Journal of Surgical Education最新文献

{"title":"Fellowship by the Numbers: Surgical Fellowship Applications in the United States","authors":"Margaret Turlington MD, MS ,&nbsp;Brady Campbell MD ,&nbsp;Matthew Cahn MD ,&nbsp;Megan McClure BS ,&nbsp;Stephen M. Kavic MD, MSHPE","doi":"10.1016/j.jsurg.2024.103409","DOIUrl":"10.1016/j.jsurg.2024.103409","url":null,"abstract":"<div><h3>PURPOSE</h3><div>The majority of residents pursue fellowship following training in general surgery, especially at academic medical centers. However, there is no singular body that oversees fellowship, and many aspects of fellowship remain speculative, including application and admissions. Our aim was to define the known statistics around surgical fellowships.</div></div><div><h3>METHODS</h3><div>We performed a retrospective analysis of publicly available data from the National Residency Match Program (NRMP), the Fellowship Council, the SF Match, and the American Council on Graduate Medical Education Data Resource Book for 2014-2023. We included data on colorectal surgery, surgical critical care, minimally invasive surgery, surgical oncology, pediatric surgery, plastic surgery, thoracic, transplant, and vascular surgery fellowships. We did not include burn fellowship, pediatric critical care surgery, or research fellowships.</div></div><div><h3>RESULTS</h3><div>66% of US surgical residents pursue fellowship, which has been stable over the past decade. The largest fellowships are critical care, minimally invasive, vascular, and colorectal surgery. There is a very high match rate among critical care, surgical oncology, vascular, and transplant surgery for US trainees, while pediatric surgery consistently has the lowest match rate. US trainees are more likely to match into fellowship than non-US graduates.</div></div><div><h3>CONCLUSIONS</h3><div>This study provides a comprehensive snapshot of surgical fellowships in the United States. Two-thirds of surgery residents pursue fellowship, and the likelihood of matching varies substantially between specialties. These results can help inform national workforce planning and may be valuable to current residents in their fellowship application process.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 3","pages":"Article 103409"},"PeriodicalIF":2.6,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960785","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":"Rural Surgery Experiences in General Surgery Residency Training—The Current State an ACGME Sponsored Survey of General Surgery Program Directors","authors":"Stephanie F. Heller MD ,&nbsp;Karen J. Brasel MD ,&nbsp;Sharmila Dissanaike MD ,&nbsp;Chris A. Fox PhD","doi":"10.1016/j.jsurg.2024.103392","DOIUrl":"10.1016/j.jsurg.2024.103392","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Nationwide there is a significant shortage of surgeons in rural communities, which has led to a growing interest in training more general surgeons specifically for entry into rural practice. Despite noble intentions, exactly how this training should be performed is unclear, and highly variable across programs. The Accreditation Council for Graduate Medical Education (ACGME) Surgery Residency Review Committee (RRC) sought to better understand the current state of rural focused training options in general surgery residencies.</div></div><div><h3>DESIGN</h3><div>The Surgery RRC surveyed all 314 ACGME accredited surgery programs about their rural surgery training options.</div></div><div><h3>PARTICIPANTS</h3><div>General surgery residency programs.</div></div><div><h3>RESULTS</h3><div>One hundred thirty programs responded to the survey, of which 37 (28%) included some type of rural experience (rural track, or a required or elective rotation). Three programs had fully dedicated tracks with separate match numbers, while other programs recruited from within, or simply offered elective rotations to interested residents. There was significant variability in the structure, duration, timing, and frequency of experiences across programs. Lack of funding was identified as the number one barrier to new or ongoing development of rural surgery programs.</div></div><div><h3>CONCLUSION</h3><div>Rural surgery training is highly variable across general surgery residency programs, ranging from dedicated rural tracks with deliberate recruitment, to short elective experiences. This mismatch of available training to current and future workforce needs is an opportunity for innovation.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 3","pages":"Article 103392"},"PeriodicalIF":2.6,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960786","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":"Implementation of Faculty-Led Didactics Increased Perceived Engagement and Preparedness in a General Surgery Residency Curriculum","authors":"Kelsey R. Tieken MD, MHPTT ,&nbsp;Michael R. Visenio MD, MPH ,&nbsp;Sara B. Cartwright DO ,&nbsp;Makayla E. Schissel MPH ,&nbsp;Tiffany N. Tanner MD ,&nbsp;Jennifer A. Leinicke MD, MPHS","doi":"10.1016/j.jsurg.2024.103400","DOIUrl":"10.1016/j.jsurg.2024.103400","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Beginning academic year 2021, a curricular redesign was implemented, including a transition from resident-led to faculty-led lectures during didactics. We aimed to survey residents and faculty on their perceptions of engagement and clinical preparedness following this change.