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 assessing all of the 8 required domains in surgical cases. METHODS:A total of 143 final-year medical students were invited to participate in an "ACE" in February 2013. In total, 137 students, 95.8% of the class, agreed to participate. The "ACE" format consisted of 4 sequential patient encounters observed by 2 independent examiners. It assessed all the 8 required domains of professional practice. The examiners and the students evaluated this examination format using a Likert scale and free-text comments. RESULTS:The "ACE" assessed all the 8 domains. The inclusion of a patient safety measure to avoid an egregious error in the pass criteria resulted in 27 (18.9%) students failing to meet them. The correlation of grades between the independent examiners in the "ACE" was strong at a Cronbach α of 0.907 (CI: 0.766-1). The "ACE" format was reported as an acceptable examination methodology by the examiners for formative or summative assessment of surgical cases at the end of a primary medical degree. CONCLUSION:The "ACE" format is standardized, is integrative, and has excellent interrater reliability. Inclusion of a patient safety measure as pass criteria appears to increase specificity. The "ACE" shows potential as an alternative examination to the traditional long case examination and objective structured clinical examination in assessing all the 8 domains of professional practice.
journal_name
J Surg Educjournal_title
Journal of surgical educationauthors
Morris MC,Gillis AE,Smoothey CO,Hennessy M,Conlon KC,Ridgway PFdoi
10.1016/j.jsurg.2014.05.011subject
Has Abstractpub_date
2014-11-01 00:00:00pages
779-89issue
6eissn
1931-7204issn
1878-7452pii
S1931-7204(14)00157-3journal_volume
71pub_type
杂志文章abstract：OBJECTIVE:This study aimed to determine the emotional intelligence (EI) of surgical faculty and evaluate its relationship with resident evaluations of faculty behaviors. DESIGN:This study retrospectively collected faculty EI scores as well as general surgery resident evaluations of faculty. Parametric and nonparametri...
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doi：10.1016/j.jsurg.2020.03.019
更新日期：2020-01-01 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
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doi：10.1016/j.jsurg.2020.03.005
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Declining trends in surgery have been well-researched in the North American region, but little is known about the international dynamics affecting this phenomenon. A comprehensive approach to this emerging issue is lacking. OBJECTIVES:Our objective in this study is to explore global trends related to medica...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2010.05.006
更新日期：2010-07-01 00:00:00
abstract：INTRODUCTION:Robotic surgery is a rapidly growing area in surgery. In an era of emphasis on cost reduction, the question becomes how do you train residents in robotic surgery? The aim of this study was to determine if there was a difference in operative time and complications when comparing general surgery residents le...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.11.008
更新日期：2015-05-01 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
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abstract：OBJECTIVE:A fundamental premise of establishing collaborative relationships between residents and nurses is a basic understanding of the attributes of each group. The intent of this study was to determine what surgical nurses know about surgical residents. DESIGN:A piloted survey tool was administered to a cross-secti...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2009.08.001
更新日期：2009-11-01 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：OBJECTIVE:The Neurosurgical Atlas is a popular world-wide multimedia website in neurosurgery with informative chapters and videos to promote excellence and safety in neurosurgical techniques. Here, we present our analysis of the viewing data of this website. This is intended to describe how online neurosurgical resourc...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.05.001
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:Few medical school programs in Canada address challenges related to the significant increase in responsibility for patient care between medical school and residency. This is particularly important in surgery and anesthesia due to the high-acuity care required during the perioperative period. The purpose of th...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2017.08.022
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide. DESIGN:A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and ...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.036
更新日期：2020-07-25 00:00:00
abstract：INTRODUCTION:The Association of Program Directors in Surgery convened a panel during Surgical Education Week 2016 to discuss the current state of the general surgery residency application process and to review alternative ways to evaluate the suitability of each applicant to a residency program. METHODS/RESULTS:Over 4...
journal_title：Journal of surgical education
pub_type： 杂志文章,评审
doi：10.1016/j.jsurg.2016.09.005
更新日期：2016-01-01 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: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
doi：10.1016/j.jsurg.2015.01.022
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:Using a laparoscopic box trainer fitted with motion analysis trackers and software, we aim to identify differences between junior and senior residents performing the peg transfer task, and the impact of a distracting secondary task on performance. DESIGN:General surgery residents were asked to perform the la...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2020.07.012
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:International Medical Graduates (IMGs) secured greater than 10% of all general surgery (GS) residency positions in the US during the past decade. The Match process remains competitive, with a significant number of IMGs performing dedicated research before residency application. The impact of such research rem...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2018.06.003
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVES:To compare career choices of residency graduates from Independent Academic Medical Center (IAMC) and University Academic Medical Center (UAMC) programs and evaluate program directors' perceptions of residents' motivations for pursuing general surgery or fellowships. DESIGN:From May to August 2011, an electr...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2012.05.006
更新日期：2012-11-01 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:To examine the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) for use in profiling the aggregated resident operative experience by postgraduate training year and to demonstrate the extent to which a surgical registry could be used to examine resident exposure to adverse...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.08.014
更新日期：2015-03-01 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：: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
doi：10.1016/j.jsurg.2013.04.012
更新日期：2013-09-01 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
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journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2014.01.012
更新日期：2014-07-01 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
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journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2015.11.005
更新日期：2016-05-01 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
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更新日期：2013-09-01 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：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：OBJECTIVE:This study attempts to assess the association between surgeon personality factors (measured by the Myers-Briggs Type Indicator personality inventory (MBTI(®))) and risk tolerance (measured by the Revised Physicians' Reactions to Uncertainty (PRU) and Physician Risk Attitude (PRA) scales). DESIGN:Instrument a...
journal_title：Journal of surgical education
pub_type： 杂志文章,评审
doi：10.1016/j.jsurg.2013.07.014
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVES:Smartphones have become the most important personal technological device. M-learning is learning through mobile device educational technology. We aim to assess the acceptability of a smartphone learning experience among the vascular trainees and determine if results could inform formal teaching efforts. MET...
journal_title：Journal of surgical education
pub_type： 杂志文章
doi：10.1016/j.jsurg.2016.12.006
更新日期：2017-01-01 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
