Changing Objective Structured Clinical Examinations Stations at Lunchtime During All Day Postgraduate Surgery Examinations Improves Examiner Morale and Stress.


BACKGROUND:Human factors are important causes of error, but little is known about their possible effect during objective structured clinical examinations (OSCE). We have previously identified stress and pressure in OSCE examiners in the postgraduate intercollegiate Membership of the Royal College of Surgeons (MRCS) examination. After modifying examination delivery by changing OSCE stations at lunchtime with no demonstrable effect on candidate outcome, we resurveyed examiners to ascertain whether examiner experience was improved. METHOD:Examiners (n = 180) from all 4 surgical colleges in the United Kingdom and Ireland were invited to complete the previously validated human factors questionnaire used in 2014. Aggregated scores for each of 4 previously identified factors were compared with the previous data. Unit-weighted z-scores and nonparametric Kruskal-Wallis methods were used to test the hypothesis that there was no difference among the median factor z-scores for each college. Individual Mann-Whitney-Wilcoxon tests (with appropriate Bonferonni corrections) were used to determine any differences between factors and the respective colleges. RESULTS:141 Completed questionnaires were evaluated (78% response rate) and compared with 108 responses (90%) from the original study. Analysis was based on 26 items common to both studies. In 2014, the college with the highest candidate numbers (England) was significantly different in 1 factor (stress and pressure), compared with Edinburgh (Mann-Whitney-Wilcoxon: W = 1524, p < 0.001) and Glasgow colleges (Mann-Whitney-Wilcoxon: W = 104, p = 0.004). No differences were found among colleges in the same factor in 2016, Kruskall-Wallis: (χ2 (3) = 1.73, p = 0.63). Analysis of responses found inconsistency among examiners regarding mistakes or omissions made when candidates were performing well. CONCLUSION:After making changes to OSCE delivery, factor scores relating to examiner stress and pressure are now improved and consistent across the surgical colleges. Stress and pressure can occur in OSCE examiners and examination delivery should ideally minimize these issues, thereby improving morale is also likely to benefit candidates.


J Surg Educ


Brennan PA,Scrimgeour DS,Patel S,Patel R,Griffiths G,Croke DT,Smith L,Arnett R




Has Abstract


2017-01-01 00:00:00














  • Assessment of Surgery Residents' Interpersonal Communication Skills: Validation Evidence for the Communication Assessment Tool in a Simulation Environment.

    abstract:OBJECTIVES:Although development of trainees' competency in interpersonal communication is essential to high-quality patient-centered surgical care, nontechnical skills present assessment challenges for residency program directors. The Communication Assessment Tool (CAT) demonstrated internal reliability and content val...

    journal_title:Journal of surgical education

    pub_type: 杂志文章,评审


    authors: Trickey AW,Newcomb AB,Porrey M,Wright J,Bayless J,Piscitani F,Graling P,Dort J

    更新日期:2016-01-01 00:00:00

  • Status of Resident Attrition From Surgical Residency in the Past, Present, and Future Outlook.

    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


    authors: Shweikeh F,Schwed AC,Hsu CH,Nfonsam VN

    更新日期:2018-01-01 00:00:00

  • Reactions of surgical program directors to a web-based interactive educational program focusing on cognitive skills.

    abstract:OBJECTIVE:To assess reactions by program directors (PDs) to a preview of a scenario from the Fundamentals of Surgery Curriculum (FSC), which is a case-based interactive curriculum developed by the American College of Surgeons's (ACS) Division of Education and designed to be delivered online to first-year (PGY-1) surgic...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Risucci DA,Numann PJ,Welling R,Pfingsten MF,Blair PG,Sachdeva AK

    更新日期:2008-11-01 00:00:00

  • Communication Skills Training in Ophthalmology: Results of a Needs Assessment and Pilot Training Program.

    abstract:OBJECTIVE:To conduct a needs assessment to identify gaps in communication skills training in ophthalmology residency programs and to use these results to pilot a communication workshop that prepares residents for difficult conversations. DESIGN:A mixed-methods design was used to perform the needs assessment. A pre-and...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Mishra A,Browning D,Haviland MJ,Jackson ML,Luff D,Meyer EC,Talcott K,Kloek CE

    更新日期:2018-01-01 00:00:00

  • The "July effect" does not have clinical relevance in liver transplantation.

