Surgical clerkship or medical clerkship first: Does it make a difference?

Abstract:

INTRODUCTION:This study compares NBME surgical clerkship scores of students who completed their medicine clerkship before their surgical clerkship with the performance of those who had not previously completed their medical clerkship. METHODS:The study included 815 New York University School of Medicine students from the years 2014-2018 (571 students took medicine first, while 244 took surgery first). Performance on the surgical clerkship was assessed using the NBME SHELF examination. Statistical comparisons were performed via 2-tailed, independent-samples, unequal-variance t-tests. RESULTS:Mean NBME surgical SHELF scores of the students who had previously taken medicine were significantly higher than students who had not (mean 78.6 vs. 73.5, p < 0.001). Students who had solely medicine (as their first clerkship) before surgery also performed significantly better (mean 78.8 vs. 73.5, p < 0.001). Students who completed surgery later in the year did not perform better on the surgical SHELF, so long as both surgical clerkship cohorts had completed medicine. CONCLUSION:Students who completed their core medical clerkship prior to their surgical clerkship scored significantly better on the NBME surgical SHELF examination.

journal_name

Am J Surg

authors

Adelsheimer A,Berman RS,Pachter HL,Hochberg MS

doi

10.1016/j.amjsurg.2017.08.054

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

304-308

issue

2

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(17)30635-9

journal_volume

215

pub_type

杂志文章
  • Incidence, risk factors, and outcomes of perioperative acute kidney injury in noncardiac and nonvascular surgery.

    abstract:BACKGROUND:The aim of this study was to determine the incidence rate, identify the risk factors, and describe the clinical outcome of perioperative acute kidney injury (AKI) in patients undergoing noncardiac, nonvascular surgery (NCS). METHODS:A total of 1,200 adult consecutive patients undergoing NCS were prospective...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.04.006

    authors: Biteker M,Dayan A,Tekkeşin Aİ,Can MM,Taycı İ,İlhan E,Şahin G

    更新日期:2014-01-01 00:00:00

  • Investigating the effect of discordant clinical and pathological diagnoses of complicated appendicitis on clinical outcomes.

    abstract:BACKGROUND:Following appendectomy, management is often guided by surgeon determination of whether the appendicitis is uncomplicated or complicated. Our objectives were to determine the incidence of discordance between intraoperative and pathological findings and determine effect on outcomes. METHODS:We performed a ret...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.05.004

    authors: Holloway JJ,Lett LA,Kim DY,Saltzman DJ,Ferebee MP,Macqueen IT,de Virgilio CM

    更新日期:2020-01-01 00:00:00

  • The efficacy of antibiotic treatment versus surgical treatment of uncomplicated acute appendicitis: Systematic review and network meta-analysis of randomized controlled trial.

    abstract:BACKGROUND:The efficacy of antibiotics in appendicitis remains controversial, and physicians are not confident in prescribing antibiotics as the first line treatment. This network meta-analysis was conducted to assess the efficacy and safety of individual antibiotics in uncomplicated appendicitis. METHODS:Randomized c...

    journal_title:American journal of surgery

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.amjsurg.2018.10.009

    authors: Poprom N,Numthavaj P,Wilasrusmee C,Rattanasiri S,Attia J,McEvoy M,Thakkinstian A

    更新日期:2019-07-01 00:00:00

  • Is routine triple endoscopy cost-effective in head and neck cancer?

    abstract::The multicentric occurrence of tumors of the upper aerodigestive tract has been well described, with an incidence ranging from 5 to 16 percent. Detection of a synchronous primary tumor at the time of initial work-up is crucial both for management and final outcome. However, there is a diversity of opinions regarding t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80036-9

    authors: Shaha A,Hoover E,Marti J,Krespi Y

    更新日期:1988-06-01 00:00:00

  • The impact of diabetes on outcome in traumatically injured patients: an analysis of the National Trauma Data Bank.

    abstract:BACKGROUND:Studies on stress hyperglycemia in trauma patients have largely ignored diabetes, a potential confounder. The purpose of this study was to assess the relationship between diabetes and outcome in trauma patients. METHODS:Data were obtained from the National Trauma Data Bank (version 4.0). The primary outcome...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2006.08.031

    authors: Kao LS,Todd SR,Moore FA

    更新日期:2006-12-01 00:00:00

  • A specific vascular endothelial growth factor receptor tyrosine kinase inhibitor enhances the antiproliferative effect of trastuzumab in human epidermal growth factor receptor 2 overexpressing breast cancer cell lines.

    abstract:BACKGROUND:Trastuzumab has been found to have potent antiproliferative effects in human epidermal growth factor receptor 2 (HER-2)-overexpressing human breast tumors. Inhibition of vascular endothelial growth factor receptor (VEGFR), a protein often overexpressed in breast carcinoma, has been shown to induce apoptosis....

