Abstract：
BACKGROUND:The patient experience around surgical care is poorly characterized. Medical students have a unique position on the surgical team, which allows them to observe patient experiences that may otherwise be overlooked. The objective of this study was to characterize surgical patients' experience with pain as witnessed by medical students. STUDY DESIGN:At the end of an 8-week surgical clerkship, we asked all third-year medical students to write a reflective essay describing one surgical patient in pain. We collected 341 essays over a 4-year period and used qualitative content analysis to explore the students' reports of pain experienced by surgical patients. RESULTS:When asked to tell a story about a surgical patient in pain, medical students report vivid descriptions of physical agony, emotional distress, and patient regret. For example, "Throughout the procedure our patient cried out and writhed in agony from the searing pain in his chest," and "The patient was practically shedding tears, complaining of pain, as [we] changed her dressing." The students' accounts reveal wide-ranging physical and emotional suffering among surgical patients, including alterations in self-image and feelings of vulnerability. Pain and suffering were intensified when patients felt they had lost control, in settings of uncertain prognosis and with unexpected outcomes. CONCLUSIONS:Students' descriptions of the surgical patient's experience are disturbingly graphic. They expose suffering ranging from generalized discomfort to anguish and excruciating pain. These data suggest that surgical patients have substantial unmet needs with respect to symptom management and emotional support that, if better addressed, could improve the patient experience.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Zens TJ,Kopecky KE,Schwarze ML,Suwanabol PAdoi
10.1016/j.jsurg.2019.04.008subject
Has Abstractpub_date
2019-01-01 00:00:00pages
1506-1515issue
6eissn
1931-7204issn
1878-7452pii
S1931-7204(18)30818-3journal_volume
76pub_type
杂志文章abstract：OBJECTIVE:Our objectives were to (1) develop a curriculum based upon participants' needs, (2) evaluate baseline QI knowledge of the Illinois Surgical Quality Improvement Collaborative (ISQIC) members, and (3) evaluate the effectiveness of the educational curriculum. DESIGN:The Surgeon Champion (SC), Surgical Clinical ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.04.018
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:Wrong-site surgery (WSS) is considered a sentinel event by the Joint Commission. The education of spine surgery fellows on WSS is unknown. Our objective was to evaluate North American spine surgery fellows' education, awareness, and experience with WSS. DESIGN:Observational survey study. SETTING:Spine surge...
journal_title：Journal of surgical education
pub_type： 杂志文章
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更新日期：2015-07-01 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
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doi：10.1016/j.jsurg.2017.09.030
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To determine which teaching method-otoscopy simulation (OS), web-based module (WM), or standard classroom instruction (SI)-produced greater translation of knowledge and otoscopy examination skills to real patients. DESIGN:In a prospective randomized controlled nonclinical trial, medical students were randomi...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2017.12.011
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:The use surgical simulation across all subspecialties has gained widespread adoption in the last decade. A number of factors, including the small number of trainees, identified gaps in surgical skill training from cross-sectional surveys, increased national collaboration, and support from the national specia...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.11.008
更新日期：2018-01-01 00:00:00
abstract：:In the beginning of the academic year, medical errors are often attributed to inexperienced medical staff. This potential seasonal influence on health care outcomes is termed the "July effect." No study has demonstrated the July effect in liver transplantation. We reviewed retrospectively collected data from the Unite...
journal_title：Journal of surgical education
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doi：10.1016/j.jsurg.2013.04.012
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE:The Accreditation Council for Graduate Medical Education mandates resident physician training in the principles and applications of research. To provide a robust early foundation for effective engagement in scholarship, we designed a novel clinical scholarship program (CSP) for PGY1 general surgery residents....
