Journal of Surgical Education最新文献

{"title":"Surgical Advanced Practice Provider Perspectives Regarding Parental Leave","authors":"Nell Weber ,&nbsp;Nicole Christian ,&nbsp;Michaele Francesco Corbisiero ,&nbsp;Becky Hill ,&nbsp;Samantha Bothwell ,&nbsp;Richele Koehler ,&nbsp;Shannon Acker","doi":"10.1016/j.jsurg.2024.103411","DOIUrl":"10.1016/j.jsurg.2024.103411","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>The purpose of the study was to understand the attitudes of surgical advanced practice providers (APPs) towards parental leave for themselves and surgical trainees.</div></div><div><h3>DESIGN</h3><div>APPs in a single department of surgery (DOS) were surveyed. The survey evaluated 1) personal experience with parental leave, 2) experience with surgical trainees taking parental leave and 3) attitudes towards parental leave.</div></div><div><h3>SETTING</h3><div>University of Colorado Anschutz Medical Campus; level 1 Trauma Center.</div></div><div><h3>PARTICIPANTS</h3><div>All surgical APPs were invited to participant in the study. There was a total of 65 respondents.</div></div><div><h3>RESULTS</h3><div>Survey response rate was 34.0% (N = 65). 81.5% (N = 53) of respondents were married or in domestic partnership. 56.9% (N = 37) of respondents had children and 16.0% (N = 11) took parental leave within the DOS. 58.5% (N = 38) of respondents worked with a trainee who took parental leave for which 19 APPS were asked to cover additional work. 21.5 % (N = 14) of respondents reported that time off for parental leave for childbearing surgical trainees places an unreasonable strain on APPs. Almost all (96.9%, N = 63) APPs reported childbearing surgical trainees should receive 6 to 12 weeks or &gt;12 weeks of parental leave.</div></div><div><h3>CONCLUSIONS</h3><div>APPs are often asked to cover for surgical trainees taking parental leave. Nonetheless, APPs are supportive of trainees taking leave.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103411"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488585","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(25)00070-4","DOIUrl":"10.1016/S1931-7204(25)00070-4","url":null,"abstract":"","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 4","pages":"Article 103490"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479105","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":"How Is Art Used to Train Surgeons? A Survey of 198 Surgery Residency Program Directors","authors":"Stephanie M. Cohen MD ,&nbsp;Nova Chen BA ,&nbsp;Tara S. Kent MD ,&nbsp;Joel T. Katz MD ,&nbsp;Ingrid M. Ganske MD MPA","doi":"10.1016/j.jsurg.2025.103465","DOIUrl":"10.1016/j.jsurg.2025.103465","url":null,"abstract":"<div><h3>Background</h3><div>Art engagement during surgical training often occurs informally and is difficult to characterize. The purpose of this study is to understand practices of surgical educators in using visual aids for teaching encounters, if program directors consider artistic aptitude when assessing residency applicants, perspectives regarding the incorporation of art into surgical training, and barriers that may exist toward the development of visual art curricula for surgery residents.</div></div><div><h3>Methods</h3><div>A survey study of all general surgery, orthopedic surgery, neurosurgery, otolaryngology, urology, vascular surgery, and cardiothoracic surgery program directors in the United States was conducted from September 2022 to June 2024.</div></div><div><h3>Results</h3><div>Responses from 198 program directors indicate that residencies rarely participate in graphic design courses (1.5%), visual abstract training (2.5%), art museum visits (3.5%), drawing activities (6.1%), or art related social events (15.7%). Sixty-six percent reported that they either “often” or “always” draw for patients to explain diagnoses. Forty-two percent considered having drawing skills to be favorable among residency applicants. Seventy-four percent answered that the ability to draw may be related to technical skills. Eighty-two percent considered that the ability to draw the steps of an operation was related to having the ability to perform that same operation. Barriers to incorporating art into training included lack of expertise, time, resources, and evidence.</div></div><div><h3>Conclusions</h3><div>Resident opportunities to participate in organized art-related activities through their surgery programs are rare, but survey responses indicate that program directors do perceive that there is value in art-related exercises for surgical trainees. Future studies ought to consider the effectiveness of incorporating different types of art-based teaching strategies for resident learning.