Abstract：
INTRODUCTION:We evaluated the effect of an operative coaching (OC) model on general surgery chief residents' operative efficiency (OE) measured by operative times. We hypothesized that higher levels of entrustment surgeons intend to offer resident in future similar cases are associated with improved OE. MATERIALS AND METHODS:From July 2018 to June 2019, we used a validated instrument to score prospective resident entrustment in 228 evaluations of 6 chief residents during 12 OC sessions each (3 lap colectomy, 3 lap cholecystectomy, 3 ventral hernia, 3 inguinal hernia). Operative times of matched case CPT codes performed by coached chiefs (N = 500) were matched via CPT code to the cases of uncoached chiefs in the academic year 2016-2017 (N = 478). Statistical analysis was performed using Pearson correlation and one-way ANOVA. RESULTS:Prospective entrustment scores from coached chief residents were associated with significantly shorter operative times in matched complex cases (CC) (r = -0.58, p = 0.0047). A similar trend was observed in noncomplex cases (NCC) (r = -0.29, p = 0.18). Compared to the historical cohort, coached chief residents showed a decrease in mean operative time during complex cases (p = 0.0008, d = 0.44), but an increase in mean operative times for noncomplex cases (p < 0.0001, d = 0.33). CONCLUSIONS:An OC model improves chief residents' prospective entrustment leading to increased OE in cases with greater levels of operative complexity, showing a decrease in mean operative time compared to uncoached residents in certain procedures. This is the first report showing formal coaching may be a method to enhance chief resident OE.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Chen XP,Cochran A,Harzman AE,Ellison ECdoi
10.1016/j.jsurg.2020.12.006subject
Has Abstractpub_date
2020-12-22 00:00:00eissn
1931-7204issn
1878-7452pii
S1931-7204(20)30474-8pub_type
杂志文章abstract：:A case study is described in which collaborations between a Department of Surgery, a Department of Information Technology, and an academic health sciences library resulted in the development of an electronic surgical library available at the bedside, the deployment of tablet devices for surgery residents, and implemen...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.03.004
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this article is to discuss a surgical resident's experience in Kenya as a component of a custom-designed dedicated year. The academic value, clinical experience, and lessons learned will be described. Hopefully, these insights will be useful to those planning to take a similar course or for tho...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2008.07.009
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Physician satisfaction is an important and timely issue in health care. A paucity of literature addresses this question among general surgeons. PURPOSE:To review employment patterns and job satisfaction among general surgery residents from a single university-affiliated institution. METHODS:All general sur...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2007.07.004
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:Medical students receive limited exposure to ophthalmology and ophthalmic surgery in the preclinical curriculum. To address this gap, the authors designed a self-directed preclinical elective course in ophthalmic surgery offered in the 2013-2014 academic year to all first- and second-year students at the stud...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.11.005
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:Increased patient awareness, duty-hour restrictions, escalating costs, and time constraints in the operating room have revolutionized surgical education. A bovine heart model was designed for training in mitral valve repair procedures. In this article, we aimed to share our experience with this model and t...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.01.009
更新日期：2013-05-01 00:00:00
abstract：INTRO:This project expanded upon previous exploration of emotional intelligence during the habituation for military second year medical students undergoing high-stress simulation with trauma and surgical skill training. The objective was to interpret emotional intelligence data before and after hyper-realistic immersio...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.04.020
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:As medical student interest in global surgical care grows, a comprehensive curriculum is necessary to understand surgical care in resource-limited environments. METHODS:We developed a surgical elective encompassing a multiyear medical student curriculum, with the goal of improving students' understanding of...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.04.027
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:Complex vascular anatomy has always been a difficult point for medical students. Gastrocolic trunk (Henle trunk) has many branches and variations, involving the venous reflux of the stomach, right colon, and pancreas. This study investigated the effects of 3 dimensional (3D) printing technology on medical int...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.02.031
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:In single-incision laparoscopic surgery (SILS), operating through 1 incision presents ergonomic challenges. No consensus exists on whether articulating instruments (ARTs) may help. This study evaluated their effect on simulated SILS, hypothesizing that they would affect performance and workload. DESIGN:Surge...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2014.08.004
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To determine 2020 residency cycle application practices and to model potential consequences in the 2021 cycle if (1) applicants scheduled an uncapped number of interviews; (2) applicants were capped to schedule 12 interviews; (3) residency programs kept their number of interview offers unchanged; and (4) prog...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.08.033
更新日期：2020-09-14 00:00:00
abstract：OBJECTIVES:The American Board of Surgery Certifying Examination (ABSCE) is an oral examination designed to evaluate a resident׳s ability to apply their cognitive knowledge to manage a broad range of clinical problems. In this study, we analyze our 5-year experience with a Philadelphia-wide mock oral examination (PMOE)....
