Journal of Surgical Education最新文献

{"title":"Promoting Resident Education Priorities With an Acute Care Surgery Service Dashboard","authors":"Karen Trang MD ,&nbsp;Logan Pierce MD ,&nbsp;Elizabeth C. Wick MD ,&nbsp;Lan Vu MD ,&nbsp;Rochelle Dicker MD ,&nbsp;Marissa A. Boeck MD ,&nbsp;Kent Garber MD ,&nbsp;Kenzo Hirose MD","doi":"10.1016/j.jsurg.2024.103342","DOIUrl":"10.1016/j.jsurg.2024.103342","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To advance surgical education priorities by using electronic health record (EHR) reporting and data visualization on an Acute Care Surgery (ACS).</div></div><div><h3>DESIGN</h3><div>Operational data from the EHR for the ACS service was displayed on an ACS dashboard using Tableau software. This data included new ACS consults (reason for consult, consult note author - attending surgeon and resident) and operations generated by those consults (type of operation, primary attending surgeon, and assisting resident). All surgeons on the service were included on the dashboard. In collaboration with service and educational leaders, the dashboard was used to address two deficiencies. First, to reduce the administrative burden for residents on ACS service, the new dashboard replaced manually generated weekly consult and operative case lists. Second, as a part of a pilot program to enable faculty assessment of residents’ Entrustable Professional Activities (EPAs) regarding pre-operative evaluation of acute surgical conditions, all faculty on the ACS service had access to the dashboard and received weekly reminders at the end of their service week. To assess the impact of the dashboard on these two education outcomes, resident surveys were used to determine average time spent on weekly consult and operative lists, and the number of EPA assessments completed were compared before, during, and after the pilot program.</div></div><div><h3>SETTING</h3><div>Academic quaternary care hospital with a general surgery residency program comprising 50 clinically active residents.</div></div><div><h3>PARTICIPANTS</h3><div>Residents and faculty who rotated on the ACS service during the study period.</div></div><div><h3>RESULTS</h3><div>The dashboard was made available to all faculty on the ACS service and automatically emailed on Saturdays. The dashboard reduced weekly resident administrative work by an average of 60 (range 30-360) minutes per week by obviating the need for manual list creation. Completed perioperative/nonoperative EPA assessments increased from zero to 5.3/month during the pilot period and continued at 2.3/month in the 3 months after the pilot ended.</div></div><div><h3>CONCLUSION</h3><div>The ACS dashboard reduced resident workload and enhanced EPA assessment. More opportunities to align resident education with EHR operational tools are likely if surgical education specialists collaborate with healthcare system and/or informatics leadership. When possible, advances in healthcare system technology should also be designed to promote training and education.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103342"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792928","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":"Availability of Lactation Policies and Facilities for ACGME-Accredited Surgical Residency Training Programs","authors":"Marissa D. Kruk BS ,&nbsp;Megan D. Malueg BS ,&nbsp;Kenneth V. Snyder MD, PhD ,&nbsp;Renée M. Reynolds MD","doi":"10.1016/j.jsurg.2024.103398","DOIUrl":"10.1016/j.jsurg.2024.103398","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>We aimed to investigate availability of lactation policy and facility information among surgical residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME).</div></div><div><h3>DESIGN</h3><div>Between March 1, 2023 and October 31, 2023, websites of surgical residency training programs on the ACGME Accreditation System List of Programs by Specialty were reviewed for department lactation policies, links to institutional graduate medical education (GME) websites with lactation policies, lists of lactation facilities, and links to institutional GME websites listing lactation facilities. Scatter plots were generated and Pearson correlation coefficients were calculated to assess relationships of the percentages of female residents, fellows, and faculty in each surgical specialty with the percentage of residency program websites with available lactation information.</div></div><div><h3>RESULTS</h3><div>In total, 1847 websites were reviewed. Seventeen (0.9%) had lactation policies, 31 (1.7%) had lists of lactation facilities, 231 (12.5%) had links to institutional websites with lactation policies, and 295 (16.%) had links to institutional websites with lists of lactation facilities. The percentage of female residents and fellows and percentage of female faculty were positively correlated with the percentage of residency program websites with available lactation information.</div></div><div><h3>CONCLUSION</h3><div>Limited information on lactation policies and facilities is available to surgical residents.