</div></div><div><h3>DESIGN</h3><div>This was a retrospective cohort study investigating the effects of curricular change on resident and faculty perceptions of the program. Surveys were administered to residents in October 2022 and May 2023, asking about satisfaction with the curriculum, perceptions about faculty engagement before and after the curricular change, and how well didactics prepared them for different patient-care scenarios. Separate surveys were administered to surgical faculty simultaneously, asking their perceptions of resident preparedness in clinical settings and resident engagement in didactics.</div></div><div><h3>SETTING</h3><div>This study took place at the University of Nebraska Medical Center from July 2021 to June 2023.</div></div><div><h3>PARTICIPANTS</h3><div>Participants included current general surgery residents and surgical faculty who work directly with the surgical residents at the institution.</div></div><div><h3>RESULTS</h3><div>Residents were more satisfied and felt better prepared by didactic lectures led by faculty, and they perceived increased faculty engagement in their education compared to prior years with resident-led didactics. Faculty reported equivalent to slightly increased resident preparedness in clinic, inpatient, and operative settings compared to previous years, and those who gave a didactic lecture perceived equivalent to increased resident engagement during the lecture. The May 2023 survey findings for residents and faculty were consistent with those from 2022.</div></div><div><h3>CONCLUSION</h3><div>Residents were more satisfied with their didactics and perceived increased faculty engagement in their education when faculty gave their lectures compared to other residents. Faculty perceived similar to improved resident preparedness compared to prior years. These findings suggest that increased faculty involvement during didactics may enhance engagement and preparedness among surgery residents.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 3","pages":"Article 103400"},"PeriodicalIF":2.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934206","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":"Unmasking the Environmental Costs of In-Person General Surgery Residency Interviews","authors":"RJ Bello ,&nbsp;E Love ,&nbsp;KJ Peterson ,&nbsp;CL Wagner ,&nbsp;JI Reminick ,&nbsp;RM Higgins","doi":"10.1016/j.jsurg.2024.103391","DOIUrl":"10.1016/j.jsurg.2024.103391","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>As COVID-19 restrictions are eased, there has been a lively debate on whether residency recruitment interviews should be held virtually or in-person. However, environmental impact has rarely been a focus of this debate and only by inference from limited survey data. In this study, we aimed to estimate the carbon emissions generated from air-travel versus in-person interviews in the general surgery residency recruitment.</div></div><div><h3>DESIGN, SETTING, AND PARTICIPANTS</h3><div>This was a cross-sectional study using interview data from the 2022-2023 surgical residency recruitment season from the Thalamus (SJ Medconnect, Inc. Santa Clara, CA) data warehouse. We located applicants’ closest airport and the airport nearest each program with which they interviewed. Following the Greenhouse Gas Protocol's definitions, we then estimated carbon emissions as a specific component of <em>scope 3: travel</em> of the greenhouse gas inventory.</div></div><div><h3>RESULTS</h3><div>We analyzed 5989 completed interviews occurring between 2369 applicants and 65 programs during the 2022-2023 recruitment season. Of these, 4529 (75.6%) required travel of 150 miles or more, meeting our inclusion criteria for carbon emissions estimation. The mean number of interviews per program was 95.4. Median number of flights per recruited position was 10. The estimated total carbon dioxide emissions for the interview season were 3502.04 tons. These emissions are the equivalent of 3.9 million pounds of coal burned or 441 homes’ energy use for 1 year.</div></div><div><h3>CONCLUSIONS</h3><div>There would be a significant environmental impact from air travel alone if general surgery interviews were to revert to an in-person format. These findings should be considered –alongside cost, equity, and goodness of fit– when making specialty- and program-level decisions regarding interviewing modalities.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 3","pages":"Article 103391"},"PeriodicalIF":2.