduate medical education still relies on lectures as the core teaching activity. However, e-learning and new media have begun to augment learning and information gathering over the last few years. The aim of this study was to investigate the effect of 2 teaching formats in surgical education, a classic lecture and a video podcast (vodcast), on knowledge gain, in particular with respect to the participants' characteristics and preferences. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.12.001DOI Listing
March 2019
4 Reads

Utilizing Intraprocedural Interactive Video Capture With Google Glass for Immediate Postprocedural Resident Coaching.

J Surg Educ 2019 May - Jun;76(3):607-619. Epub 2019 Mar 2.

Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Background: Video coaching has been found to be an effective teaching method because it incorporates many of the established principles of successful adult learning. The goal of our study was to assess the feasibility and effectiveness of using a point-of-view video camera (Google Glass) to improve the surgical skills education of orthopaedic surgery residents.

Methods: Forty-two residents from 4 institutions participated in a partially blinded randomized control trial performing an intra-articular distal tibial fracture reduction task while wearing Google Glass to record the performance. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183029
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http://dx.doi.org/10.1016/j.jsurg.2018.10.002DOI Listing
March 2019
6 Reads

Data Driven Competitive Motivation Strategies in a Longitudinal Simulation Curriculum for Trauma Team Training.

J Surg Educ 2019 Mar 2. Epub 2019 Mar 2.

Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; Department of Surgery, London Health Sciences Center, London, Ontario, Canada. Electronic address:

Objective: A novel approach to trauma team simulation was used to enhance team performance in a cohort of general surgical residents. We implemented data driven debriefing using performance report cards and video footage of the simulations. We wanted to evaluate the technical and nontechnical skills developed by teams using this approach. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.004DOI Listing
March 2019
6 Reads

Obstacles Affecting the Implementation of the O-SCORE for Assessment of Orthopedic Surgical Skills Competency.

J Surg Educ 2019 May - Jun;76(3):881-892. Epub 2019 Feb 28.

Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina. Electronic address:

Objectives: There is a need for meaningful and reliable measures of surgical competency in residency education. The goal of the current study is to incorporate the Ottawa Surgical Competency Operating Room Evaluation (O-SCORE) into the process of resident evaluation at our institution and to assess the feasibility and effectiveness of its use through a web-based platform.

Design: This is a feasibility study that prospectively assesses the implementation of a web-based O-SCORE at our institution. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.11.002DOI Listing
February 2019
4 Reads

Efficacy of Trauma Surgery Technical Skills Training Courses.

J Surg Educ 2019 May - Jun;76(3):832-843. Epub 2019 Mar 1.

Department of Surgery, The Uniformed Services University of Health Sciences and the Walter Reed National Military Medical Center, Bethesda, Maryland. Electronic address:

Objective: Because open surgical skills training for trauma is limited in clinical practice, trauma skills training courses were developed to fill this gap, The aim of this report is to find supporting evidence for efficacy of these courses. The questions addressed are: What courses are available and is there robust evidence of benefit?

Design: We performed a systematic review of the training course literature on open trauma surgery procedural skills courses for surgeons using Kirkpatrick's framework for evaluating complex educational interventions. Courses were identified using Pubmed, Google Scholar and other databases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204183055
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http://dx.doi.org/10.1016/j.jsurg.2018.10.004DOI Listing
March 2019
3 Reads

Intraoperative Feedback: A Video-Based Analysis of Faculty and Resident Perceptions.

J Surg Educ 2019 Feb 28. Epub 2019 Feb 28.

Department of Surgery, Michigan Medicine, Ann Arbor, Michigan. Electronic address:

Objective: Residents and faculty identify intraoperative feedback as a critical component of surgical education. Studies have demonstrated that residents perceive lower quality and frequency of intraoperative feedback compared to faculty. These differences in perception may be due to dissimilar identification of feedback. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19317204193000
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http://dx.doi.org/10.1016/j.jsurg.2019.02.003DOI Listing
February 2019
6 Reads

Simulation-Based Communication Training for General Surgery and Obstetrics and Gynecology Residents.

J Surg Educ 2019 May - Jun;76(3):856-863. Epub 2019 Feb 28.

Department of Medical Education, Riverside Methodist Hospital, Columbus, Ohio.

Background: There is a critical relationship between team communication and patient safety in the operating room (OR), but limited opportunities are available to help OR trainees develop the communication skills needed to be good team players. The purpose of this study was to evaluate the effectiveness of a simulation-based communication-training program developed for general surgery and obstetrics and gynecology residents.