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103398"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901388","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":"True Grit: The Tale of American Integrated Plastic Surgery Residency Applicants","authors":"Charalampos Siotos MD, PhD ,&nbsp;John A. Toms III BS, MS ,&nbsp;Michelle Y. Seu MD ,&nbsp;Jubril Adepoju BS ,&nbsp;Daniel Najafali BS ,&nbsp;Ethan M. Ritz MS ,&nbsp;Deana S. Shenaq MD ,&nbsp;Keith C. Hood MD ,&nbsp;David E. Kurlander MD","doi":"10.1016/j.jsurg.2024.103371","DOIUrl":"10.1016/j.jsurg.2024.103371","url":null,"abstract":"<div><h3>INTRODUCTION</h3><div>Selecting candidates for plastic and reconstructive surgery (PRS) residency is complex, involving academic metrics and intrinsic personal qualities. “Grit”—perseverance and passion for long-term goals may be one of these valued qualities. This study investigates how grit scores relate to securing a PRS residency, hypothesizing that higher grit correlates with greater matching success.</div></div><div><h3>METHODS</h3><div>After match day, an email survey was distributed to all the applicants of Rush University Medical Center's integrated PRS program during the academic years 2021-2022 and 2022-2023. This survey included items regarding match results and a validated grit questionnaire. We calculated baseline differences among the study participants. Correlation between grit score, academic achievements, and match was performed with univariate analyses using the Spearman correlation for continuous variables and the Wilcoxon rank sum test.</div></div><div><h3>RESULTS</h3><div>The program received 616 applications, of which 132 (21%) responded to the grit survey. Among the responders, 97 (74%) reported matching into PRS, versus 35 (27%) who did not. After adjusting for multiple confounders, higher grit score was found to be associated with significantly lower odds of matching into PRS residency (OR 0.13, p-value 0.03). Higher Step 1 and 2 CK scores, number of publications, and female gender were associated with greater odds of matching.</div></div><div><h3>CONCLUSION</h3><div>Our study did not identify any association between higher grit and matching successfully in PRS. After adjusting for confounders, we observed significantly higher grit scores among applicants who did not match into PRS, which may be related to the psychological phenomenon of increased perseverance as people reflect on their perceived failures.</div></div><div><h3>LEVEL OF EVIDENCE</h3><div>IV (Cross-sectional study)</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103371"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911375","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":"Biotissue Curriculum Translates to Performance in the Operating Room for Gastrojejunostomy and Hepaticojejunostomy in Robotic Pancreaticoduodenectomy","authors":"Jasmine D. Kraftician BS ,&nbsp;Kristine Kuchta MS ,&nbsp;Mazen S. Zenati MD, PhD ,&nbsp;Sarah B. Hays MD ,&nbsp;Samer AlMasri MD ,&nbsp;Hussein H. Khachfe MD ,&nbsp;Maya Maalouf MS ,&nbsp;Annissa Desilva BS ,&nbsp;Abdulrahman Y. Hammad MD ,&nbsp;Alessandro Paniccia MD ,&nbsp;Kenneth K. Lee MD ,&nbsp;Herbert J. Zeh MD ,&nbsp;Amer H. Zureikat MD ,&nbsp;Melissa E. Hogg MD","doi":"10.1016/j.jsurg.2024.103395","DOIUrl":"10.1016/j.jsurg.2024.103395","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Robotic simulation training curricula aim to aid surgeons in attaining robotic operating room proficiency, but the crossover success remains to be examined.</div></div><div><h3>DESIGN</h3><div>A retrospective cohort study grading robotic biotissue training models and intraoperative anastomotic videos. The curriculum included deliberate practice of inanimate drills of a hepaticojejunostomy (HJ) and gastrojejunostomy (GJ). Videos were blindly reviewed, and performance was evaluated by time, errors, and Objective Structured Assessment of Technical Skills (OSATS). Spearman's correlation coefficients (ρ) were calculated for prior experience, biotissue performance, and intraoperative performance.</div></div><div><h3>SETTING</h3><div>University of Pittsburgh Medical Center from 2014 to 2018.</div></div><div><h3>PARTICIPANTS</h3><div>Thirty-one surgical oncology fellows participated in the 5-step proficiency-based robotic training curriculum for robotic pancreaticoduodenectomy.</div></div><div><h3>RESULTS</h3><div>Fellows completed an average of 5.1 ± 3.7 HJ and 4.3 ± 3.3 GJ on biotissue. More practice on biotissue correlated with greater improvement on both times to complete an anastomosis (ρ = −0.51) and errors (ρ = −0.45). Average errors on biotissue GJ and longer time on the last attempt correlated with lower average intraoperative GJ OSATS (ρ = −0.64; ρ = −0.66). More errors on the last biotissue GJ correlated with longer average intraoperative GJ time (ρ = 0.58). Errors on the first and average biotissue HJ errors correlated with lower OSATS for the intraoperative HJ (ρ = −0.74; ρ = −0.80).</div></div><div><h3>CONCLUSIONS</h3><div>Performance on biotissue correlated with intraoperative performance. Results suggest the importance deliberate practice to achieve surgical proficiency.