Abstract：
:Resident evaluation is highly subjective and continues to be a problem. Personality traits and characteristics account for 28% of factors considered; deficits in this area account for 22% of advanced residency terminations. Sixty-four faculty members and 51 residents in six university surgical departments were surveyed to determine differences in the perceived importance of 35 traits on a standard assertiveness scale. Each respondent was asked to score the importance of the traits on an unstructured list. Factors were then ranked in order of increasing mean score by group and compared. Traits with the lowest mean scores and least variance for both groups, indicating agreement, were: admits error, is well disciplined, considers all facts, is highly motivated and consistent, and listens. These are self-sufficiency and "internal discipline" traits. Nineteen of 35 traits had a mean score of 2.00 or less. For some general personality traits (e.g., decisiveness, fairness, good team participation, flexibility) there is excellent score and rank agreement, while others prompted disagreement (e.g., priority setting, independence, purposefulness). The correlation disagreement (e.g., priority setting, independence, purposefulness). The correlation between faculty and resident scores (r = 0.94) for all traits is excellent. "Independence" scored the greatest disagreement; residents ranked it 7 and faculty ranked it 14. Faculty and residents perceive similar traits as important and agree on their significance. Faculty select "like personalities" for their programs, supporting the notion of a "surgical personality." This personality is assertive in a positive manner.
journal_name
Surgeryjournal_title
Surgeryauthors
Greenburg AG,McClure DK,Penn NEsubject
Has Abstractpub_date
1982-08-01 00:00:00pages
368-72issue
2eissn
0039-6060issn
1532-7361journal_volume
92pub_type
杂志文章相关文献
SURGERY文献大全abstract：:Clinical investigations in patients who have undergone transplantation and patients with cancer and infection suggest that blood transfusions have an immunosuppressive effect. To investigate the impact on responses to infection, an experimental transfusion model was developed in the rat with allogeneic or syngeneic tr...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
abstract：:The risks of transfusion-associated infectious disease have made increased efforts to avoid homologous transfusion imperative. Little attention has been focused on efforts to accelerate erythropoiesis as a method of reducing homologous blood use. Recombinant human erythropoietin (rHuEPO) has been shown to enhance eryt...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：BACKGROUND:Early and accurate assessment of the response to neoadjuvant chemotherapy offers the potential to optimize treatment to obtain improved responses. We aimed to predict the response to neoadjuvant chemotherapy using a second breast core needle biopsy after a median of 2 cycles of neoadjuvant chemotherapy. MET...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2020.06.045
更新日期：2020-12-01 00:00:00
abstract：:Restoration of circulation following occlusion of an aortofemoral graft was attempted in 50 limbs in 38 patients. Progressive arteriosclerosis in the femoral vessels was the cause of graft limb thrombosis in most instances. Profundaplasty was employed in 47 limbs and femoral-popliteal bypass in two to provide effectiv...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1977-12-01 00:00:00
abstract：BACKGROUND:Acute respiratory failure is a common, life-threatening complication after severe trauma. Polymorphisms in cytokine genes, linked to cytokine inducibility, may influence the susceptibility to acute respiratory failure and serve as risk predictors. METHODS:This PROSPECTIVE cohort study (n = 100) included Cau...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2007.07.040
更新日期：2008-02-01 00:00:00
abstract：CONTEXT:The rate and the extent of bone remineralization at cancellous versus cortical sites after treatment of hyperthyroidism is unclear. Few studies have examined the effect of operative management of hyperthyroidism on recovery of bone mass. OBJECTIVE:To evaluate prospectively the bone mineral density (BMD), bone ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2015.10.002
更新日期：2016-03-01 00:00:00
abstract：:We reviewed 137 patients with colon injury and applied multiple regression analysis to determine the influence of various parameters on colon-related infection. The complications of intra-abdominal abscess, wound infection, and peristomal abscess occurred in 25% of patients. The mortality rate was 3.6%, and four of fi...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1986-10-01 00:00:00
abstract：:The acquired failure of host immunocompetence that may result from significant protein and caloric malnutrition has been associated with an increased incidence of septic complications in patients undergoing operation. Wound infection in patients undergoing vascular surgical procedures may lead to exposure or contamina...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-06-01 00:00:00
abstract：BACKGROUND:Gastroparesis is characterized by delayed gastric emptying in the absence of obstruction. Common symptoms include nausea, vomiting, and abdominal pain. Severe gastroparesis can result in recurrent hospitalizations, malnutrition, and even death. Gastric electrical stimulation (GES) is a low morbidity treatmen...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.06.024
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:Obesity is known as a risk factor for intra- and postoperative complications in pancreatic operation. However, the operative outcomes in obese patients undergoing laparoscopic distal pancreatectomy remain unclear. METHODS:A total number of 423 patients underwent laparoscopic distal pancreatectomy at Oslo Un...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2016.05.046
更新日期：2016-11-01 00:00:00
abstract：:Efforts to produce a clinically acceptable hemoglobin solution that could function as a temporary oxygen carrier have evolved through several stages. Beginning with the simple tetramer, we have lowered the affinity state by pyridoxylation and then polymerized the modified tetramer. This new substance, polyhemoglobin, ...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1984-03-01 00:00:00
abstract：BACKGROUND:Gender differences have been noted in acute ischemia/reperfusion injury. Estrogen and the estrogen receptors (ER) appear to play a critical role in cardiovascular gender differences, given that females have improved myocardial functional recovery associated with decreased tissue inflammation. It has been sug...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2008.03.009
更新日期：2008-08-01 00:00:00