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2008.10.009

    authors: Kim EM,Lobocki C,Dubay L,Mittal VK

    更新日期:2009-03-01 00:00:00

  • Specific but limited role of new imaging techniques in decision-making about intraabdominal abscesses.

    abstract::Despite the very high accuracy rate of imaging studies (ultrasound, computed tomography, liver-lung-spleen scans and gallium-67 scans) in detecting intraabdominal abscesses, our experience with 80 recent cases indicate that these techniques have not significantly altered traditional methods of decision-making about wh...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(82)90195-7

    authors: Wright HK,Dunn E,MacArthur JD,Pelliccia O

    更新日期:1982-04-01 00:00:00

  • Recurrent hyperparathyroidism due to implantation of parathyroid tissue.

    abstract::Recurrence of hyperparathyroidism after initially successful primary operation is usually caused by inadequate resection of diseased tissue or recurrent carcinoma. Since it is known that normal parathyroid tissue may be autotransplanted into a muscle bed, it is plausible that inadvertent implantation of parathyroid ti...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(85)80178-1

    authors: Rattner DW,Marrone GC,Kasdon E,Silen W

    更新日期:1985-06-01 00:00:00

  • Intestinal stenosis resulting from necrotizing enterocolitis.

    abstract::Fourteen infants with intestinal stenosis as a late sequela of necrotizing enterocolitis were treated at Texas Children's and Ben Taub General Hospitals from 1972 to 1979. Barium enema studies are the keystone in making the diagnosis and should be performed in any infant with abdominal distention or poor feeding after...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90320-2

    authors: Pokorny WJ,Harr VL,McGill CW,Harberg FJ

    更新日期:1981-12-01 00:00:00

  • When patients call their surgeon's office: an opportunity to improve the quality of surgical care and prevent readmissions.

    abstract:BACKGROUND:Little is known about care coordination and communication with outpatient endocrine surgery patients. This study evaluated phone calls between office nurses and surgical patients to identify common issues addressed and their effect on patient care. METHODS:Qualitative analysis of preoperative and postoperat...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.11.008

    authors: Brekke A,Elfenbein DM,Madkhali T,Schaefer SC,Shumway C,Chen H,Schneider DF,Sippel RS,Balentine C

    更新日期:2016-03-01 00:00:00

  • (En)trust me: Validating an assessment rubric for documenting clinical encounters during a surgery clerkship clinical skills exam.

    abstract:BACKGROUND:The AAMC developed 13 Core Entrustable Professional Activities (EPAs) for graduating medical students. EPA 5 is: Document a clinical encounter in the patient record. Our goal was to develop an assessment rubric and gather evidence to support its validity in measuring progress towards entrustability. METHODS...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.12.055

    authors: Aulet TH,Moore JS,Callas PW,Nicholas C,Hulme M

    更新日期:2020-02-01 00:00:00

  • Can residents detect errors in technique while observing central line insertions?

    abstract:BACKGROUND:Procedural teaching and the ability to detect and correct errors are important components of surgical education. This study evaluates whether review of an instructional video will improve residents' ability to detect errors. We hypothesized that clinical experience and confidence do not correlate with abilit...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2016.08.026

    authors: Pei K,Merola J,Davis KA,Longo WE

    更新日期:2017-06-01 00:00:00

  • Regulation of gastric acid secretion by secretin and serotonin.

    abstract::We have tested the interaction between serotonin and secretin in pentagastrin-induced gastric acid secretion in six dogs prepared with Thomas gastric and duodenal cannulas. We further examined the effect of methysergide, a serotonin antagonist, on gastric acid secretion. The intravenous administration of serotonin or ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(85)80007-6

    authors: Mate L,Sakamoto T,Greeley GH Jr,Thompson JC

    更新日期:1985-01-01 00:00:00

  • The impact of a community-wide vascular access program on the management of graft thromboses in a dialysis population of 495 patients.

