Is surgery a spectator sport? Third-year surgical clerkship case-log analysis at a community-based medical college

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-03-10 DOI:10.1016/j.amjsurg.2025.116285

Ali Schroeder , Tamir Bresler , Philip Bohlmann , Anjali S. Kumar

{"title":"Is surgery a spectator sport? Third-year surgical clerkship case-log analysis at a community-based medical college","authors":"Ali Schroeder , Tamir Bresler , Philip Bohlmann , Anjali S. Kumar","doi":"10.1016/j.amjsurg.2025.116285","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>This study evaluated a structured case-log assignment to assess experiences in third-year surgical clerkships, focusing on student-preceptor interactions allowing entrustability of the student with surgical instruments.</div></div><div><h3>Methods</h3><div>Case-logs from 74 students across multiple clinical sites in a community-based medical school were reviewed. Assignments detailed operation type, hands-on-instrument time, and personal growth reflections.</div></div><div><h3>Results</h3><div>Students logged 1396 operations (65.43 %; 31.07 ± 23.85 surgeries/student), 382 clinic sessions (17.91 %), and 355 rounds/consultations (16.65 %). Common surgeries included intrabdominal (49.78 %) and abdominal wall (15.25 %). Fiberoptic-assisted (45.45 %) and open surgeries (36.82 %) predominated. Most (77.94 %) operations occurred without residents, with limited hands-on time (27.51 % reporting 1 %–24 %). Weekend logs (46 students) captured fewer surgeries (2.22 ± 1.31/student), though intrabdominal surgeries and hands-on time were higher. Reflections highlighted key experiences and learning opportunities.</div></div><div><h3>Conclusion</h3><div>Structured case-logs effectively capture surgical exposure and student experiences. Integrating digital logbooks could enhance real-time data collection and streamline assessment.</div></div>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"244 ","pages":"Article 116285"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002961025001072","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

This study evaluated a structured case-log assignment to assess experiences in third-year surgical clerkships, focusing on student-preceptor interactions allowing entrustability of the student with surgical instruments.

Methods

Case-logs from 74 students across multiple clinical sites in a community-based medical school were reviewed. Assignments detailed operation type, hands-on-instrument time, and personal growth reflections.

Results

Students logged 1396 operations (65.43 %; 31.07 ± 23.85 surgeries/student), 382 clinic sessions (17.91 %), and 355 rounds/consultations (16.65 %). Common surgeries included intrabdominal (49.78 %) and abdominal wall (15.25 %). Fiberoptic-assisted (45.45 %) and open surgeries (36.82 %) predominated. Most (77.94 %) operations occurred without residents, with limited hands-on time (27.51 % reporting 1 %–24 %). Weekend logs (46 students) captured fewer surgeries (2.22 ± 1.31/student), though intrabdominal surgeries and hands-on time were higher. Reflections highlighted key experiences and learning opportunities.

Conclusion

Structured case-logs effectively capture surgical exposure and student experiences. Integrating digital logbooks could enhance real-time data collection and streamline assessment.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.