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103395"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901409","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":"Aching for Change: Musculoskeletal Pain in the Operating Theatre Amongst Surgical Trainees","authors":"Robert Bickerton MBChB ,&nbsp;Giles Goatly MBChB ,&nbsp;Ginny Bowbrick MBBS","doi":"10.1016/j.jsurg.2024.103405","DOIUrl":"10.1016/j.jsurg.2024.103405","url":null,"abstract":"<div><h3>Objectives</h3><div>Work-related injuries are common among surgeons with up to 70 % being found to report difficulties. Given the extension expected to career longevity for current trainees, injury prevention is more important than ever. However, ergonomics education for surgical trainees in the UK is deficient. We aimed to gauge whether current trainees in Kent, Surrey and Sussex (KSS) experience pain whilst operating and what strategies, if any, they utilise.</div></div><div><h3>Design, setting and participants</h3><div>A questionnaire was distributed to trainees in the KSS School of Surgery collecting data on pain related to operating and pain management strategies. Participants discussed their experiences of operating-related pain in a focus group.</div></div><div><h3>Results</h3><div>75 trainees across the KSS region responded. Mean age was 32 years (range 26-42) and median training level was ST4. General surgery (<em>n</em> = 22), orthopaedics (<em>n</em> = 19) and urology (<em>n</em> = 13) were the most prevalent specialties. All trainees reported musculoskeletal pain attributed to operating, with 36 % (<em>n</em> = 27) experiencing pain “frequently” or “always”. 69 % (<em>n</em> = 52) found this pain “sometimes”, “frequently” or “always” distracted them whilst operating. The most common sites for pain were the lower back (73 %), neck (49.3 %), upper back (38.7 %) and shoulders (37.3 %). No participants had received formal ergonomics training and the majority (86.7 %) had not discussed pain with their supervisors. The focus group identified a culture of enduring pain without complaint and a reluctance to discuss it with mentors.</div></div><div><h3>Conclusions</h3><div>Musculoskeletal pain from operating was found to be a common issue in this cohort with the majority reporting distraction while operating. Ergonomics is not currently addressed by any formal training programmes and we have recommended a regional training initiative for trainees in KSS to address and prevent musculoskeletal injuries.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103405"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911295","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":"Trends in Minority Representation Among Independent Plastic Surgery Match Applicants: An Analysis of 1000 Applicants Over an 11-Year Period","authors":"Maria J. Escobar-Domingo MD,&nbsp;Benjamin Rahmani MS,&nbsp;James E. Fanning BS,&nbsp;Angelica Hernandez Alvarez MD,&nbsp;Helen Xun MD,&nbsp;Iulianna C. Taritsa BA,&nbsp;Daniela Lee BS,&nbsp;Jose Foppiani MD,&nbsp;Samuel J. Lin MD, MBA,&nbsp;Bernard T. Lee MD, MBA, MPH","doi":"10.1016/j.jsurg.2024.103388","DOIUrl":"10.1016/j.jsurg.2024.103388","url":null,"abstract":"<div><h3>Background</h3><div>Improving diversity within plastic and reconstructive surgery (PRS) trainees is a crucial step to reduce inequities at the provider level. Trends in minority representation among independent program match applicants are understudied. We analyzed gender, racial, and ethnic demographic trends among independent PRS match applicants.</div></div><div><h3>Methods</h3><div>With the approval of the American Council of Educators in Plastic Surgery, the San Francisco Match provided data for the independent PRS match from 2013 to 2023. Trends in the independent PRS match were reviewed, and a Cochran–Armitage test was conducted to evaluate the significance of match trends in minority applicants (Female, Black, Asian, Other Race, Hispanic ethnicity) over time.</div></div><div><h3>Results</h3><div>A total of 1000 applicants participated in the independent plastic surgery match during the study period, of whom 735 matched. A 31% decrease in the number of independent PRS programs was observed. The match rate decreased from 86% to 60%. Statistical analysis by race (White, Black, Asian, Other) and match outcomes revealed significant differences in racial distributions between applicants and matched participants in 2014 (p = 0.002) and 2018 (p = 0.042). The proportion of female applicants and Hispanic applicants correlated yearly to the number of matched females and Hispanics, respectively (p &gt; 0.05). Cochran–Armitage tests showed a significant increase in match trends among female participants over time (p = 0.004).</div></div><div><h3>Conclusions</h3><div>We show a significant increase in female representation in the independent PRS match in the last decade. However, representation of racial and ethnic minorities has shown minimal change over the years. Ongoing efforts are needed to identify barriers and reduce inequities.