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.06.019
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Each year, thousands of surgeons and other trauma health care providers participate in the American College of Surgeon's Advanced Trauma Life Support (ATLS) program, which historically has allowed trainees to practice cricothyroidotomy, chest tube insertion, pericardiocentesis, venous cutdown, and diagnostic...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.08.011
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide. DESIGN:A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.036
更新日期：2020-07-25 00:00:00
abstract：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 surgi...
journal_title：Journal of surgical education
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jsurg.2019.03.002
更新日期：2019-01-01 00:00:00
abstract：INTRODUCTION:Oral and poster presentations at major meetings serve to rapidly present and share study results with the scientific community. On the other hand, full-text publication of abstracts in peer-reviewed journals provides dissemination of knowledge. The purpose of this study was to evaluate the publication rate...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.02.002
更新日期：2014-09-01 00:00:00
abstract：INTRODUCTION:Entrustment is a key component connecting to resident preparedness for surgical practice in the operating room (OR). Residents' self-entrustment of their surgical competencies closely associates with their OR training experience and granted autonomy. Some recent studies have investigated how attending surg...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.019
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine if the levels of evidence for primary journal articles used as references for musculoskeletal trauma questions on the Orthopaedic In-Training Examination (OITE) have increased over a 15-year period. DESIGN:Basic science article. SETTING:Geisinger Medical Center (Da...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.10.005
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:Evaluation of fundamental surgical skills is invaluable to the training of medical students and junior residents. This study assessed the effectiveness of crowdsourcing nonmedical personnel to evaluate technical proficiency at simulated vessel ligation. STUDY DESIGN:Fifteen videos were captured of participa...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.09.030
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Nontechnical skills are of increasing focus for safe and effective performance in the operating room. Assessment tools have been developed in Europe, Africa, and Asia but not adapted to the unique aspects of surgical delivery in the United States. Our objective was to use the Non-Technical Skills for Surgeon...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.09.010
更新日期：2020-10-08 00:00:00
abstract：OBJECTIVE:Attrition rates in general surgery training are higher than other surgical disciplines. We sought to determine the prevalence with which Canadian general surgery residents consider leaving their training and the contributing factors. DESIGN, SETTING, AND PARTICIPANTS:An anonymous survey was administered to a...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.11.008
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:We aimed to evaluate resident operative times in relation to postgraduate year (PGY), case difficulty and resident stress while performing a single surgical procedure. DESIGN:We prospectively examined operative times for 268 laparoscopic cholecystectomies, and analyzed relationships between PGY, case difficu...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.08.002
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Workplace-based assessments (WBAs) were introduced formally in the UK in 2007. The aim of the study was to describe the use of WBAs by UK surgical trainees and examine variations by training region, specialty, and level of training. METHODS:The database of the Intercollegiate Surgical Curriculum Programme w...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.03.019
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to develop a surgical skills program for first-year surgical residents by integrating the Canadian Medical Education Direction for Specialists (CanMEDS) roles. METHODS:A 9-week course combining basic surgical skills and CanMEDS roles was developed and provided to 24 residents f...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.09.006
更新日期：2014-05-01 00:00:00
abstract：PURPOSE:We developed a system of resident-driven, evidence-based standardization of care in our trauma-surgical intensive care unit (TSICU). Our main purposes are to improve patient care and outcomes and to help the residents develop practical competency in practice-based learning and improvement and in systems-based p...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2008.01.003
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVES:This study evaluated the utility of a porcine flexor tendon model and standard biomechanical testing procedures to quantify the acquisition of surgical skills associated with Zone II flexor tendon repair in a trainee by benchmarking task performance outcomes relative to evidence-based standards. STUDY DESIG...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2012.01.001
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:To determine, given a fixed amount of training, the optimal distribution of sessions needed to acquire intracorporeal endoscopic suturing skills and to retain said skills for 1 to 6 months. DESIGN:A randomized controlled trial consisted of 6 study groups who received identical laparoscopic suturing training ...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2013.01.005
更新日期：2013-05-01 00:00:00
abstract：OBJECTIVE:Most surgical residents will learn written information via passive, massed exposure of material. Spaced repetition learning is an alternative, more effective, and efficient method to this more traditional method of teaching. We hypothesized that this method in the lead up to an Orthopedic basic sciences exami...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.002
更新日期：2021-01-01 00:00:00
abstract：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 comm...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.04.001
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Camera assistance is important for proper visualization of the operative field in laparoscopic surgery. Navigation grid (NG) has been designed to help the camera assistants focus the camera on the target operative field. This is a randomized, controlled trial to study the effect of the NG on performance of ca...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.09.015
更新日期：2020-10-02 00:00:00
abstract：PURPOSE:Competency-based medical education has been successfully instituted in graduate medical education through the development of Milestones. Consequently, the Association of American Medical Colleges implemented the core entrustable professional activities initiative to complement this framework in undergraduate me...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.01.002
更新日期：2017-01-01 00:00:00