    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

    pub_type: 杂志文章


    authors: Karipineni F,Panchal H,Khanmoradi K,Parsikhia A,Ortiz J

    更新日期:2013-09-01 00:00:00

  • Correlation between ATLS training and junior doctors' anatomical knowledge of intercostal chest drain insertion.

    abstract:OBJECTIVE:To review the ability of junior doctors (JDs) in identifying the correct anatomical site for intercostal chest drain insertion and whether prior Advanced Trauma Life Support (ATLS) training influences this. DESIGN:We performed a prospective, observational study using a structured survey and asked a group of ...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Kong VY,Oosthuizen GV,Sartorius B,Keene CM,Clarke DL

    更新日期:2015-07-01 00:00:00

  • An alternative certification examination ("ACE") in surgery.

    abstract:BACKGROUND:Medical graduates are required to be competent in many domains of professional practice when joining the health care workforce. Current undergraduate examination methods robustly assess up to 5 of these 8 required skills. This study sought to evaluate an alternative certification examination ("ACE") in asses...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Morris MC,Gillis AE,Smoothey CO,Hennessy M,Conlon KC,Ridgway PF

    更新日期:2014-11-01 00:00:00

  • The Independent Plastic Surgery Match (2010-2018): Applicant and Program Trends, Predictors of a Successful Match, and Future Directions.

    abstract:OBJECTIVES:Changes were made to the independent plastic surgery residency in 2009 to 2010 that included full prerequisite training and increased from 2 to 3 years of independent residency. The authors sought to determine subsequent match trends and predictors of a successful match. METHODS:With American Council of Aca...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Azoury SC,Kozak GM,Stranix JT,Colen DL,Piwnica-Worms W,Fosnot J,Serletti JM,Kovach SJ

    更新日期:2020-01-01 00:00:00

  • Do international rotations make surgical residents more resource-efficient? A preliminary study.

    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


    authors: Oliphant JL,Ruhlandt RR,Sherman SR,Schlatter MG,Green JA

    更新日期:2012-05-01 00:00:00

  • Isolated congenital agenesis of the gallbladder and cystic duct: report of a case.

    abstract::Congenital agenesis of the gallbladder and cystic duct represents a rare anomaly of the biliary system. It likely results from an embryologic mishap in the development of the hepatobiliary bud and can occur with other associated malformations. We report the case of congenital absence of the gallbladder and cystic duct...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Joliat GR,Shubert CR,Farley DR

    更新日期:2013-01-01 00:00:00

  • Evaluation of Changes in Quality Improvement Knowledge Following a Formal Educational Curriculum Within a Statewide Learning Collaborative.

    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


    authors: Berger ER,Kreutzer L,Halverson A,Yang AD,Reinhart S,Leary KJO,Williams MV,Bilimoria KY,Johnson JK,ISQIC Advisory Committee.

    更新日期:2020-01-01 00:00:00

  • Operative volume in the new era: a comparison of resident operative volume before and after implementation of 80-hour work week restrictions.

    abstract:OBJECTIVE:To determine the effect of the 80-hour work week restrictions on general surgery resident operative volume in a large, community-based, university-affiliated, general surgery residency program. METHODS:We performed a retrospective review of Accreditation Council for Graduate Medical Education (ACGME) operati...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Bruce PJ,Helmer SD,Osland JS,Ammar AD

    更新日期:2010-11-01 00:00:00

  • The Validation of the Clinical Male Pelvic Trainer Mk 2-Advanced Models for Scrotal Examination Simulation.