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103465"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488622","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":"How We Do It: Video-Based Assessment Conference for Intraoperative Decision Making in Pediatric Surgery","authors":"Mitchell G. Bryski ,&nbsp;Mollie R. Freedman-Weiss ,&nbsp;Stephen Niemiec ,&nbsp;Samuel M. Alaish ,&nbsp;Charbel Chidiac ,&nbsp;Mark Slidell ,&nbsp;Erica Hodgman ,&nbsp;Carolyn J. Reuland ,&nbsp;David J. Hackam ,&nbsp;Alejandro V. Garcia ,&nbsp;Isam Nasr ,&nbsp;Shaun M. Kunisaki ,&nbsp;Clint D. Cappiello ,&nbsp;Daniel S. Rhee","doi":"10.1016/j.jsurg.2025.103482","DOIUrl":"10.1016/j.jsurg.2025.103482","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To demonstrate our experience with establishing a video-based assessment conference (VBA) for rare and complex procedures in a pediatric surgery fellowship program.</div></div><div><h3>DESIGN</h3><div>We share our experience in establishing a VBA conference in our Division of Pediatric Surgery from case selection, methods of operative video recording, equipment, and editing, and the structure of how cases are presented in conference.</div></div><div><h3>SETTING</h3><div>Pediatric Surgery Fellowship at the Johns Hopkins Children's Center in Baltimore, MD.</div></div><div><h3>PARTICIPANTS</h3><div>Pediatric surgery faculty, pediatric surgery fellows, general surgery residents, medical students, and nurse practitioners at Johns Hopkins participated in the conferences. Medical students and faculty were responsible for video recording and editing.</div></div><div><h3>CONCLUSIONS</h3><div>Allowing VBA of operative cases can improve comprehensive learning in technically challenging and rare cases seen in pediatric surgery. Our paper shares one methodology of establishing a successful VBA conference.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103482"},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465380","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":"Mental Imagery as a Formal Educational Adjunct for Surgical Skills Development in Medical Students: A Scoping Review","authors":"Khang Duy Ricky Le ,&nbsp;Jessica Ferdinands ,&nbsp;Kaylah Fink","doi":"10.1016/j.jsurg.2025.103472","DOIUrl":"10.1016/j.jsurg.2025.103472","url":null,"abstract":"<div><h3>Background</h3><div>The development of surgical skills is a key component of the medical education curriculum. While simulation-based medical education approaches are increasingly adopted to facilitate skills development in a safe, standardized and realistic manner, mental imagery (MI) has been considered as an emerging approach for surgical skills development. MI is defined as the mental rehearsal of tasks without motor performance and has demonstrated effective skills development in industries such as elite sport and aviation. However, its benefit has yet to be explored and utilized in the medical school curriculum. This scoping review seeks to evaluate the current literature to characterize efficacy of MI interventions for the surgical skills development of medical students.</div></div><div><h3>Methods</h3><div>A scoping review was performed following a comprehensive search of Medline, Embase, CINAHL and Emcare databases. Articles evaluating the outcomes related to the impact of MI interventions on the development of technical and nontechnical surgical skills among medical students were included.</div></div><div><h3>Results</h3><div>MI-based programs among medical students improve certain areas of technical and nontechnical surgical skills performance such as in laparoscopic performance, fluidity and with co-benefits of improved stress management and low cost. However, inconsistencies were observed in findings across studies, with mixed results across the technical and nontechnical surgical skills assessed. This was largely attributed to significant study heterogeneity of the underlying evidence.</div></div><div><h3>Conclusions</h3><div>Despite the emerging evidence suggesting MI-based programs as an effective adjunct to the current surgical skills development, there are important limitations to the quality of the evidence. Our scoping review highlights the need for prospective research with standardized MI programs assessing surgical skills at the expected scope of competency for medical students to further characterize the utility of MI-based programs in the Accreditation Council for Graduate Medical Education (ACGME) surgical skills curriculum, particularly in areas of medical knowledge, professionalism, interpersonal and communication skills.