Abstract：
OBJECTIVE:The study purpose is to evaluate the Surgical Council on Resident Education (SCORE) Curriculum regarding American Board of Surgery Qualifying Examination (ABS QE) outcomes. The goal is to perform effect size analyses, sensitivity analyses, and sample size analyses with opportunity cost estimates required to favor the SCORE Curriculum subscription regarding ABS QE outcomes. METHODS:Published data were used to construct 2 × 2 matrices regarding ABS QE outcome (pass/fail) and SCORE subscription status (subscriber/nonsubscriber). Post hoc analyses of effect sizes and sample sizes, with opportunity cost estimates, were performed to evaluate ABS QE outcomes favoring SCORE subscription (2-tailed and 1-tailed tests) using an α = 0.05. RESULTS:The absolute risk increase of SCORE subscription on ABS QE outcome was 1.6% (number needed to treat = 63). Sensitivity analyses showed that a pass rate difference of 4.9% to 7.5% was required to favor SCORE subscription (all p < 0.05). Sample size analyses required an 8- to 18-fold increase to favor SCORE subscription to achieve statistical significance with an opportunity cost of $6.0 to $13.5 million ($30,000-$67,000/program), not adjusting for inflation. CONCLUSIONS:The number needed to treat and pass rate differences required to favor SCORE subscription are large. The opportunity costs of SCORE subscription are substantial. Residency programs with more limited resources should determine if the subscription costs are financially sound.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Falcone JL,Feinn RSdoi
10.1016/j.jsurg.2015.09.009subject
Has Abstractpub_date
2016-01-01 00:00:00pages
24-30issue
1eissn
1931-7204issn
1878-7452pii
S1931-7204(15)00231-7journal_volume
73pub_type
杂志文章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
doi：10.1016/j.jsurg.2012.07.001
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:In recent years, a significant decline in the number of medical school graduates who choose general surgery as a career has been noted in Israel. The aim of this study is to characterize the factors that deter Israeli medical students from choosing general surgery. Previous studies in the United States ident...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.07.015
更新日期：2010-09-01 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
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
doi：10.1016/j.jsurg.2011.06.015
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:Living kidney donation is a unique operation, as healthy patients are placed at risks inherent with major surgery without physical benefit. The ethical implications associated with any morbidity make it a high-stakes procedure. Fellowships are faced with the dilemma of optimizing fellow training in this deman...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.01.005
更新日期：2020-01-01 00:00:00
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
doi：10.1016/j.jsurg.2018.12.005
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVES:During the last 2 decades, the advent of new technologies in trauma patient care may have resulted in a decreased number of diagnostic peritoneal lavage (DPL) evaluations. In this study, it is hypothesized that fewer DPL are being performed at a midwestern trauma center. Such negative trends may make the inc...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2011.02.003
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:Visualization tools are essential for effective medical education, to aid students understanding of complex anatomical systems. Three dimensional (3D) printed models are showing a wide-reaching potential in the field of medical education, to aid the interpretation of 2D imaging. This study investigates the us...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2017.07.023
更新日期：2018-01-01 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：BACKGROUND:Simulation and surgical training has moved on since its inception during the end of the last century. The trainees are getting more exposed to computers and laboratory training in different subspecialties. More needs to be done in orthopedic simulation in spinal surgery. AIMS:To develop a training system fo...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.04.012
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:The development of the ability to estimate patient mortality preoperatively in surgical trainees has not been well studied. DESIGN:Prospective comparative study in which the expected perioperative mortality risk and the maximum tolerable mortality at which operation would still be offered were estimated by t...