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103388"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901481","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":"Does Your Gender Impact Resident Operative Experience? A Multi- Institutional Qualitative Study","authors":"Polina Zmijewski MD, MA ,&nbsp;Carla Aleman ,&nbsp;Nicole Panzica BS ,&nbsp;Ramsha Akhund MD ,&nbsp;Brenessa Lindeman MD, MEHP ,&nbsp;Herbert Chen MD ,&nbsp;Kenneth Lynch PhD ,&nbsp;Alexander R. Cortez MD ,&nbsp;Jessica Fazendin MD","doi":"10.1016/j.jsurg.2024.103368","DOIUrl":"10.1016/j.jsurg.2024.103368","url":null,"abstract":"<div><h3>INTRODUCTION</h3><div>Recent quantitative data found that female surgical residents perform on average 37 fewer cases during their training than their male counterparts, which is equivalent to 1 to 3 months of operative experience. To further understand reasons for these observations, we performed focus groups among female general surgery residents.</div></div><div><h3>METHODS</h3><div>Twenty- five participants from all PGY levels at 21 programs were recruited. Nine focus groups of 1 hour in length were held virtually and proctored by 3 facilitators. Each group had 1 to 4 female participants. Participants were asked questions on themes of disparities in operative experience, barriers, and avenues for improvement. Sessions were transcribed and coded for themes by 3 independent reviewers. Consensus with themes was reached between reviewers and a unified codebook was created.</div></div><div><h3>RESULTS</h3><div>When asked how gender influenced their operative experience, residents commonly responded with themes of “microaggressions” such as hospitals not carrying their glove size, OR staff being reluctant to answer pages, feeling pressure to have more formal rather than informal communication with attending staff, and having to balance assertiveness/ confidence with being perceived negatively by others. When asked what barriers kept them out of the OR, female residents often responded that expectations (both internal and external) to complete all floor work prior to seeking operative experience was a significant barrier. They felt that this focus on administrative/floor task completion was disproportionately shouldered by females relative to their male peers. Other barriers included perceived lack of respect from attendings and OR staff leading to shying away from experiences, and feeling a reluctance to “claim space” in the operating room. Concerns surrounding pregnancy related discrimination, lack of support for fertility treatment, and poor lactation support/ resources were also expressed. Improvements suggested by female trainees included: increased faculty diversity, increased structured mentorship, standardization of case selection/ assignment, and setting of goals and expectations for autonomy.</div></div><div><h3>CONCLUSIONS</h3><div>We conclude that deleterious gender dominant cultural norms continue to exist in surgical residency training, and affect the operative experience of female residents. Equity education, setting clear expectations to attendings and house staff, and providing structured mentorship may represent solutions to remediate disparities in residency education.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103368"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879173","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":"Implementing Mental Practice in Postgraduate Surgical Training for Minimally Invasive Surgery: A Systematic Review and Thematic Analysis","authors":"Paul Zhaobo Liu BMedSci, MBChB, PGCert, MRCS(ENT), FHEA ,&nbsp;Yousef Ibrahim BSc, MBBCh, MRCS(ENT)","doi":"10.1016/j.jsurg.2024.103408","DOIUrl":"10.1016/j.jsurg.2024.103408","url":null,"abstract":"<div><h3>Background</h3><div>Unprecedented pressure on the National Health Service (NHS) has meant that there are increasing obstacles to surgical training. Simulation training is an option to improve surgical performance but is limited due to availability, accessibility and financial constraints. Mental practice (MP) has been proposed as a potential solution to supplement the traditional method of apprenticeship-style learning. Despite increasing evidence that MP may be a useful tool to improve surgical performance and reduce surgeon anxiety, it is not widely adopted. This systematic review and thematic analysis aims to identify key themes that would allow for the successful implementation of MP in postgraduate surgical training.</div></div><div><h3>Methods</h3><div>Medline, Embase and PsycINFO databases were systematically searched to identify articles that investigate the role of MP in improving surgical performance amongst surgical trainees. Retrieved papers were studied to inform thematic analysis of their content and studies were assessed for bias.</div></div><div><h3>Results</h3><div>A total of 321 studies were retrieved, of which 11 met the inclusion criteria. Overall risk of bias was assessed to be between critical and moderate for seven nonrandomized studies and between fair and good for four randomized studies. Key themes were identified and discussed using a thematic analysis approach.