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103472"},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465291","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":"Identifying Recent Trends in the Prevalence of International Medical Graduates Entering the Surgical Workforce in the United States","authors":"Jason Silvestre MD ,&nbsp;John W. Moore BS ,&nbsp;Mallory Williams MD ,&nbsp;Harris S. Slone MD","doi":"10.1016/j.jsurg.2025.103473","DOIUrl":"10.1016/j.jsurg.2025.103473","url":null,"abstract":"<div><h3>Objective</h3><div>The objectives of this study were to 1.) determine recent trends in the prevalence of international medical graduates (IMGs) in the US surgical workforce, and 2.) understand differences in match rates between IMGs, allopathic, and osteopathic graduates.</div></div><div><h3>Design</h3><div>Data from the American Medical Association (2008-2022) and National Resident Match Program (2018-2023) were analyzed for eight surgical subspecialties including vascular surgery, thoracic surgery, general surgery, plastic surgery, orthopedic surgery, neurosurgery, otolaryngology, obstetrics and gynecology.</div></div><div><h3>Setting</h3><div>Accreditation Council for Graduate Medical Education (ACGME)-accredited surgical residency training programs.</div></div><div><h3>Participants</h3><div>Surgical residents (2018-2023) and active surgeons (2008-2022) in the United States.</div></div><div><h3>Results</h3><div>Over the study period, the prevalence of IMGs in the US surgical workforce decreased for all surgical specialties except vascular surgery. Among surgical residents, allopathic graduates constituted the majority (82%) followed by osteopathic graduates (12%) and IMGs (6%). The annual prevalence of IMGs was highest in thoracic (10%) and general surgery (10%), and lowest in orthopedic surgery (1%). Allopathic graduates had the highest match rates followed by osteopathic graduates and then IMGs (p &lt; 0.001) across all surgical specialties. Match rates for IMGs were lowest in thoracic surgery and vascular surgery (4%) and highest in obstetrics and gynecology (12%). Most surgical residency program directors reported never or seldomly interviewing (range, 73%-100%) or ranking (range, 77%-100%) IMGs.</div></div><div><h3>Conclusions</h3><div>The prevalence of IMGs in the US surgical workforce is decreasing. IMGs have lower match rates than US allopathic and osteopathic graduates and most surgical residency programs report rarely interviewing or ranking IMGs. Strategies that support IMGs enter surgical residency training may help promote diversity and inclusion in the US surgical workforce.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103473"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465292","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 Impact of Applicant Signaling on the General Surgery Match Process: A Single Institution Experience","authors":"Peyton Murdock MD,&nbsp;Juyeon Park MD,&nbsp;Eric Heidel PhD,&nbsp;Ginger Miya-Hildebrand,&nbsp;Andrew Russ MD,&nbsp;Catherine McKnight MD,&nbsp;Tanaz Vaghaiwalla MD","doi":"10.1016/j.jsurg.2025.103476","DOIUrl":"10.1016/j.jsurg.2025.103476","url":null,"abstract":"<div><h3>Objective</h3><div>This single-institution study examined both the outcomes of signaling on the general surgery match and the perceptions of signaling by the applicants and the interviewers at an academic residency program.</div></div><div><h3>Design</h3><div>A retrospective review was performed using prospective data collected at a single institution over 2 application cycles that spanned 2022 to 2024. Applications were submitted through the Electronic Residency Application Service (ERAS). Statistical analysis was performed using Chi to square and logistic regression.</div></div><div><h3>Setting</h3><div>A tertiary academic medical center in the South.</div></div><div><h3>Participants</h3><div>Study participants were drawn from a pool of applicants in the general surgery residency program 2022 to 2024 application cycles. During this period, 2,421 candidates applied to this program and 155 (6.4%) signaled. Additionally, voluntary surveys were electronically distributed to the current and immediate past program directors, the chief residents involved in the interview process during this period, and the applicants who matched in 2024.</div></div><div><h3>Results</h3><div>Among applicants who signaled, those who were and were not interviewed exhibited no statistically significant differences in the United States Medical Licensing Exam (USMLE) Step 1 pass rate, gender, race/ethnicity, or medical school geographic region. Applicants who signaled were more likely to be interviewed, with a significantly higher interview rate, X2(1) = 187.42, p &lt; 0.001, and 8.3 times higher odds of interviewing (95% CI 5.88-11.84). These applicants were also more likely to match at the program, with a significantly higher rate of matching, X2(1) = 38.25, p &lt; 0.001, and 15.2 times higher odds of matching (95% CI 4.83-47.6). Lastly, among the applicants who signaled, multiple regression analysis was used to show that completion of a fourth-year rotation increased the odds of interviewing by 25 times (95% CI 2.73-228.44).