Journal of Surgical Education最新文献

{"title":"Table of Contents & Bacode","authors":"","doi":"10.1016/S1931-7204(25)00108-4","DOIUrl":"10.1016/S1931-7204(25)00108-4","url":null,"abstract":"","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103527"},"PeriodicalIF":2.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellness Initiatives During Orthopaedic Surgery Residency: A Survey of Residents and Program Directors","authors":"Alexander J. Acuña MD ,&nbsp;Morgan L. Angotti MD ,&nbsp;Farhan Ahmad MD ,&nbsp;Dawn LaPorte MD ,&nbsp;Monica Kogan MD","doi":"10.1016/j.jsurg.2025.103506","DOIUrl":"10.1016/j.jsurg.2025.103506","url":null,"abstract":"<div><h3>Objective</h3><div>In 2017, the Accreditation Council of Graduate Medical Education revised Common Program Requirements to better address well-being in residency and fellowship programs. These requirements emphasize <em>‘psychological, emotional, and physical well-being’</em> for physicians. Limited guidance exists on implementing wellness curricula and understanding residents' preferences. Our study explored orthopaedic surgery residents' and program directors’ (PDs) perspectives on wellness strategies and barriers to program implementation.</div></div><div><h3>Design</h3><div>A 12-question survey was distributed to 23 PDs and 616 residents, addressing counseling access, confidentiality, and program emphasis on wellness. A 5-point Likert scale was utilized to evaluate wellness program hindrances, structural changes that may offer wellness improvement, and perspectives on currently implemented programming. Free-response answers collected opinions and improvement suggestions. Descriptive statistics were used to analyze the data.</div></div><div><h3>Setting</h3><div>Responses were collected from an online survey between January 2023 and March 2023.</div></div><div><h3>Participants</h3><div>Our survey included 16 PDs (70%) and 197 (32%) residents.</div></div><div><h3>Results</h3><div>Although 100% of PDs reported residents were trained in counseling access, 26% of residents were unaware. Residents cited confidentiality concerns (60%), while PDs assured confidentiality (93%). Wellness emphasis was rated higher by PDs (88%) than residents (69%). Both groups found social activities with or without attendings helpful. Both residents (63%) and PDs (63%) believed wellness days could improve well-being. However, only 43% of residents with wellness days reported a significant impact compared to 57% of PDs. Although residents reported that optional and mandated wellness days would be comparably beneficial for promoting wellness (3.92/5 and 3.74/5, respectively), PDs reported lower benefit from mandated days (3.56/5 vs. 2.38/5, respectively). Residents cited lack of time (59%) and program attitudes towards mental health (39%) as major hindrances, while PDs mentioned uninteresting programming, time constraints, and lack of ideas.</div></div><div><h3>Conclusion</h3><div>Improving resident wellness requires clear communication, a wellness-emphasizing culture, resident input, and participation through schedule adjustments or protected time. PDs should ensure residents understand counseling access and confidentiality. While both groups favor wellness days, their overall impact is mixed. While wellness in orthopaedic residencies remains complex, it should be prioritized.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 6","pages":"Article 103506"},"PeriodicalIF":2.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where Do Gender Disparities in Research Productivity Begin? A Study of Orthopedic Surgery Applicants and Residents","authors":"Avani A. Chopra BS ,&nbsp;Freddy P. Jacome BS ,&nbsp;Matthew Weintraub BSE ,&nbsp;Makenna Isley BS ,&nbsp;Frances Akwuole BS ,&nbsp;Sia Cho BS ,&nbsp;Justin J. Lee MS ,&nbsp;James S. MacLeod MD ,&nbsp;Owen Lema ,&nbsp;Alfonso Mejia MD, MPH","doi":"10.1016/j.jsurg.2025.103509","DOIUrl":"10.1016/j.jsurg.2025.103509","url":null,"abstract":"<div><h3>Objective</h3><div>The gender disparity in orthopedic surgery is multifactorial, driven by the lack of female mentorship, limited female leadership in academic roles, and challenges in pursuing academic positions. Research productivity and authorship are areas where these disparities manifest, with women being significantly underrepresented. The primary objective of this study is to evaluate whether gender disparities in orthopedic research productivity are apparent as early as medical school.