    abstract:OBJECTIVES:To validate the use of a novel physical model, the "Clinical Male Pelvic Trainer (CMPT) Mk 2-Advanced," for scrotal examination simulation and evaluate its use for surgical education. MATERIALS AND METHODS:A total of 7 CMPT Mk 2-Advanced scrotal models were used for teaching: normal, varicocele, testicular ...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Kailavasan M,Abdul-Rahman A,Hanchanale V,Rajpal S,Rogawski K,Palit V,Myatt A,Jain S,Biyani CS

    更新日期:2017-01-01 00:00:00

  • Cold injury in the United States military population: current trends and comparison with past conflicts.

    abstract:OBJECTIVE:The war in Afghanistan represents the first large-scale conflict involving military troops in a cold, mountainous climate since the Korean War. An analysis was conducted to identify the extent of cold weather injuries, especially frostbite, in the deployed military population. DESIGN:A retrospective analysis...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Hall A,Evans K,Pribyl S

    更新日期:2010-03-01 00:00:00

  • Surgical skills acquisition among left-handed trainees-true inferiority or unfair assessment: a preliminary study.

    abstract:INTRODUCTION:Studies involving the formal assessment of surgical skills have often reported inferior abilities among left-handed surgical trainees (LHT). Most surgical training curricula and assessment methods, however, are inherently geared toward right-handed trainees (RHT); potentially placing LHT at both a training...

    journal_title:Journal of surgical education

    pub_type: 杂志文章,随机对照试验


    authors: Lee JY,Mucksavage P,McDougall EM

    更新日期:2013-03-01 00:00:00

  • Spaced Repetition Learning as a Tool for Orthopedic Surgical Education: A Prospective Cohort Study on a Training Examination.

    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


    authors: Lambers A,Talia AJ

    更新日期:2021-01-01 00:00:00

  • Can Rural Minimally Invasive Surgery Fellowships Provide Operative Experience Similar to Urban Programs?

    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


    authors: Ryan JP,Borgert AJ,Kallies KJ,Carlson LM,McCollister H,Severson PA,Kothari SN

    更新日期:2016-09-01 00:00:00

  • Conservative management of retained cardiac missiles: case report and literature review.

    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


    authors: Lundy JB,Johnson EK,Seery JM,Pham T,Frizzi JD,Chasen AB

    更新日期:2009-07-01 00:00:00

  • Efficacy of Medical Student Surgery Journal Club.

    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


    authors: Berman D,Braig Z,Simms B,Anderson T,Dougherty K,Marcinkowski K,Seaman R

    更新日期:2019-01-01 00:00:00

  • Publish or perish, and pay--the new paradigm of open-access journals.

    abstract:OBJECTIVES:The new open-access journal business model is changing the publication landscape and residents and junior faculty should be aware of these changes. DESIGN:A national survey of surgery program directors and residents was performed. RESULTS:Open-access journals have been growing over the past decade, and man...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Tzarnas S,Tzarnas CD

    更新日期:2015-03-01 00:00:00

  • Informed Consent Education in Obstetrics and Gynecology: A Survey Study.

    abstract:OBJECTIVE:The practice of obstetrics and gynecology poses specific ethical challenges for informed consent (IC). Data regarding resident confidence with the IC process are lacking. Our objective was to evaluate obstetrics and gynecology residents' education, experience, and confidence related to IC. DESIGN:This was a ...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Propst K,O'Sullivan DM,Ulrich A,Tunitsky-Bitton E

    更新日期:2019-01-01 00:00:00

  • The Fellowship Effect: Does Surgical Subspecialty Training Affect Pediatric Surgery Case Volume?

    abstract:PURPOSE:The Accreditation Council for Graduate Medical Education (ACGME) monitors fellow case numbers. Previous literature has shown new fellowships detrimentally affecting general surgery residency case numbers. We hypothesize that an increase in pediatric otolaryngology and pediatric urology fellowships would decreas...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Esparaz JR,Mathis MS,Russell RT