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928943","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":"Table of Contents & Bacode","authors":"","doi":"10.1016/S1931-7204(24)00529-4","DOIUrl":"10.1016/S1931-7204(24)00529-4","url":null,"abstract":"","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 1","pages":"Article 103381"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092968","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":"Flexibility in Surgical Training Does Not Affect American Board of Surgery Board Eligibility or Certification: Long-term Outcomes from a Prospective, Multi-Institutional Study of General Surgery Residents","authors":"Steven Tohmasi MD, MPHS ,&nbsp;Darren R. Cullinan MD, MSCI ,&nbsp;Ariana Naaseh MD, MPHS ,&nbsp;Michael M. Awad MD, PhD, MHPE ,&nbsp;Mary E. Klingensmith MD ,&nbsp;Paul E. Wise MD","doi":"10.1016/j.jsurg.2024.103390","DOIUrl":"10.1016/j.jsurg.2024.103390","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>In 2011, the American Board of Surgery (ABS) implemented a policy to permit greater flexibility in the structure of general surgery (GS) residency training. Our goal was to investigate the impact of flexibility in surgical training (FIST) on resident success in obtaining ABS board eligibility and certification.</div></div><div><h3>DESIGN</h3><div>A prospective, multi-institutional study was conducted to examine the feasibility of incorporating flexibility tracks across residency programs and measure educational outcomes including ABS In-service Training Exam (ABSITE) scores, Accreditation Council for Graduate Medical Education (ACGME) Milestones, operative case log volumes, and ABS Qualifying (QE) and Certifying (CE) Examinations scores. We compared residents participating in flexibility tracks (“FIST residents”) to contemporaneous residents not involved in subspecialty tracks (“non-FIST residents”).</div></div><div><h3>SETTING</h3><div>Seven academic GS residency programs.</div></div><div><h3>PARTICIPANTS</h3><div>GS residents at participating institutions were granted the opportunity to customize up to 12 of the final 24 months of residency with subspecialty rotations.</div></div><div><h3>RESULTS</h3><div>From 2013 to 2019, 186 (52.2%) of 356 residents participated in a flexibility track. The most frequently selected subspecialty tracks were hepatobiliary (26.9%), gastrointestinal (15.1%), and cardiothoracic surgery (15.1%). There were no significant differences in ABSITE scores (573.0 vs. 562.0; p = 0.191) or total major operations performed (1056.5 vs 1018.0; p = 0.074) between FIST and non-FIST post-graduate year 5 residents. Residents participating in FIST scored significantly higher on 15 of 16 ACGME Milestones when compared to non-FIST residents. The first-time pass rate for the ABS QE was 92.2% and 91.1% for FIST and non-FIST residents, respectively (p = 0.756). The first-time pass rate for the ABS CE was 85.8% and 83.6% for FIST and non-FIST residents, respectively (p = 0.687). Overall, FIST residents had a higher first-time pass rate on both the QE (92.2% vs. 90.6%) and CE (85.8% vs. 81.7%), when compared to the national average.</div></div><div><h3>CONCLUSIONS</h3><div>Despite spending more time on subspecialty-focused flexible rotations, residents participating in FIST perform similarly to their peers in multiple measures, including on the ABS QE and CE. Incorporating integrated subspecialty training within GS residency does not interfere with the future success of trainees in obtaining ABS board certification. These findings could help inform modifications to the structure of surgical training, including allowing for earlier entry into subspecialty training.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 3","pages":"Article 103390"},"PeriodicalIF":2.6,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901350","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":"Mindfulness in Surgical Training (MiST): A Modified Mindfulness Curriculum for Surgical Residents","authors":"Elizabeth Miazga MDLLM ,&nbsp;Brenna E. Swift MD, MSc (HSED), MASc ,&nbsp;Madalina Maxim MD ,&nbsp;Monica Pearl MD ,&nbsp;Anna R. Gagliardi PhD ,&nbsp;Janet Bodley MD Med ,&nbsp;Michèle Farrugia MSc, MD Med ,&nbsp;Hava Starkman MD ,&nbsp;Anna Kobylianskii MD ,&nbsp;Julie Maggi MD ,&nbsp;Carol-Anne Moulton MD, PhD ,&nbsp;Dana Soroka MD ,&nbsp;Andrea N. Simpson MD, MSc","doi":"10.1016/j.jsurg.2024.103351","DOIUrl":"10.1016/j.jsurg.2024.103351","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>Residents experience numerous work-related and personal stressors that make it difficult to focus in the operating room, negatively impacting learning and surgical performance. Mindfulness-based cognitive therapy decreases anxiety and improves memory and learning. This study aimed to create a feasible and desirable modified mindfulness curriculum for surgical residents.</div></div><div><h3>DESIGN</h3><div>This was a prospective cohort study using multiple methods design to assess a 12-week modified mindfulness curriculum tailored to busy surgical trainees involving a 30 min group session weekly and 15 minutes home practice daily. The main outcomes were program feasibility and desirability. Focus groups explored how mindfulness techniques were used in the operating room. Secondary outcomes were measured in a pre- and post- intervention design assessing surgical performance, anxiety, confidence and burnout using validated assessment scales. Outcome measures were collected at baseline, immediately following the course and at 3 months postintervention.