</div></div><div><h3>Conclusion</h3><div>At this studied institution, the odds of interviewing and matching to this program were significantly higher for applicants who signaled. Multi-institutional studies are needed to validate the study findings.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103476"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465290","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":"How I Do It: Teaching and Applying Qualitative Methods to Improve Surgical Simulation Design and Implementation","authors":"Lou Clark PhD, MFA ,&nbsp;Lauren Weaver MD ,&nbsp;Eugene Floersch MPH ,&nbsp;Mojca Remskar MD, PhD ,&nbsp;Melissa Brunsvold MD ,&nbsp;Anne Woll MS","doi":"10.1016/j.jsurg.2025.103481","DOIUrl":"10.1016/j.jsurg.2025.103481","url":null,"abstract":"<div><h3>Objective</h3><div>To propose a simulation-based learning curriculum for trainees to comprehend and apply qualitative methodology.</div></div><div><h3>Design</h3><div>After learning theoretical principles of qualitative methodology through assigned readings and meetings with an expert, a surgical simulation fellow practiced applying grounded theory principles to evaluate a piloted simulation curriculum teaching surgery residents de-escalation communication skills. The simulation consisted of a “just-in-time” de-escalation training, 2 simulated patient (SP) encounters, and 2 learner debrief sessions. All components were video recorded, then transcribed. The first authors performed first and second level coding yielding thematic data.</div></div><div><h3>Setting</h3><div>Single academic institution</div></div><div><h3>Participants</h3><div>One surgical simulation fellow.</div></div><div><h3>Results</h3><div>About 3 themes emerged describing key aspects of the pilot simulation. The first, <em>Escalation Spirals and SP case portrayal,</em> consisted of the SP assuming the role of an agitated patient, as trained, with escalating and de-escalating emotions based on learner interactions. The second theme, <em>Safety Codes,</em> identified critical safety issues in the simulation. Lastly, <em>Rule Confusion</em> included the learner not understanding simulation logistics. These themes informed the team of what to keep and change for the next simulation pilot of the de-escalation curriculum.</div></div><div><h3>Conclusions</h3><div>Teaching qualitative methods in a practice-based learning format is feasible and has simultaneous potential to improve educational content and safety simulation-based curricula.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103481"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455041","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":"Impact of Interview Modality on Gender Disparities in Plastic and Reconstructive Surgery Residency Match Success","authors":"Anya Wang BA ,&nbsp;Nargiz Seyidova MD, MHQS ,&nbsp;Olachi Oleru MD ,&nbsp;Peter J. Taub MD, MS","doi":"10.1016/j.jsurg.2025.103464","DOIUrl":"10.1016/j.jsurg.2025.103464","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;INTRODUCTION&lt;/h3&gt;&lt;div&gt;The transition from in-person to virtual visits during the COVID-19 pandemic transformed the residency application process. Recognizing the gradual return to in-person interviews and the historical presence of gender disparities within medical fields, the present study sought to evaluate how interview modality influences the success rates of applicants to Plastic and Reconstructive Surgery (PRS) residency programs, with a focus on gender and applicant characteristics.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;METHODS&lt;/h3&gt;&lt;div&gt;Data on PRS residency applicants to a single integrated Plastic and Reconstructive Surgery program from 2017 to 2021 (4 application cycles) were obtained from the Electronic Residency Application Service (ERAS), National Residency Matching Program databases, and public online sources. The dataset included demographics (gender, race, orphan status), academic and professional qualifications (research year participation, Alpha Omega Alpha [AOA] and Gold Humanism Honor Society [GHHS] memberships, USMLE Step 1 and 2 scores, reapplicant status, type of medical graduate, additional degrees), interview modality (virtual or in-person), and match results. Specifically, interviews in the 2017/18, 2018/19, and 2019/20 cycles were in-person