    abstract:BACKGROUND:The unpredictability of prosthetic vascular access thrombosis precludes the scheduling of elective graft thrombectomy. This results in inconsistent dialysis for patients, as well as logistical challenges for dialysis clinics and surgeons, and increased cost. In an effort to solve this problem a community-wid...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)00133-6

    authors: Cull DL,Taylor SM,Russell HE,Langan EM,Snyder BA,Sullivan TM

    更新日期:1999-08-01 00:00:00

  • Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter.

    abstract:BACKGROUND:mesh techniques are the preferable methods for repair of small ventral hernias, as a primary suture repair shows high recurrence rates. The aim of this prospective study was to compare the retromuscular sublay technique with the intraperitoneal underlay technique for primary umbilical hernias. METHODS:from ...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.amjsurg.2010.01.022

    authors: Berrevoet F,D'Hont F,Rogiers X,Troisi R,de Hemptinne B

    更新日期:2011-01-01 00:00:00

  • Impact of subcarinal dissection on short-term outcome and survival following esophagectomy.

    abstract:BACKGROUND:The purpose of this study was to investigate the impact of subcarinal dissection on short-term outcomes and survival after esophagectomy in patients with thoracic esophageal squamous cell carcinoma. METHODS:Patients without subcarinal dissection were matched randomly to patients with subcarinal dissection i...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2012.10.044

    authors: Hu W,Liang Y,Zhang S,Hu Y,Liu J

    更新日期:2013-09-01 00:00:00

  • Usefulness of positron emission tomography for assessing the response of neoadjuvant chemoradiotherapy in patients with esophageal cancer.

    abstract:BACKGROUND:In this study, we retrospectively assessed the performance of 18-F-fluorodeoxyglucose positron emission tomography (FDG-PET) compared with computed tomography (CT) and esophagography for assessing the response of advanced esophageal squamous cell carcinoma (SCC) to neoadjuvant chemoradiotherapy. METHODS:We ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(02)00932-7

    authors: Kato H,Kuwano H,Nakajima M,Miyazaki T,Yoshikawa M,Masuda N,Fukuchi M,Manda R,Tsukada K,Oriuchi N,Endo K

    更新日期:2002-09-01 00:00:00

  • Thyroid cancer: some basic considerations.

    abstract::From these data and data from the literature, our recommended treatment for well-differentiated cancer is as follows: For papillary cancer, resection should be adequate to encompass the entire tumor, which in most cases would be complete lobectomy and possibly isthmusectomy. Prophylactic neck dissection is of no value...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90378-0

    authors: Wanebo HJ,Andrews W,Kaiser DL

    更新日期:1981-10-01 00:00:00

  • Percutaneous profunda femoris artery revascularization to prevent hip disarticulation: case series and review of the literature.

    abstract:BACKGROUND:Little is known about the role of percutaneous revascularization of the profunda femoral artery (PFA) in patients with amputation stump ischemia who are at risk of hip disarticulation. METHODS:We identified 4 patients who were treated for persistent amputation stump ischemia by PFA percutaneous revasculariz...

    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjsurg.2012.07.001

    authors: Poi MJ,Pisimisis G,Barshes NR,Lin PH,Kougias P,Bechara CF

    更新日期:2012-11-01 00:00:00

  • T1 breast carcinoma in women 70 years of age and older may not require axillary lymph node dissection.

    abstract:BACKGROUND:The current trend in breast cancer treatment is toward breast conservation and selective use of axillary lymph node dissection. Patient eligibility criteria for treatment without axillary dissection are evolving. METHODS:We retrospectively reviewed the tumor registry over a 10-year period at Naval Medical C...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(96)00249-8

    authors: Feigelson BJ,Acosta JA,Feigelson HS,Findley A,Saunders EL

    更新日期:1996-11-01 00:00:00

  • Adrenal surgery: trends during the seventies.

    abstract::Surgical experience with adrenal disease from 1970 to 1979 was reviewed in 315 patients. The pathologic conditions that were encountered were hypercortisolism (74 patients), hyperaldosteronism (46 patients), adrenocortical carcinoma (35 patients), pheochromocytoma (77 patients), and nonfunctioning adenoma (47 patients...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(82)90571-2

    authors: Hamberger B,Russell CF,van Heerden JA,ReMine WH,Northcutt RC,Sheedy PF 2nd,Edis AJ,Ilstrup DM

    更新日期:1982-11-01 00:00:00

  • Reconstruction after mediastinal tracheostomy.