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
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：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
doi：10.1016/j.jsurg.2015.09.017
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:Compare characteristics of U.S. medical school graduates with U.S.-born and foreign-born international medical school (IMG) graduates. DESIGN:Retrospective analysis. SETTING:East Carolina University, a tertiary care teaching hospital. PARTICIPANTS:Demographic data, United States Medical Licensing Examinati...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2008.05.002
更新日期：2008-11-01 00:00:00
abstract：PURPOSE:Residents seek postresidency fellowship training to increase competency with novel surgical techniques and augment their fund of knowledge. Research productivity is a vital component of advancement in academic urology. Our objectives were to use the h-index (an objective and readily available bibliometric that ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2013.10.010
更新日期：2014-05-01 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：OBJECTIVES:The aim of this study was to determine the impact of endovascular surgery versus open vascular technique training in a Brazilian teaching service. DESIGN:Cross-sectional study. SETTING:Hospital das Clinicas-Faculty of Medicine-University of Sao Paulo, a tertiary institutional hospital-Brazil. PARTICIPANTS...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.08.002
更新日期：2011-01-01 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:Failures in nontechnical skills (NTS) rather than technical expertise are frequently at the root of medical errors in the operating room (OR). NTS are the cognitive (decision making and situation awareness) and interpersonal (communication and teamwork) skills that are recognized but are not formally addresse...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.03.005
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND:Workplace-based assessments are a mandatory component of postgraduate surgical training within the United Kingdom and Ireland. Procedure-based assessments (PBAs) and direct observation of practical skills (DOPS) are integrated within the Intercollegiate Surgical Curriculum Programme online platform and aim t...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.03.005
更新日期：2020-01-01 00:00:00
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
doi：10.1016/j.jsurg.2016.04.016
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:To describe and evaluate a root cause analysis (RCA)-based educational curriculum for quality improvement (QI) practice-based learning and implementation in general surgery residency. DESIGN:A QI curriculum was designed using RCA and spaced-learning approaches to education. The program included a didactic se...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.05.005
更新日期：2015-11-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to ascertain whether the University of Texas, Southwestern (UTSW) open skills curriculum (Goova et al.(13)) could be successfully implemented in the University of Minnesota (UMN) multisite training program. We posed 4 questions: (1) Is the curriculum feasible? (2) Did residents' s...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.08.001
更新日期：2014-11-01 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：OBJECTIVES:Single incision laparoscopic surgery (SILS) offers a scar-less approach to cholecystectomy. We conducted a cadaveric randomized crossover study to compare the novice learning curves for multiport laparoscopic cholecystectomy (LC) and single incision laparoscopic cholecystectomy (SILC), and to investigate the...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2012.10.001
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Cooperative learning is used often as part of the problem-based learning (PBL) process. But PBL does not demand that students work together until all individuals master the material or share the rewards for their work together. OBJECTIVE:A cooperative learning and assessment structure was introduced in a PB...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2011.07.010
更新日期：2012-03-01 00:00:00
abstract：INTRODUCTION:The level of interest expressed by medical students toward the field of general surgery has decreased. The aims of this study were to (1) describe an educational scheme in surgical anatomy that increases interaction between practicing surgeons and first-year medical students and (2) garner feedback and opi...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2009.04.005
更新日期：2009-07-01 00:00:00
abstract：PURPOSE:As laparoscopy continues to permeate general surgery, there is an increased need for residents to acquire advanced laparoscopic skills during a surgical training program. To underscore its importance, the Accreditation Council of Graduate Medical Education (ACGME) recently increased the requirements for laparos...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2007.06.013
更新日期：2007-11-01 00:00:00
abstract：OBJECTIVE:To investigate whether preclinical laparoscopy training offers a benefit over standard apprenticeship training and apprenticeship training in combination with simulation training. DESIGN:This randomized controlled trial consisted of 3 groups of first-year surgical registrars receiving a different teaching me...
journal_title：Journal of surgical education
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jsurg.2013.04.001
更新日期：2013-09-01 00:00:00
abstract：PURPOSE:Our recent publication demonstrated that unprofessional behavior on Facebook is common among surgical residents. In the formulation of standards and curricula to address this issue, it is important that surgical faculty lead by example. Our current study refocuses on the Facebook profiles of faculty surgeons in...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.07.007
更新日期：2015-11-01 00:00:00