</div></div><div><h3>Design, setting, and participants</h3><div>A comprehensive analysis was conducted on orthopedic surgery residents from 208 ACGME-accredited programs across the United States. Data were collected between February and April 2024 from publicly accessible resources, covering 4320 residents (927 females, 3393 males). Pre-residency and residency publication data were gathered using Elsevier Scopus Application Programming Interface (APIs). The study compared total publications and first author publications between male and female residents, categorizing them as preresidency or residency publications. p-values were calculated using unpaired t-tests to evaluate gender differences.</div></div><div><h3>Results</h3><div>Among the 2723 residents with preresidency publications, there was no statistically significant difference between male and female residents in the mean number of publications (p = 0.1267) or first authorship publications (p = 0.9389). During residency, however, male residents had a significantly higher mean number of publications than female residents (p = 0.0002), although no significant difference was observed in first authorships (p = 0.2538).</div></div><div><h3>Conclusion</h3><div>Our results suggest that while gender disparities in research productivity are not apparent preresidency, they emerge during residency, with male residents producing more publications. This difference is likely influenced by the lack of mentorship and female representation within the field of orthopedic surgery. Addressing these disparities requires targeted efforts to increase female mentorship and support within orthopedic residency programs.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 6","pages":"Article 103509"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Preoperative Warm-Up on Surgical Performance of Resident Physicians: A Randomized Controlled Trial","authors":"Rodrigo Marcus Cunha Frati MD, PhD ,&nbsp;Rafael Guisalberte Maltez MD ,&nbsp;Vergilius José Furtado de Araújo Neto MD ,&nbsp;Breno Cordeiro Porto MD ,&nbsp;Carlo Camargo Passerotti MD, PhD ,&nbsp;Rodrigo Afonso da Silva Sardenberg MD, PhD ,&nbsp;Everson Luiz Artifon MD, PhD ,&nbsp;José Pinhata Otoch MD, PhD ,&nbsp;José Arnaldo Shiomi da Cruz MD, PhD","doi":"10.1016/j.jsurg.2025.103501","DOIUrl":"10.1016/j.jsurg.2025.103501","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgical learning is a complex process that involves resident characteristics, instructional methods, and technological tools. As surgical residency programs become more diverse, there is a growing need for adaptable training methods that align with various learning styles and backgrounds. Manual dexterity and self-assessment skills are essential for residents, and recent studies highlight those residents with refined manual skills perform better in surgery. Preoperative warm-up is emerging as a potential strategy to improve immediate surgical performance. The study aimed to analyze whether preoperative warm-up in low-cost surgical simulators (training boxes) is related to an immediate improvement in the intraoperative performance of general surgery residents inexperienced in laparoscopy.</div></div><div><h3>Methods</h3><div>The study used a swine model for surgical simulations in a controlled training environment. 105 first-year general surgery residents were divided into 2 groups: the control group (performed procedures without warm-up) and the intervention group (performed a 10-minute preoperative warm-up using a training box).</div></div><div><h3>Results</h3><div>The Intervention group demonstrated improved efficiency in cholecystectomy (2.97 ± 0.4 vs 2.41 ± 0.91, p = 0.03), with reductions of 41.5% in cholecystectomy dissection time (4.82 ± 4.94 vs 8.23 ± 5.15 minutes, p = 0.02) and 15.6% in left radical nephrectomy dissection time (13.03 ± 4.49 vs 16.77 ± 3.90 minutes, p = 0.012).</div></div><div><h3>Conclusions</h3><div>Preoperative warm-up using a training box significantly improved the qualitative and quantitative surgical performance of general surgery residents with no prior laparoscopic experience, particularly by increasing efficiency in cholecystectomy and reducing dissection times in both cholecystectomy and left radical nephrectomy.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 6","pages":"Article 103501"},"PeriodicalIF":2.