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Journal of Surgical Education

David Azari, Caprice Greenberg, Carla Pugh, Douglas Wiegmann, Robert Radwin
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...
March 16, 2019: Journal of Surgical Education
Robert A Swendiman, Daniel I Hoffman, Adrienne N Bruce, Thane A Blinman, Michael L Nance, Carol M Chou
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. Grounded theory methodology identified themes for analysis. SETTING: General, vascular, and plastic surgery residents and faculty at the University of Pennsylvania Health System...
March 14, 2019: Journal of Surgical Education
Dominique Vervoort, Zineb Bentounsi
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. METHOD: InciSioN, the International Student Surgical Network, is an innovative nonprofit organization by and for students, residents, and young doctors around the world...
March 7, 2019: Journal of Surgical Education
Alexander R Cortez, Leah K Winer, Al-Faraaz Kassam, Joshua W Kuethe, Krishna P Athota, R Cutler Quillin
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. DESIGN: Analysis of prospectively-collected survey data from medical students on the third-year surgery clerkship was performed. Surveys included an institution-specific pre- and postclerkship survey, the 12-item Grit Scale, and the Maslach Burnout Inventory...
March 7, 2019: Journal of Surgical Education
Mikhail A Klimstra, Nicholas A Beck, Mary L Forte, Ann E Van Heest
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...
March 6, 2019: Journal of Surgical Education
Divya Srikumaran, Jing Tian, Pradeep Ramulu, Michael V Boland, Fasika Woreta, Kendrick M Wang, Nicholas Mahoney
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...
March 5, 2019: Journal of Surgical Education
Kevin J McGuire, Michael B Sparks, Ida L Gitajn, Eric R Henderson, David S Jevsevar, Nicholas G Paddock, Marcus P Coe
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. Qualitative questions we sought to answer: (1) Can SI be practically applied to the selection of residents? (2) Is there a significant difference in the relative position of applicants between the OI and SI rank lists? (3) Qualitatively, does SI help the evaluation/discussion of the affective domain? METHODS: Design: Prospective qualitative comparison of OI versus SI...
March 4, 2019: Journal of Surgical Education
Rachel M Frank, George Rego, Frank Grimaldi, Hytham S Salem, Anthony A Romeo, Brian J Cole, Christopher R Adams
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...
March 4, 2019: Journal of Surgical Education
Joy Backhaus, Katrin Huth, Andrew Entwistle, Kia Homayounfar, Sarah Koenig
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. DESIGN: A prospective study was conducted over 2 consecutive semesters...
March 2, 2019: Journal of Surgical Education
Nicholas Mitrou, Jason Elzinga, Jason Cheng, Andrei Dobrin, C Manvir Uppal, T J Leeper, Angela Builes Aguilar, W Robert Leeper
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. DESIGN: All surgical residents in an academic program were divided into 5 equal "trauma teams". Throughout the academic year, each team took part in 4 standardized, high fidelity trauma simulations...
March 2, 2019: Journal of Surgical Education
Patrick Dickerson, Stuart Grande, Douglas Evans, Brett Levine, Marcus Coe
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...
March 1, 2019: Journal of Surgical Education
Gabriella E Ode, Joseph Stewart Buck, Meghan Wally, Brian P Scannell, Joshua C Patt
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...
February 28, 2019: Journal of Surgical Education
Colin F Mackenzie, Samuel A Tisherman, Stacy Shackelford, Nick Sevdalis, Eric Elster, Mark W Bowyer
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...
February 28, 2019: Journal of Surgical Education
Priya H Dedhia, Meredith Barrett, Graham Ives, Christopher P Magas, Oliver A Varban, Sandra L Wong, Gurjit Sandhu
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. The purpose of this study was to determine if residents and faculty differently identify intraoperative interactions as feedback. DESIGN: Residents and faculty viewed a segment of a laparoscopic cholecystectomy video and then timestamped the video where they perceived moments of intraoperative feedback...
February 28, 2019: Journal of Surgical Education
Ngan Nguyen, William D Watson, Edward Dominguez
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...
February 27, 2019: Journal of Surgical Education
Pedro Tanaka, Natalya Hasan, Anita Tseng, Chinh Tran, Alex Macario, Ilene Harris
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. PARTICIPANTS: Nurses, faculty, and residents who work in the OR suite...
February 26, 2019: Journal of Surgical Education
Roberto Cortez, Kenneth Lynch, Kevin Charpentier, William Cioffi, David Harrington, Rachel Beard
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. Trainees tie 20 surgical square knots scored for time and total knot length...
February 26, 2019: Journal of Surgical Education
Zhamshid Okhunov, Shoaib Safiullah, Roshan Patel, Samuel Juncal, Harwood Garland, Nikta R Khajeh, Jeremy Martin, Taylor Capretz, Courtney Cottone, Mark L Jordan, Elspeth McDougall, Ralph V Clayman, Jaime Landman
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...
February 22, 2019: Journal of Surgical Education
Jaisa Olasky, Michael Kim, Sydne Muratore, Eric Zhang, Shimae C Fitzgibbons, Andre Campbell, Robert Acton
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. They performed a self-evaluation survey before and after the modules to assess their comfort level with the skills...
February 20, 2019: Journal of Surgical Education
Dharmadev B Trivedi
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. SETTING: This survey study was designed as professional project for masters in medical education degree at Warwick University...
February 19, 2019: Journal of Surgical Education
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