Implementation and Evaluation of an Academic Development Rotation for Surgery Residents

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-09-23 DOI:10.1016/j.jsurg.2024.08.015

Michael A Kochis MD, EdM , David C Cron MD, MS , Taylor M Coe MD , Jordan D Secor MD , Richard A Guyer MD, PhD , Sarah A Brownlee MD , Kelsey Carney BS , John T Mullen MD , Keith D Lillemoe MD , Eric C Liao MD, PhD , Genevieve M Boland MD, PhD

{"title":"Implementation and Evaluation of an Academic Development Rotation for Surgery Residents","authors":"Michael A Kochis MD, EdM , David C Cron MD, MS , Taylor M Coe MD , Jordan D Secor MD , Richard A Guyer MD, PhD , Sarah A Brownlee MD , Kelsey Carney BS , John T Mullen MD , Keith D Lillemoe MD , Eric C Liao MD, PhD , Genevieve M Boland MD, PhD","doi":"10.1016/j.jsurg.2024.08.015","DOIUrl":null,"url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To describe the design, implementation, and evaluation of a two-week rotation intended to enhance junior surgical residents’ preparation for their dedicated professional development time (PDT) and academic careers.</div></div><div><h3>DESIGN</h3><div>As part of a multifaceted effort to promote residents’ academic development, we designed a two-week, nonclinical “Academic Development Block” (ADB) rotation for postgraduate year (PGY)-2 and -3 residents. During this rotation, residents meet with clinical, research, and peer mentors and work on academic activities, with relevant deliverables specific to each class year. We analyzed feedback from postrotation surveys and interviews, which were inductively coded and thematically analyzed, and data on resident grant applications and earnings before and after implementation.</div></div><div><h3>SETTING</h3><div>The general surgery residency program at a major urban, university-affiliated academic medical center. ADBs were first implemented in 2021.</div></div><div><h3>PARTICIPANTS</h3><div>A total of 39 PGY-2 and PGY-3 residents rotated through the program with 51 ADBs over the first two years of implementation.</div></div><div><h3>RESULTS</h3><div>Surveys indicated overwhelmingly positive perceptions on the value of ADBs, including the amount of structure and resources available. Free-response and interview themes indicated appreciation for time to meet with mentors, develop ideas, and complete academic work. Residents believed the ADB rotation accelerated their transition into PDT and was a marker of institutional commitment. Areas for improvement pertained to the timing of ADBs and pairing of mentors. Both cohorts who participated in at least 1 ADB had higher proportions of residents who successfully applied for grants and a greater amount of total funding awarded compared to all 4 of the most recent cohorts prior to implementation.</div></div><div><h3>CONCLUSIONS</h3><div>A short academic development rotation protected from clinical responsibilities is a well-regarded intervention to help residents refine their career goals and prepare for their PDT. Similar initiatives may be of interest to residency programs seeking to foster their residents’ academic career development.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 11","pages":"Pages 1748-1755"},"PeriodicalIF":2.6000,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Education","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1931720424003945","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}

引用次数: 0

Abstract

OBJECTIVE

To describe the design, implementation, and evaluation of a two-week rotation intended to enhance junior surgical residents’ preparation for their dedicated professional development time (PDT) and academic careers.

DESIGN

As part of a multifaceted effort to promote residents’ academic development, we designed a two-week, nonclinical “Academic Development Block” (ADB) rotation for postgraduate year (PGY)-2 and -3 residents. During this rotation, residents meet with clinical, research, and peer mentors and work on academic activities, with relevant deliverables specific to each class year. We analyzed feedback from postrotation surveys and interviews, which were inductively coded and thematically analyzed, and data on resident grant applications and earnings before and after implementation.

SETTING

The general surgery residency program at a major urban, university-affiliated academic medical center. ADBs were first implemented in 2021.

PARTICIPANTS

A total of 39 PGY-2 and PGY-3 residents rotated through the program with 51 ADBs over the first two years of implementation.

RESULTS

Surveys indicated overwhelmingly positive perceptions on the value of ADBs, including the amount of structure and resources available. Free-response and interview themes indicated appreciation for time to meet with mentors, develop ideas, and complete academic work. Residents believed the ADB rotation accelerated their transition into PDT and was a marker of institutional commitment. Areas for improvement pertained to the timing of ADBs and pairing of mentors. Both cohorts who participated in at least 1 ADB had higher proportions of residents who successfully applied for grants and a greater amount of total funding awarded compared to all 4 of the most recent cohorts prior to implementation.

CONCLUSIONS

A short academic development rotation protected from clinical responsibilities is a well-regarded intervention to help residents refine their career goals and prepare for their PDT. Similar initiatives may be of interest to residency programs seeking to foster their residents’ academic career development.

查看原文本刊更多论文

外科住院医师学术发展轮转的实施与评估

作为促进住院医师学术发展的多方面努力的一部分，我们为研究生 2 年级和 3 年级住院医师设计了为期两周的非临床 "学术发展模块"（ADB）轮转。在轮转期间，住院医师与临床、研究和同侪导师会面，开展学术活动，并根据每个年级的具体情况交付相关成果。我们分析了从轮转后调查和访谈中获得的反馈，并对其进行了归纳编码和主题分析，还分析了实施前后住院医师基金申请和收入的数据。结果调查显示，绝大多数人对ADB的价值持积极看法，包括其结构和可用资源的数量。自由回答和访谈主题表明，住院医师对有时间与导师会面、开拓思路和完成学业表示赞赏。住院医师认为，ADB 轮转加快了他们向 PDT 过渡的速度，是机构承诺的标志。需要改进的方面涉及 ADB 的时间安排和导师配对。与实施前的最近 4 批住院医师相比，至少参加过 1 次 ADB 的两批住院医师中成功申请到基金的比例更高，获得的基金总额也更多。希望促进住院医师学术职业发展的住院医师培训项目可能会对类似措施感兴趣。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.