Methods: Following a group lecture on diagnostic laparoscopy, 34 residents independently completed a laparoscopy case on a patient simulator followed by a structured debrief that targeted team-based communication skills. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.014DOI Listing
February 2019

Assessing the Workplace Culture and Learning Climate in the Inpatient Operating Room Suite at an Academic Medical Center.

J Surg Educ 2019 May - Jun;76(3):644-651. Epub 2019 Feb 27.

Department of Medical Education, University of Illinois College of Medicine, Urbana, Illinois.

Objective: The purpose of this study was to elicit perspectives from operating room (OR) personnel on the workplace culture and learning climate in the surgical suite, and to identify behaviors associated with a positive culture and learning climate.

Design: Qualitative analyses using survey methodology.

Setting: Main hospital OR suite at a large academic medical center. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.09.014DOI Listing
February 2019

An Assessment of Fine Surgical KnotTying.

J Surg Educ 2019 May - Jun;76(3):808-813. Epub 2019 Feb 27.

Rhode Island Hospital Department of Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Objective: Operating room simulation exercises have been well established as an effective means of improving confidence, task engagement, and learning retention among surgical residents. We have established a cost-effective model and scoring system assessing resident skills to tie secure surgical knots with minimal tension.

Design: A circular grid divided into 18 segments was placed underlying an aluminum can. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.017DOI Listing
February 2019

Evaluation of Urology Residency Training and Perceived Resident Abilities in the United States.

J Surg Educ 2019 Feb 22. Epub 2019 Feb 22.

Department of Urology, University of California, Irvine, Orange, California.

Objective: To identify differences and potential deficiencies in urology residency training programs in the United States as they are perceived by residents/recent graduates and program directors.

Materials And Methods: A 45-question and 38-question survey was sent to chief residents/recent graduates and program directors, respectively, at all 120 US urology programs regarding prior medical education, urologic training curricula, and perceived surgical proficiency, among other topics.

Results: Survey response rate was 58% and 52% for residents and program directors, respectively. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.002DOI Listing
February 2019
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ACS/ASE Medical Student Simulation-Based Skills Curriculum Study: Implementation Phase.

J Surg Educ 2019 Feb 20. Epub 2019 Feb 20.

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

Objective: Patient safety initiatives have revealed a need for standardized medical student skills curricula. In 2014 the America College of Surgeons/Association for Surgical Education Medical Student Simulation-based Skills Research Collaborative initiated a multisite study to implement and study the effect of a skills curriculum during the surgical clerkship.

Design: Students underwent knot-tying and suturing sessions. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.01.014DOI Listing
February 2019

Educational Value of Surgical Multidisciplinary Team Meetings for Learning Non-Technical Skills - A Pilot Survey of Trainees From Two UK Deaneries.

J Surg Educ 2019 Feb 19. Epub 2019 Feb 19.

Warwick Medical School, Warwickshire, United Kingdom; Department of Upper Gastro-Intestinal Surgery, Queen Alexandra Hospital, Portsmouth, Hampshire, United Kingdom. Electronic address:

Objective: This prospective survey study aimed to identify trainee surgeons' views on the educational potential of multi-disciplinary team (MDT) meetings for learning non-technical skills and relevant issues around using MDT meetings as an educational instrument.

Design: An online survey questionnaire containing eight closed and three open-ended questions; was developed based on established educational theories. Responses were anonymous. Read More

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http://dx.doi.org/10.1016/j.jsurg.2019.02.001DOI Listing
February 2019

Methodology for Developing an Educational and Research Video Library in Minimally Invasive Surgery.

J Surg Educ 2019 May - Jun;76(3):745-755. Epub 2019 Feb 19.

Northshore University Health System, Evanston, Illinois. Electronic address:

Objective: Explore the methods used and costs necessary for the creation and maintenance of a surgical video library with an emphasis on its applications in surgical education and scholarship.

Design: A methodology paper highlighting how to develop and utilize a surgical video library for trainee operative preparation, development of research projects, and surgeon credentialing.

Setting: The study was conducted at the University of Pittsburgh Medical Center, a tertiary care medical center. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.10.011DOI Listing
February 2019

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
2 Reads

National Trends in Orthopaedic Surgery Resident Adult Case Logs.

J Surg Educ 2019 May - Jun;76(3):893-897. Epub 2019 Feb 15.

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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https://linkinghub.elsevier.com/retrieve/pii/S19317204183029
Publisher Site
http://dx.doi.org/10.1016/j.jsurg.2018.11.003DOI Listing
February 2019
7 Reads