and those that took place in the 2020/21 application cycle were virtual. Data analysis included univariate regression with chi-squared test and multivariate logistic regression to assess the impact of virtual interviews on match success across genders and other factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;RESULTS&lt;/h3&gt;&lt;div&gt;A total of 1298 applicants (573 females, 724 males, 1 uncategorized) were included in the analysis; 985 (75.9%) underwent in-person interviews, and 313 (24.1%) had virtual interviews. There was a predominance of males with in-person interviews (58.2%) and females with virtual interviews (51.4%) (p = 0.002). The overall match success rate was 63.5%, with virtual interviews having a lower match rate (56.9%) compared to in-person (65.5%) (p = 0.004). Gender analysis revealed that female applicants had a higher overall match rate (67.2%) than males (60.5%) (p = 0.008). Notably, females had 37.9% higher odds of matching compared to males (p = 0.006). Specifically, the majority of applicants who successfully matched with in-person interviews were male (56.3%), and the majority of those who matched with virtual interviews were female (57.9%) (p = 0.001). Gender was not a significant determinant in match rates when considering other characteristics (p = 0.213). Race played a crucial role (p = 0.011), with Asian, Hispanic, and other race categories associated with overall lower match success (p = 0.004, p = 0.049, p = 0.045). Participation in a research year was positively correlated with match success (p &lt; 0.001). Being a previous graduate at the time of application (as opposed to being a senior medical student at the time of application) had a negative correlation (p &lt; 0.001). Reapplicant st","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103464"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437798","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 Surgical Education Checklist: A Novel Tool to Improve the Use of Entrustable Professional Activities in Operative Training in Competence by Design","authors":"Yung Lee MD, MPH ,&nbsp;Jigish Khamar MD ,&nbsp;Yasith Samarasinghe BHSc ,&nbsp;Tyler McKechnie MD, MSc ,&nbsp;Bradley Petrisor MD ,&nbsp;Ilun Yang MD, MMEd","doi":"10.1016/j.jsurg.2025.103470","DOIUrl":"10.1016/j.jsurg.2025.103470","url":null,"abstract":"<div><h3>Objective</h3><div>Surgical residents face significant challenges in meeting Entrustable Professional Activity (EPA) assessment requirements under the Competence By Design (CBD) framework, potentially impacting their surgical training and readiness for practice. This study seeks to assess the effectiveness of the Surgical Education Checklist (SEC) in increasing the proportion of completed EPA assessments within the Division of General Surgery.</div></div><div><h3>Design</h3><div>This prospective cohort study implemented the SEC between January 1, 2023, and June 30, 2023. A pre and postchecklist survey collected experiences with the SEC and overall CBD framework. The primary outcome was the proportion of completed EPA assessments. Descriptive statistics were reported and subgroup analyses were performed based on resident postgraduate year (PGY).</div></div><div><h3>Setting</h3><div>About 5 tertiary academic-affiliated teaching hospitals with McMaster University (Hamilton, Ontario)</div></div><div><h3>Participants</h3><div>All general surgery residents and staff faculty were invited to utilize the survey, with an approximate sample size of 71 participants. The overall response rate was 34 (47.9%) for the prechecklist survey and 11 (15.5%) for the postchecklist survey.</div></div><div><h3>Results</h3><div>The number of EPA assessments triggered increased from 485 to 639, with a significant increase in the absolute number of EPA assessments completed (400 vs 477, p &lt; 0.01). There was an increase in the proportion of expired assessments (85 [17.5%] vs 162 [25.4%], p &lt; 0.01) after the implementation of the SEC. In the subgroup analysis based on resident PGY, PGY1 to 3 general surgery residents triggered significantly more EPA assessments after the implementation of the SEC.</div></div><div><h3>Conclusions</h3><div>The SEC demonstrated its effectiveness as a perioperative prompt for triggering EPA assessments, particularly amongst junior general surgery residents, indicating its potential to facilitate early engagement with essential surgical training tasks. However, there remains gaps in follow-through and completion of triggered EPA assessments.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103470"},"PeriodicalIF":2.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420138","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}