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.01.001
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine whether students' performance evaluations by faculty were influenced by the clinical service on which the student was evaluated. METHODS:Third-year medical students spent 8 weeks rotating on 3 (or 2) surgical services. Typically, students rotate on one 4-week genera...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.03.003
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Journal club (JC) is a well-recognized education tool for many postgraduate medical education programs. Journal club helps residents learn critical analytic skills and keep up to date with current medical practices. To our knowledge, there is minimal evidence in the current literature detailing modern JC pra...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2011.08.006
更新日期：2012-03-01 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：OBJECTIVE:Interest in international surgery among general surgery residents in the United States has been shown in several publications. Several general surgery residency programs have reported their experiences with international surgery rotations (ISRs). Learning to use limited resources more efficiently is often cit...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2011.10.009
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:To determine if playing music would affect novice surgical trainees' ability to perform a complex surgical task. BACKGROUND:The effect of music in the operating room (OR) is controversial. Some studies from the anesthesiology literature suggest that OR music is distracting and should be banned. Other nonblin...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.08.020
更新日期：2020-09-08 00:00:00
abstract：BACKGROUND:Clinician-scientist numbers have been stagnant over the past few decades despite awareness of this trend. Interventions attempting to change this problem have been seemingly ineffective, but research residency positions have shown potential benefit. OBJECTIVE:We sought to evaluate the effectiveness of a cli...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.10.003
更新日期：2018-01-01 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：OBJECTIVE:The effect of surgery resident participation on breast cancer recurrence has not been previously reported. The objectives of this study were to determine if resident participation was associated with either immediate postoperative or long-term breast cancer outcomes. DESIGN:We retrospectively reviewed a pros...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.06.011
更新日期：2015-11-01 00:00:00
abstract：:The scope of patient management increasingly crosses the defined lines of multiple medical specialties and services to meet patient needs. Concurrently, many hospitals and health-care systems have adapted new multidisciplinary team structures that provide patient-centric care as opposed to the more traditional discipl...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2007.10.003
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVE:Teaching of basic open surgical skills like skin closure has been well established in medical schools' surgical curricula. The same cannot be said for basic arthroscopic skills even though the importance of arthroscopic surgery in Orthopaedics has been well documented. The goal of this study was to evaluate t...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.01.001
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Journal clubs exist in a variety of forms in medical schools across the United States. Many incorporate a full spectrum of medical specialties, some are specific to certain interest groups or specialties, and many widely vary in whether or not they are school mandated or student-run. While these clubs are ub...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.06.006
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To investigate the current rate of attrition in general surgery residency, assess the risk factors, and identify prevention strategies. DESIGN:A literature review of the PubMed and MEDLINE databases, from January 1, 1980 to February 1, 2016, for relevant articles. The calculated attrition rate and the statis...
journal_title：Journal of surgical education
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.jsurg.2017.07.015
更新日期：2018-01-01 00:00:00
abstract：INTRODUCTION:Autonomy is of foremost concern in the current era of surgical residency, and it is especially important to trainees when considering their surgical education. Factors impacting trainee independence include the restriction of clinical work hours and the development of advanced minimally invasive techniques...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.08.004
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:There is an extremely small proportion of female medical students choosing to specialize in orthopedic surgery. The aim of the study was to assess medical students' and interns' interests and perceptions of orthopedic surgery and explore why women are not interested in orthopedic surgery. SETTING:Questionnai...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.08.005
更新日期：2014-03-01 00:00:00
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journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2019.07.018
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Despite the importance of preclerkship experiences, surgical education has essentially remained confined to the third-year operating room experience. According to experience-based learning theory, the acquisition of new clinical knowledge is a dynamic process of social enculturation and professional identity...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2008.04.002
更新日期：2008-07-01 00:00:00
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journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.07.007
更新日期：2015-01-01 00:00:00
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journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.05.007
更新日期：2010-11-01 00:00:00
abstract：:Intracardiac foreign bodies may be caused by direct penetrating trauma, embolization from injury to another area of the body, or iatrogenically from fragments of intravascular access devices. Penetrating cardiac trauma commonly presents with a hemodynamically unstable patient necessitating emergent life-saving procedu...
journal_title：Journal of surgical education
pub_type： 杂志文章,评审
doi：10.1016/j.jsurg.2009.04.002
更新日期：2009-07-01 00:00:00
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journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2018.07.018
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Residency coordinators are valuable members of the education leadership administration. In General Surgery, program directors must devote time to both their clinical practice and as the leader of the education program for surgical residents. With the introduction of competencies and the Next Accreditation Sys...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.07.003
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:Feedback plays an important role in the learning process. However, often this may be delivered in an unstructured fashion that can detract from its potential benefit. Further, students may have different preferences in how feedback should be delivered, which may be influenced by which method they feel will l...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2015.04.017
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVE:Operative experience in rural fellowship programs is largely unknown. The 2 of the most rural minimally invasive surgery (MIS)/bariatric fellowships are located in the upper Midwest. We hypothesized that these 2 programs would offer a similar operative experience to other U.S. programs in more urban locations...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2016.04.012
更新日期：2016-09-01 00:00:00