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feedback Perceived by General Surgery Residents: What is the Influence of Program Characteristics?","authors":"Ramsha Akhund MD ,&nbsp;Daniela D. Muñoz Wilson MA ,&nbsp;M. Chandler McLeod PhD, MS ,&nbsp;Andrew T. Jones PhD ,&nbsp;George Sarosi MD ,&nbsp;Karen Brasel MD, MPH ,&nbsp;Rebecca M. Minter MD ,&nbsp;John Mellinger MD ,&nbsp;Jo Buyske MD ,&nbsp;Brenessa Lindeman MD, MEHP","doi":"10.1016/j.jsurg.2025.103508","DOIUrl":"10.1016/j.jsurg.2025.103508","url":null,"abstract":"<div><h3>Background</h3><div>Studies investigating residents’ perceptions of feedback received are sparse. We explored general surgery residents’ (GSR) perceptions of feedback based on program characteristics, such as region, size, and type in a national sample.</div></div><div><h3>Methods</h3><div>An optional survey following the American Board of Surgery In-Training Exam (ABSITE) was administered in January 2023 querying feedback quality, amount, and timeliness on GSRs’ self-identified best and worst rotations, overall feedback satisfaction, and frequency of feedback. Program characteristics included geographic location, program type, and size grouped into quartiles(Q). Bivariate and multivariable analyses were performed with Chi-square, Kruskal-Wallis, and ordinal regression, as appropriate.</div></div><div><h3>Results</h3><div>Responses from 9854 individuals representing 348 programs were received. Most respondents (n = 3259) and programs (n = 110) were from the Northeast (NE). While most respondents trained at University-based programs (n = 4961), most programs were University-affiliated (n = 130). Mean overall feedback satisfaction decreased as program size increased (7.4, 7.3, 7.2, and 6.9 in Q1-4, respectively). On ordinal regression, residents from Q4 had 0.7x lower odds of overall satisfaction compared to Q1 (p &lt; 0.05). Residents from University-affiliated, Independent academic centers, and those from Southeast, had 1.2x higher odds of overall feedback satisfaction compared to University-based and Northeast (p &lt; 0.05). Multivariable analysis of best rotation feedback showed 1.3-1.5x higher odds of satisfaction in regions outside the Northeast (NE) (p &lt; 0.05 for all). Residents from the largest programs (Q4) had 0.8x lower odds of satisfaction compared to those from the smallest (Q1). Multivariable analysis of intra-operative feedback showed Midwest residents and those in Q3 and Q4 had 0.8, 0.8, and 0.7x lower odds of reporting positive feedback, respectively, compared to reference (p &lt; 0.05 for all).</div></div><div><h3>Conclusion</h3><div>Program characteristics like location, type, and size affect feedback satisfaction, but no consistent trends were found in their interactions. This can guide program leaders in raising awareness and advocating for feedback improvements, with further research needed to understand underlying factors.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 6","pages":"Article 103508"},"PeriodicalIF":2.6,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Team Based Competitive Journal Club for the Modern Learner","authors":"Lucas S. McDonald MD, MPHTM, FAAOS, FAOA, FAANA ,&nbsp;Rechell G. Rodriguez MD, MACP ,&nbsp;Byron F. Stephens MD, MSCI, FAAOS, FAOA ,&nbsp;Bradley K. Deafenbaugh MD, FAAOS, FAOA","doi":"10.1016/j.jsurg.2025.103498","DOIUrl":"10.1016/j.jsurg.2025.103498","url":null,"abstract":"<div><div>After identifying a lack of engagement and enthusiasm in traditional department journal club activities we adapted and instituted a competitive, team-based approach encouraging evidence-based medicine. Centered around a clinical question posed by a faculty member, this requires each resident-team to perform a literature search, select the most relevant article, and present that article to best support the clinical question.</div><div>The team captain was responsible for the methods and quality of the presentation and which team member would present. Points were awarded by the faculty host who determined which article best answered the clinical question, and which team gave the best presentation. At the end of the academic year, the team with the highest score was rewarded with a celebratory dinner.</div><div>The faculty and residents universally reported this journal club structure a positive change, both meeting and exceeding published recommendations for effective journal club implementation and engagement of the modern learner.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103498"},"PeriodicalIF":2.