</div></div><div><h3>SETTING</h3><div>Academic obstetrics and gynecology residency program.</div></div><div><h3>PARTICIPANTS</h3><div>Obstetrics and gynecology residents in postgraduate years 2-5 at the University of Toronto were invited to participate in Mindfulness in Surgical Training.</div></div><div><h3>RESULTS</h3><div>Twelve (20%) out of 61 eligible residents enrolled in the program and 8 (67%) completed the course. There was a statistically significant decrease in anxiety (p &lt; 0.001) and increase in surgical confidence (p = 0.007) following the mindfulness curriculum using validated survey tools. There was no change in burnout or surgical performance evaluations. Thematic analysis identified that mindfulness tools were beneficial and regularly utilized by participants in the operating room with sustained use 3 months post intervention. The biggest barrier to participation in the mindfulness curriculum was time. Participants felt the residency program should support ongoing mindfulness training to promote a positive culture shift.</div></div><div><h3>CONCLUSIONS</h3><div>A modified mindfulness curriculum designed for surgical trainees is feasible, desirable, reduces anxiety and increases surgical confidence.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 1","pages":"Article 103351"},"PeriodicalIF":2.6,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746942","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":"The Impact of a Resident, Fellow, or Physician Assistant on Operative Time and Complication Rate in Closed Reduction and Percutaneous Pin Fixation of Pediatric Distal Humerus Supracondylar Fractures","authors":"Zachary Quanbeck MD ,&nbsp;Etasha Bhatt MD ,&nbsp;Deborah Quanbeck MD ,&nbsp;Alison Schiffern MD","doi":"10.1016/j.jsurg.2024.103353","DOIUrl":"10.1016/j.jsurg.2024.103353","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>We sought to compare operative times and complications for attending surgeons operating alone or with an assistant including an orthopedic resident, fellow, or physician assistant (PA) for closed reduction and percutaneous pinning (CRPP) of pediatric supracondylar humerus fractures (SCH), an archetypal procedure integral to the education of orthopedic trainees.</div></div><div><h3>DESIGN</h3><div>Using a retrospective database collected following institutional review board approval, a 1-way ANOVA (non-parametric) was used to assess the effect of assistant absence or presence by type of assistant on mean operative time. We analyzed the association between the attending surgeon assistant categories and the complication rate using Fisher's Exact Test.</div></div><div><h3>SETTING</h3><div>The study was performed at Gillette Children's Specialty Healthcare, St. Paul, Minnesota, and Children's Minnesota in St. Paul and Minneapolis. These three affiliated metropolitan hospitals, the last of which is a level 1 trauma facility, all share the same group of orthopedic surgeons, trainees, and physician assistants.</div></div><div><h3>PARTICIPANTS</h3><div>All patients under 14 years of age treated with CRPP for Gartland type 2, 3, 4 and flexion type closed supracondylar fractures between April 2006 and September 2016 were analyzed. Of 1053 patients identified by Current Procedure Terminology code 24358, data was available for 888 patients.</div></div><div><h3>RESULTS</h3><div>Out of the 888 patients, 44.1% were operated on by a surgeon alone, 48.4% with a resident, 4.8% with a fellow and 2.6% with a physician assistant. The ANOVA revealed a statistically significant increase (p &lt; 0.001) in operative times when a resident participated compared to the other categories. The shortest mean surgery time (34.7 minutes) occurred when an attending surgeon and PA were present. The longest mean time (44.3 minutes) occurred with a surgeon and resident. This difference, at 9.6 minutes, constituted 28% more time. There were 40 patients with a complication, a rate of 4.5%. The rate for each of the assistant categories was surgeon alone 5.6%, with a resident 3.3%, with a fellow 4.7%, with a PA 8.7%. The Fisher's Exact Test results showed no statistically significant association between the type or absence of assistant and the complication rate.</div></div><div><h3>CONCLUSION</h3><div>Differences in operative times were observed across assistant categories although the mean time difference was statistically insignificant between the surgeon unassisted versus assisted by the fellow or a PA. The finding of statistically increased operative times with resident participation in this study for this specific procedure is consistent with results for most other reported orthopedic surgeries. Complication rates did not vary based on the participating personnel.