    abstract::Mediastinal tracheostomy has been associated with high morbidity and mortality, often due to skin necrosis, with resultant exposure of the great vessels and subsequent hemorrhage. During a 4 year period, 11 patients underwent mediastinal tracheostomy. Reconstruction included the use of a pectoralis major musculocutane...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(84)90377-5

    authors: Neifeld JP,Theogaraj SD,Mehrhof AI

    更新日期:1984-10-01 00:00:00

  • Is breast cancer sentinel lymph node mapping valuable for patients in their seventies and beyond?

    abstract:BACKGROUND:Axillary lymph node dissection (ALND) is performed less commonly for the axillary staging of elderly patients because it is felt to uncommonly alter therapy. Sentinel lymph node (SLN) dissection can accomplish axillary staging with less morbidity, but it is unclear if it alters subsequent therapy. METHODS:R...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2005.03.028

    authors: McMahon LE,Gray RJ,Pockaj BA

    更新日期:2005-09-01 00:00:00

  • Positive impact of a breast-health triaging system on breast-care access and physician satisfaction.

    abstract:OBJECTIVE:Minority patients are at risk for delayed breast cancer treatment. Using nonsurgical breast specialists could improve access but requires appropriate referral to ensure prompt cancer care. Our objective was to evaluate a referral triage system in a combined medical/surgical breast health program (BHP). METHO...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2007.06.014

    authors: Stone MD,Norton S,Mendez JE,Hirsch E

    更新日期:2007-10-01 00:00:00

  • The open mesh repair of Spigelian hernia.

    abstract:BACKGROUND:Spigelian hernias are rare defects of the abdominal wall usually appearing between the abdominal muscles, lateral to the rectus abdominis and through a debilitated Spigelian aponeurosis. Recently, mesh repair has been introduced for the treatment of these types of hernias and different approaches have been p...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2006.04.016

    authors: Celdrán A,Señaris J,Mañas J,Frieyro O

    更新日期:2007-01-01 00:00:00

  • Establishing best practices for structured NSQIP review.

    abstract:INTRODUCTION:We describe an institutional program (INR- Interval NSQIP Review), to augment NSQIP utility through structured, multidisciplinary review of surgical outcomes in order to create near 'real-time' adverse event (AE) monitoring and improve surgeon awareness. METHODS:INR is a monthly meeting of quality analyst...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.02.057

    authors: Cunningham AJ,Howell B,Polites S,Krishnaswami S,Hughey E,Terry S,Fox J,Azarow K

    更新日期:2020-05-01 00:00:00

  • Inflammatory properties of bile from dogs with pigment gallstones.

    abstract:BACKGROUND:Gallbladder inflammation and mucus hypersecretion are prominent features of cholesterol and pigment gallstones in humans and animals. The factors leading to inflammation and mucus hypersecretion are poorly understood. These studies examine the inflammatory potential of bile from dogs with pigment gallstones....

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(99)80099-3

    authors: Rege RV,Prystowsky JB

    更新日期:1996-01-01 00:00:00

  • A prospective randomized trial demonstrating valved implantable ports have fewer complications and lower overall cost than nonvalved implantable ports.

    abstract:BACKGROUND:The purpose of the current study was to evaluate whether a totally implanted valved subcutaneous port system would have fewer complications as compared to a standard nonvalved port. METHODS:Study subjects requiring port placement were randomized to receive a valved port (PASV; Boston Scientific, Natick, MA)...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.amjsurg.2004.08.041

    authors: Carlo JT,Lamont JP,McCarty TM,Livingston S,Kuhn JA

    更新日期:2004-12-01 00:00:00

  • Prospective controlled trial of cryoprecipitated plasma, plasma protein fraction and serum albumin solution for kidney preservation.

    abstract::A controlled prospective study was conducted to compare the results of kidney preservation and transplantation in regard to the type of perfusate used for perfusion preservation. Cryoprecipitated plasma, plasma protein fraction and serum albumin solution were used as perfusate. Between February 1979 and July 1980, 176...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1016/0002-9610(81)90137-9

    authors: Cho SI,Bradley JW,Garovoy MR,Nabseth DC

    更新日期:1981-04-01 00:00:00

  • Inguinal lymph node metastases from adenocarcinoma of the rectum.

    abstract::This study is a retrospective review of 18 patients treated from 1964 to 1990 with inguinal lymph node metastases from rectal adenocarcinoma. Statistical analyses were performed to determine the effects of sex, disease-free interval, extent of inguinal lymph node metastases, and the presence of extranodal disease upon...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80204-1

    authors: Mesko TW,Rodriguez-Bigas MA,Petrelli NJ

    更新日期:1994-09-01 00:00:00