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' skills improve? (3) Did UMN residents achieve the same level as UTSW residents? (4) What factors were associated with posttest success? METHODS:Postgraduate year-1 residents (n = 22) were enrolled in the curriculum, which included orientation, access to video instruction, 3 months of independent practice using portable kits and practice logbooks, presurveys and postsurveys, and pretesting and posttesting. Evaluation was based on UTSW proficiency measures (time, errors, and total proficiency score). Descriptive statistics, paired sample t tests, analysis of variance, and bivariate correlations were calculated. Results were compared with Goova. RESULTS:Startup costs at UMN were $9804 vs $776 at UTSW. Our curriculum required 51 direct faculty hours vs 376 at UTSW. UMN trainees' skills improved significantly (mean score = 973 [standard deviation = 267] at baseline vs 1325 [standard deviation = 215] at posttest), but they achieved proficiency in only 38.6% of tasks at posttest, compared with 88.7% by UTSW trainees. Best predictors of UMN posttest proficiency score were (1) categorical vs preliminary resident status (p < 0.001), (2) pretest proficiency score (r = 0.510, p = 0.008), and (3) self-assessed baseline proficiency (r = 0.415, p = 0.027). Participation in skills laboratories during clerkship or fourth year medical school, estimated number of cases (surgeon or first assistant), and number of practice repetitions recorded in booklets were not predictive of the posttest score. CONCLUSIONS:The UTSW open skills curriculum is feasible and effective in a new setting. Differences from UTSW-published success rates may be related to their superior onsite monitoring of practice and a policy requiring residents to achieve proficiency for each task before posttesting.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Brunsvold ME,Schmitz CCdoi
10.1016/j.jsurg.2014.08.001subject
Has Abstractpub_date
2014-11-01 00:00:00pages
e97-103issue
6eissn
1931-7204issn
1878-7452pii
S1931-7204(14)00226-8journal_volume
71pub_type
杂志文章abstract:OBJECTIVE:Breast cancer is the most common cancer diagnosed in low and middle-income countries. Growing the number of health care personnel trained in diagnostic procedures like breast core needle biopsy (BCNB) is critical. We developed a BCNB simulation-training course that evaluated skill acquisition, confidence, and...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2019.11.014
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:As of 2012, 39% of medical student graduates were nonwhite, yet very few nonwhite women graduates chose to become surgeons. METHODS:To better understand issues regarding nonwhite women in surgery, an online survey was sent to surgeons across the United States. Results are based on self-reported data. Mean d...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2015.06.001
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Quality improvement (QI) activities are an integral part of residency training. We started the process to implement team-based, multilevel QI project streams within our academic surgical residency by studying resident perceptions. OBJECTIVE:Our residency carried out 6 QI projects in line with the American C...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2018.10.006
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to analyze the decay of information with multiple sequential patient handoff reports given by third-year medical students who have not had standardized patient handoff training. METHODS:We examine the information decay of quantitative parameters included in 2 different simulated...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2013.12.002
更新日期:2014-07-01 00:00:00
abstract::Malrotation and volvulus are encountered early in infancy and sometimes later in childhood, but rarely in adulthood. This ailment is treated through Ladd's adhesiolysis, detorsion, and possibly bowel resection. Literature is scarce on the long-term outcomes of this procedure, especially into adulthood. We present a ca...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2011.05.020
更新日期:2012-01-01 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
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
doi:10.1016/j.jsurg.2018.07.018
更新日期:2019-01-01 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
abstract:BACKGROUND:In 2013, we developed an education workshop to enhance the teaching skills of surgical fellows. We sought to investigate the feasibility of the monthly educational workshop format and its effect on participant teaching skills. STUDY DESIGN:Surgical and medical education faculty created a broadly applicable ...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2016.02.001
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:To evaluate the effect of the 30-hour restriction on resident operative participation and assess whether the 30-hour restriction can be extended in certain cases to enhance educational experience and continuity of care without being detrimental to the 80-hour limit. METHODS:In September 2006, we administered a...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2007.08.006
更新日期:2007-11-01 00:00:00
abstract:INTRODUCTION:Orthopedic surgery residents are at risk for daily work-related hazards and exposures. Hazards related specific to this specialty includes radiation exposure, smoke inhalation (from electrocautery), and disease transmission through contact with surgical instruments or sharps during procedures. However, min...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.05.007
更新日期:2020-01-01 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:OBJECTIVE:To describe how and when surgery residents provided primary palliative care and engaged specialty palliative care services. DESIGN:Phase I consisted of a previously validated survey instrument supplemented with additional questions. We then conducted semistructured interviews with a subset of the survey resp...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2019.12.013
更新日期:2020-01-01 00:00:00
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:OBJECTIVES:In an effort to move training programs toward competency-based education, the Accreditation Council for Graduate Medical Education (ACGME) introduced the Next Accreditation System (NAS), which organizes specific milestones regarding resident skills, knowledge, and abilities along a continuum. In order to fos...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2014.12.007
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:Compassion fatigue (CF) is the profound sense of emotional exhaustion that care providers can experience as the result of helping others in distress. CF can contribute to burnout (BO), depression, and stress-related illness. While surgeons and surgical trainees may be at high risk for developing CF, it has no...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2019.03.012
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To test the tensile properties of knotted suture made of 4 different suture materials and exposed to petroleum gauze. STUDY DESIGN:We tested the tensile strength of United States Pharmacopeia size 0-0 gauge polydioxanone, polyglyconate, glycolide/lactide copolymer, and silk when exposed to petroleum packing ...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2011.06.012
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Surgeon engagement with social media is growing rapidly. Innovative applications in diverse fields of health care are increasingly available. OBJECTIVE:The aim of this review is to explore the current and future applications of social media in surgical training. In addition, risks and barriers of social med...
journal_title:Journal of surgical education
pub_type: 杂志文章,评审
doi:10.1016/j.jsurg.2018.04.004
更新日期:2018-11-01 00:00:00
abstract:PURPOSE OF THE ARTICLE:Interpreting objective structured clinical examination (OSCE) scores remains a challenging task.1 It remains unclear how examiners make a decision to score an OSCE the way they do. The examiners' thoughts and decision-making processes remain a hidden part of the OSCE assessment. One cannot assume...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.07.024
更新日期:2020-08-17 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: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
doi:10.1016/j.jsurg.2019.07.018
更新日期:2020-01-01 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:OBJECTIVE:Though many medical schools applied various admission criteria in the selection process, the evidence of using those criteria is unclear. This study examined the predictive validity of each admission criterion for student competency. DESIGN, SETTING, AND PARTICIPANTS:We conducted a prospective cohort study o...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2016.03.006
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION:Certification of completion of training in Trauma and Orthopedic (T&O) surgery in the UK requires the demonstration of operative competence in 12 index procedures, achieved through attaining a level 4 consultant-validated procedure-based assessment (PBA). The aim of this study was to evaluate the trajector...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2019.05.009
更新日期:2019-01-01 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: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: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
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:There exists a lack of technology to reliably and routinely capture high-quality video of open surgical procedures. To critically evaluate and compare new and existing technology solutions, we must have widely accepted evaluation criteria for intraoperative camera devices. The objective, therefore, was to dev...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2020.06.011
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:Many general surgery residents interrupt clinical training for research pursuits or advanced degrees during dedicated research time (DRT). We hypothesize that time required to obtain a second degree during DRT decreases resident publication productivity. DESIGN, SETTING, AND PARTICIPANTS:All consecutive cate...
journal_title:Journal of surgical education
pub_type: 杂志文章
doi:10.1016/j.jsurg.2016.08.001
更新日期:2017-01-01 00:00:00