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 1","pages":"Article 103353"},"PeriodicalIF":2.6,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757402","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":"A Systematic Review of Simulation-Based Training Tools in Plastic Surgery","authors":"Diego Agustín Abelleyra Lastoria ,&nbsp;Sehrish Rehman ,&nbsp;Farah Ahmed ,&nbsp;Sara Jasionowska ,&nbsp;Andrej Salibi ,&nbsp;Naveen Cavale ,&nbsp;Prokar Dasgupta ,&nbsp;Abdullatif Aydin","doi":"10.1016/j.jsurg.2024.103320","DOIUrl":"10.1016/j.jsurg.2024.103320","url":null,"abstract":"<div><h3>Objectives</h3><div>The recent shift from traditional surgical teaching to the incorporation of simulation training in plastic surgery has resulted in the development of a variety of simulation models and tools. We aimed to assess the validity and establish the effectiveness of all currently available simulators and tools for plastic surgery.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>The PRISMA 2020 checklist was followed. The review protocol was prospectively registered in PROSPERO (CRD42021231546). Published and unpublished literature databases were searched to the 29^th of October 2023. Each model was appraised in accordance with the Messick validity framework, and a rating was given for each section. To determine the effectiveness of each model, the McGaghie model of translational outcomes was used.</div></div><div><h3>Results</h3><div>On screening 1794 articles, 116 were identified to discuss validity and effectiveness of simulation models in plastic surgery. These were hand surgery (6 studies), breast surgery (12 studies), facial surgery (25 studies), cleft lip and palate surgery (29 studies), rhinoplasty (4 studies), hair transplant surgery (1 study), surgery for burns (10 studies), and general skills in plastic surgery (29 studies). Only 1 model achieved an effectiveness level &gt; 3, and no model had a rating &gt; 2 in all aspects of the Messick validity framework.</div></div><div><h3>Conclusion</h3><div>There are limited models enabling the transfer of skills to clinical practice. No models achieved reductions in surgical complications or costs. There must be more validity studies conducted using updated validity frameworks, with an increased emphasis on the applicability of these simulators to improve patient outcomes and surgical technique. More training tools evaluating both technical and non-technical surgical skills are recommended.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 1","pages":"Article 103320"},"PeriodicalIF":2.6,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746944","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":"The Feasibility and Efficacy of Video Education with Individual Review in Early Surgical Education","authors":"Danielle Mayorga-Young BS ,&nbsp;Jonnby LaGuardia BS ,&nbsp;Keith Sweitzer MD ,&nbsp;Rishika Chikoti ,&nbsp;James Butterfield MD ,&nbsp;Safi Ali-Khan MD ,&nbsp;Aabra Ahmed MD ,&nbsp;Jonathan Leckenby MBBS, PhD","doi":"10.1016/j.jsurg.2024.103354","DOIUrl":"10.1016/j.jsurg.2024.103354","url":null,"abstract":"<div><h3>Purpose</h3><div>Use of video-based education (VBE) to teach surgical skills has increased rapidly and been shown to accelerate students’ and residents’ time to satisfactory skill acquisition while also improving trainees’ satisfaction. However, its implementation is limited by logistical factors such as: video quality, view obstruction, and excessive motion. We aim to study the feasibility of using VBE to teach medical students basic suturing skills.</div></div><div><h3>Methods</h3><div>Medical students viewed standardized videos to learn multiple suturing techniques, which they performed on a skin model. They recorded and sent their best attempt at subcuticular technique to a plastic surgery resident who provided synchronous, virtual feedback. Following feedback, students re-attempted the technique and again recorded their best attempt. Both videos were graded by a blinded reviewer. A previously-validated grading scale was used to score students on 1) number of completed suturing steps, 2) economy of time and motion, and 3) final rating (proficient or requires practice).</div></div><div><h3>Results</h3><div>All fifteen students agreed that this activity was either “fairly” or “very” useful for their learning. Seven students were rated as proficient prior to feedback and remained proficient following feedback. Of the remaining eight students, five students (62.5%) achieved proficiency following feedback. On average, the students demonstrated significant improvement in number of successfully completed suture steps (4.3 ± 1.10 vs 4.8 ± 1.01 post-feedback, p = 0.028) and economy of time and motion (2.6 ± 1.24 vs 3.2 ± 0.94 post-feedback, p = 0.029). When adjusting for student interest in pursuing a surgical residency, baseline scores were similar, but those who intend to pursue surgery demonstrated greater economy of motion scores following feedback (3.56 ± 0.73 vs 2.67 ± 1.03 among students not interested in surgery, p = 0.035).</div></div><div><h3>Conclusions</h3><div>This pilot study shows that use of VBE is feasible in teaching medical students basic suturing skills. Efficacy may be influenced by career interests.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 1","pages":"Article 103354"},"PeriodicalIF":2.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746943","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}