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One Minute Preceptor Model: The Impact of Incorporating an Interactive Didactic Session Into Surgery Intern Orientation","authors":"John M. Woodward MD ,&nbsp;Joseph C. L'Huillier MD, MS-HPEd ,&nbsp;Steven D. Schwaitzberg MD, FACS ,&nbsp;Brittany C. Montross MD ,&nbsp;Clairice A. Cooper MD, MS-HPEd, FACS","doi":"10.1016/j.jsurg.2025.103499","DOIUrl":"10.1016/j.jsurg.2025.103499","url":null,"abstract":"<div><h3>Objective</h3><div>Residents are critically important educators to medical students; however, many have no formal education training. The One-Minute Preceptor (OMP) model was incorporated into surgical intern orientation. We assessed this session's impact on medical student evaluations of resident teaching.</div></div><div><h3>Design</h3><div>A 1-hour, resident-led OMP session was integrated into the 2023 surgical intern orientation. Medical student evaluations of 2023 surgical interns who participated in this session were compared to evaluations of 2022 surgical interns who did not participate. Evaluations from the first 3 months of each cohort were included for mixed method analysis.</div></div><div><h3>Setting</h3><div>A single academic general surgery residency program in Buffalo, NY.</div></div><div><h3>Participants</h3><div>All incoming general surgery, urology, and vascular residents who participated in surgery orientation and the OMP session.</div></div><div><h3>Results</h3><div>Fifteen residents were included, 8 from 2022 and 7 from 2023, with 53 total evaluations. Higher frequency of weekly study sessions occurred in 2023 versus 2022 (94% vs 62%, p = 0.022); however, no other quantitative difference in resident teaching was identified (p &gt; 0.05). Coding student evaluations of residents yielded 3 major themes: (1) Establishing Psychological Safety, the prevailing theme of 2022, (2) Integrating Intentional Medical Student Teaching, prevailing theme of 2023, (3) and Modeling Efficient, Competent, and Empathetic Patient Care.</div></div><div><h3>Conclusion</h3><div>Integrating the OMP model into resident orientation demonstrated a positive impact on teaching frequency and increased medical student perceptions of residents as educators at our program. Targeted didactic curricula for incoming interns can empower residents to find additional teaching opportunities and improve their focus on teaching medical students in a busy clinical setting.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103499"},"PeriodicalIF":2.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of an Orthopedic Clerkship Rotation on Medical Students’ Sense of Belonging and Gender Stereotype Threat in Orthopedic Surgery: A Prospective Cohort Study","authors":"Katherine M. Gerull MD ,&nbsp;Priyanka Parameswaran MD, MPHS ,&nbsp;Nathan P. Olafsen MD ,&nbsp;Cara A. Cipriano MD, MSc","doi":"10.1016/j.jsurg.2025.103502","DOIUrl":"10.1016/j.jsurg.2025.103502","url":null,"abstract":"<div><h3>Objective</h3><div>The field of orthopedics continues to have significant underrepresentation of physicians who identify as women and/or Underrepresented in Medicine (URiM). Clerkship rotations play an important role in increasing medical students’ exposure to orthopedics, however it is unknown how clerkships affect students’ perceptions of inclusivity within orthopedics. We aimed to identify how student belonging and perceived gender stereotypes (stereotype-threat) (1) differed between students participating in an orthopedic clerkship (“rotators”) versus those that did not (“nonrotators”), (2) differed based on student gender/race, and (3) changed after participating in an orthopedic clerkship.</div></div><div><h3>Design</h3><div>This was a prospective cohort study in which all surgery clerkship students were invited to participate in a prerotation survey measuring belonging and gender stereotype threat. Differences were measured using t-tests and Chi-square tests, as appropriate. Rotators completed these same scales at the conclusion of their rotations and pre/postrotation differences were measured using paired t-tests.</div></div><div><h3>Setting</h3><div>Washington University in St. Louis (St. Louis, MO), a tertiary care academic hospital.</div></div><div><h3>Participants</h3><div>Third-year medical students on their surgery clerkship over 2 years. Sixty-five rotators and 73 nonrotators completed the prerotation survey for a response rate of 71% and 57% respectively. Of the orthopedic rotators, 32 students had complete pre- and postrotation data, and therefore were included in the pre- versus postrotation analyses.