abstract：:Patients with stages O and I malignant melanomas of the trunk and proximal limbs, having had wide excisions only without lymph node dissections, were reviewed to determine whether the presence or absence of muscle fasciae correlated with prognosis. Prior to 1969 most patients seen at The University of Texas M. D. Ande...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:Cocaine abuse is now known to result in a wide variety of medical illnesses. We report our experience with one patient who had abdominal pain and was found to have near-total infarction of all abdominal viscera. The cause of this and other medical complications of cocaine abuse (i.e., extreme vasoconstriction) is disc...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：BACKGROUND:Associating liver partition and portal vein ligation for staged hepatectomy induces an unprecedented liver hypertrophy and enables resection of otherwise unresectable liver tumors. The effect of associating liver partition and portal vein ligation for staged hepatectomy on tumor proliferation, however, remai...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2017.10.036
更新日期：2018-02-01 00:00:00
abstract：:The extrahepatic diversion of essential splanchnic hepatotrophic factors may cause the liver atrophy and insufficiency that follows portacaval shunting. To investigate this, control dogs with end-to-side portacaval shunts (control-PCS, n = 6) were compared with dogs shunted 1 month after intraportal pancreatic islet a...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1989-08-01 00:00:00
abstract：BACKGROUND:Crohn's disease (CD) and ulcerative colitis (UC) are chronic inflammatory diseases, and their pathogenesis is attributed, in part, to alterations of the mucosal immune system. This study was designed to define the possible contribution of epithelial cells to the activation of lamina propria T lymphocytes (LP...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/s0039-6060(97)90091-x
更新日期：1997-10-01 00:00:00
abstract：:This study evaluates the effect of reverse electrical pacing on intestinal absorption and transit time in an enterostomy model. Twenty-five male Sprague-Dawley rats (148 to 208 gm) underwent division and anastomosis of the proximal jejunum to eliminate the proximal gastroduodenal pacemaker. A 30.0 cm loop ileostomy wa...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1986-08-01 00:00:00
abstract：:Blood flow and pressures around a canine femoral arteriovenous fistula, constructed from an autogenous carotid artery, were measured to determine the pressure-flow relationships within the fistula, as well as to determine the presence or absence of retrograde flow in the distal artery and vein. The findings indicate ...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1975-03-01 00:00:00
abstract：:This prospective study evaluates the use of intraoperative flexible choledochoscopy in the detection and removal of additional stones after conventional bile duct exploration. The biliary system of 109 patients was examined with an Olympus CHF-B4 choledochoscope after conventional methods of exploration. Sixty-five pa...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1987-05-01 00:00:00
abstract：:We measured lipid peroxidation of plasma, lung, and liver in anaesthetized sheep after third-degree burns involving 30% of total body surface. Animals were resuscitated to baseline filling pressures with lactated Ringer's solution and killed 10 hours after burn. Six sheep were pretreated with ibuprofen (12.5 mg/kg) an...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：BACKGROUND:The aims of the present study were to confirm the consumption coagulopathy of disseminated intravascular coagulation with the fibrinolytic phenotype at an early phase of trauma and to test the hypothesis that thrombin-activatable fibrinolysis inhibitor, neutrophil elastase, and plasmin contribute to the incr...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2010.06.010
更新日期：2011-02-01 00:00:00
abstract：:Major intra-abdominal operations result in profound immunodepression. In addition, manipulation of malignant tumors may release tumor cells into the systemic and portal circulations. The additive effects of immunodepression and tumor cell release may enhance the metastatic potential of tumors. Perioperative correction...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1984-08-01 00:00:00
abstract：:The multiple endocrine neoplasia (MEN) IIb syndrome has been differentiated from MEN IIa by the presence of various phenotypic characteristics such as mucosal neuromas, marfanoid habitus, congenital skeletal anomalies, and prominent corneal nerves, as well as the lack of parathyroid involvement. Analysis of a kindred ...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-10-01 00:00:00
abstract：:Ten patients who had a cricopharyngeal myotomy and diverticulum suspension for pharyngoesophageal diverticulum have been studied clinically, radiologically, and manometrically. There were no deaths or morbidity and all patients have achieved marked improvement of their symptoms. Before operation all patients but one h...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-10-01 00:00:00
abstract：BACKGROUND:Thromboprophylaxis aims to reduce venous thromboembolism but has the potential to increase bleeding. We sought to evaluate the risk of venous thromboembolism and transfusion after major abdominopelvic procedures and to quantify the association of the procedure with venous thromboembolism. METHODS:The Americ...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2019.05.050
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:The proportion of positive among examined lymph nodes (lymph node ratio [LNR]) has been recently proposed as an useful and easy-to-calculate prognostic factor for patients with cutaneous melanoma. However, its independence from the standard prognostic system TNM has not been formally proven in a large series...
journal_title：Surgery
pub_type： 杂志文章
doi：10.1016/j.surg.2011.02.021
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:The importance of cigarette smoking in the etiology of peripheral arterial occlusive disease is well known, but there have been few studies that have quantified this relationship. METHODS:A case-control study design was used in which the case subjects were men with a history of claudication for at least 1 y...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：BACKGROUND:Pancreatic endocrine tumors (PETs) may secrete a variety of peptide hormones, either alone or in combination, and intravenously administered provocative agents have been used to stimulate hormone release to aid in the diagnosis and localization in suspected cases. These features of PETs led us to perform det...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:Since 1966, 29 patients with recurrent carotid artery stenosis have been encountered. The mean (+/- SEM) internal between initial carotid endarterectomy and secondary presentation was 67.5 +/- 9.2 months (range 6 to 180 months). There was a disproportionate number of women with recurrent stenosis. The mean age at init...
journal_title：Surgery
pub_type： 杂志文章
doi：
更新日期：1983-02-01 00:00:00