    更新日期:2021-01-19 00:00:00

  • Results of a near-peer musculoskeletal medicine curriculum for senior medical students interested in orthopedic surgery.

    abstract:INTRODUCTION:It has been previously demonstrated that medical students do not achieve an adequate musculoskeletal knowledge base on graduation from American medical schools. Several curriculums have been developed to address this measured deficit. Students entering orthopedic surgery residencies have a better musculosk...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Schiff A,Salazar D,Vetter C,Andre J,Pinzur M

    更新日期:2014-09-01 00:00:00

  • Descriptive operative reports: teaching, learning, and milestones to safe surgery.

    abstract:OBJECTIVE:Few tasks are more ingrained within the minds of practicing surgeons than the dictation of the narrative report of an operation. However, the construct of these reports varies widely among surgeons and is rarely formally taught and not tested formally during surgical training or board certification. DESIGN:A...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Porterfield JR Jr,Altom LK,Graham LA,Gray SH,Urist MM,Hawn MT

    更新日期:2011-11-01 00:00:00

  • Training Effects of Visual Stroboscopic Impairment on Surgical Performance: A Randomized-Controlled Trial.

    abstract:OBJECTIVE:There have been numerous advances to accelerate and improve quality and dexterous proficiency of surgical training to meet the growing US demand of graduating surgeons. The authors aimed to investigate the learning effects of such limited visual input on the surgical proficiency in untrained novice surgeons. ...

    journal_title:Journal of surgical education

    pub_type: 杂志文章,随机对照试验


    authors: Zavlin D,Chegireddy V,Nguyen-Lee JJ,Shih L,Nia AM,Friedman JD,Echo A

    更新日期:2019-01-01 00:00:00

  • Ear Disease Knowledge and Otoscopy Skills Transfer to Real Patients: A Randomized Controlled Trial.

    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


    authors: Wu V,Sattar J,Cheon S,Beyea JA

    更新日期:2018-01-01 00:00:00

  • A National Survey of Undergraduate Suture and Local Anesthetic Training in the United Kingdom.

    abstract:BACKGROUND:Suturing is a skill expected to be attained by all medical students on graduation, according to the General Medical Council's (GMC) Tomorrow's Doctors. There are no GMC recommendations for the amount of suture training required at medical school nor the level of competence to be achieved. This study examines...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Rufai SR,Holland LC,Dimovska EO,Bing Chuo C,Tilley S,Ellis H

    更新日期:2016-03-01 00:00:00

  • Two for one: surgical skills and CanMEDS roles--a combined course for surgical residents.

    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


    authors: Ponton-Carss AC,Donnon T,Kortbeek JB

    更新日期:2014-05-01 00:00:00

  • Analysis of Practice Settings for Craniofacial Surgery Fellowship Graduates in North America.

    abstract:OBJECTIVE:In North America, the number of craniofacial surgery fellowship graduates is increasing, yet an analysis of practice settings upon graduation is lacking. We characterize the practice types of recent graduates of craniofacial fellowship programs in the United States and Canada. DESIGN:A 6-year cohort of crani...

    journal_title:Journal of surgical education

    pub_type: 杂志文章,多中心研究


    authors: Silvestre J,Runyan C,Taylor JA

    更新日期:2017-01-01 00:00:00

  • Does Geographical Bias Impact the Match for General Surgery Residents?

    abstract:OBJECTIVE:As the competitiveness of applicants for general surgery residency grows, it is becoming challenging for programs to differentiate qualified candidates with a genuine interest in matching at their institution. The purpose of this study was to examine geographic trends in the general surgery match in order to ...

    journal_title:Journal of surgical education

    pub_type: 杂志文章


    authors: Dhar VK,Hanseman DJ,Young G,Browne D,Makley AT,Sussman JJ,Goodman MD

    更新日期:2020-01-01 00:00:00