</div></div><div><h3>Results</h3><div>(1) Rotators had a higher sense of belonging in orthopedics than nonrotators (rotators: mean 4.0 ± 1.1; nonrotators: mean 3.3 ± 0.8; p &lt; 0.001). Rotators and nonrotators similarly perceived stereotypes favoring men within orthopedics (rotators: mean 2.9 ± 0.7; nonrotators: mean 2.9 ± 0.9; p = 0.94). (2) Women had lower belonging than men (women: mean 3.3 ± 1.0, men: mean 4.0 ± 1.0; p = 0.002), but there were no differences in belonging between White and minority students (White: mean 3.7 ± 1.1, minority: mean 3.7 ± 1.0; p = 0.99). (3) Students’ sense of belonging in orthopedics significantly increased after their rotation (mean increase: 0.6 ± 0.8, p = 0.005, but stereotype threat (mean: 0.2 ± 0.6, p = 0.14) was unchanged.</div></div><div><h3>Discussion/Conclusions</h3><div>Orthopedic clerkships may play an important role in shaping students’ sense of belonging. A lack of belonging amongst women and nonrotating students may be a barrier to clerkship participation and subsequent entry into orthopedic careers.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103502"},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Cultivating rural surgeons: an analysis of the current rural surgery graduate medical education landscape and a roadmap to program creation.” J Surg Educ. 2025; 82(4):103446","authors":"Mustafa Abid MD ,&nbsp;Lori Rodefeld MS ,&nbsp;Mukesh Adhikari MPH ,&nbsp;Benjamin Jarman MD, FACS ,&nbsp;Laney McDougal MS-HSM ,&nbsp;Ann P. O'Rourke MD, MPH, ACS ,&nbsp;Farzad Amiri MD, FACS ,&nbsp;Paulette S. Wehner MD, FACC, FACP, FCCP, FAHA ,&nbsp;Emily M. Hawes PharmD","doi":"10.1016/j.jsurg.2025.103503","DOIUrl":"10.1016/j.jsurg.2025.103503","url":null,"abstract":"","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103503"},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building A Culturally Concordant Mentorship Program for Immigrant Premedical Students","authors":"Nazineen Kandahari MD, MS ,&nbsp;Nilufar Kayhani BA ,&nbsp;Fareha Moulana Zada BA ,&nbsp;Anisha Chandy MS","doi":"10.1016/j.jsurg.2025.103474","DOIUrl":"10.1016/j.jsurg.2025.103474","url":null,"abstract":"<div><h3>Objective</h3><div>To develop an intervention addressing the unique needs of Afghan premedical students in successfully applying to and preparing for medical school in the U.S.</div></div><div><h3>Design</h3><div>A year-long virtual mentorship program was developed using the principles of community-based participatory research and cultural humility. Mentees were self-identified Afghan premedical students and Mentors were self-identified Afghan medical students, residents, and attendings. Mentees committed to attending monthly group workshops organized by Mentors, and having individual meetings with their assigned Mentors for a year. A workshop curriculum was developed based on findings from separate focus groups conducted with Mentees and Mentors. Participants completed a survey before and after the year-long program to assess barriers in applying to medical school, confidence, self-efficacy, resilience, and mentorship experience.</div></div><div><h3>Setting</h3><div>The program was organized by Afghan Clinic, a refugee-founded nonprofit organization dedicated to promoting agency among marginalized communities. Program activities were conducted virtually to accommodate participants from across the United States (U.S.).</div></div><div><h3>Participants</h3><div>Afghan undergraduate students or graduates interested in becoming physicians (Mentees), and medical students and physicians who trained in the U.S. (Mentors).</div></div><div><h3>Results</h3><div>Forty Afghan premedical students and 26 medical students and physicians applied for the first cohort. Thirty-two Mentees (6 male, 26 female) and 26 Mentors (13 male, 13 female) were selected to participate. After a year-long virtual mentorship program created with community input and led by Afghan medical professionals, Afghan premedical students reported positive mentor relationships, effective mentorship, and decreased sense of barriers to getting into medical school.</div></div><div><h3>Conclusions</h3><div>A community-based mentorship program for Afghan students can be effective in decreasing barriers to careers in medicine. Further exploration of the unique needs of immigrant premedical students, and creation, evaluation, and support of novel programs led by immigrant communities is needed. Our culturally concordant approach to premedical mentorship can be expanded to other immigrant communities in the U.S.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103474"},"PeriodicalIF":2.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}