</div></div><div><h3>Conclusion</h3><div>This study has identified that attaining high quality mental imagery is fundamental to success in mental practice and this can be augmented by the use of relaxation therapy and/or motivational imagery. Future research should focus on the application of MP in real-world surgical practice and breaking down complex procedures into fewer operative steps.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103408"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911371","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":"Empowering Futures: The Impact of Surgical Research Pipeline Programs on Undergraduate Career Development","authors":"Ashba Allahwasaya MD ,&nbsp;Ramsha Akhund MD ,&nbsp;Polina Zmijewski MD ,&nbsp;Kristi Herritz BS ,&nbsp;Herbert Chen MD ,&nbsp;Colin Martin MD ,&nbsp;Karin Hardiman MD ,&nbsp;Rachel Lancaster MD ,&nbsp;Andrea Gillis MD","doi":"10.1016/j.jsurg.2024.103393","DOIUrl":"10.1016/j.jsurg.2024.103393","url":null,"abstract":"<div><h3>PURPOSE</h3><div>Surgical research pipeline programs provide a unique insight into academic surgery, offering a distinctive opportunity for aspiring future surgeons and medical professionals to identify suitable mentorship. The objective of this study was to determine the impact of an academic summer research, shadowing, and mentorship program on undergraduate students with interest in the fields of medicine and surgery.</div></div><div><h3>METHODS</h3><div>We conducted a convergent mixed methods study on undergraduate students who participated in the Surgery Undergraduate Research Experience (SURE) program from 2017 to 2022, excluding the 2020 cohort as their experience was highly impacted by COVID-19. SURE, program connected academic surgeons with students interested in medicine, involving them in research, lectures, and clinical shadowing. Students completed questionnaires and participated in semi-structured focus group interviews to assess the program's impact on their career goals.</div></div><div><h3>RESULTS</h3><div>Twenty-five undergraduate students completed the self-administered survey with a response rate of 51.0% and 5 participated in the focus group interviews. Among the participants, 12 (48.0%) students were currently enrolled in medical school, while an equal proportion had taken their Medical College Admission Test (MCAT) and were in the process of applying to medical school. 88.0% believed that their involvement in the program significantly increased their interest in academic surgery and empowered them to pursue a career in medicine. 84.0% reported that the program helped them find the right mentorship and guidance, while 80.0% reported increased proficiency in research skills. These quantitative findings were further substantiated by qualitative data obtained through focus group interviews. From these interviews, 4 noticeable emergent themes highlighted by the participants included the significance of right mentorship, a deeper understanding of healthcare and surgical career paths, increased research literacy, and career development.</div></div><div><h3>CONCLUSION</h3><div>Early exposure to surgical practices and mentorship significantly enhanced the enthusiasm of undergraduate students toward a surgical career while expanding their comprehension of surgical professions. Investing in such pipeline programs can exert a positive influence on undergraduate students' perceptions of surgical careers, thereby creating new avenues of opportunity for them.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103393"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916713","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":"Does Learner Communication Behavior Change Based on Context? Observations of Surgical Residents Across Clinical Rotations","authors":"Lauren DeCaporale-Ryan,&nbsp;Holly Weldon,&nbsp;Rabih Salloum,&nbsp;Yanjie Qi,&nbsp;Susan McDaniel","doi":"10.1016/j.jsurg.2024.103373","DOIUrl":"10.1016/j.jsurg.2024.103373","url":null,"abstract":"<div><h3>Objective</h3><div>As surgical residency programs begin developing communication skills-specific training curricula, it is important to understand those skills required of surgeons in the many settings in which they work. It is also useful to observe the skills that residents already demonstrate, as well as those skills that need further development. This study evaluated surgical residents' communication behaviors across different services to understand how the clinical learning environment influences their approach to surgeon-patient interactions.</div></div><div><h3>Design and Setting</h3><div>Our communication coaching program used standardized observation and coding to evaluate residents’ communication on pediatric surgery, community general surgery, and trauma/acute care surgery services.</div></div><div><h3>Participants</h3><div>Twenty-four senior residents were observed interacting with patients and families on morning rounds in each of 3 settings.</div></div><div><h3>Results</h3><div>A total of 373 patient-resident interactions were observed. Behaviors like introducing the team, showing courtesy and respect, and sharing next steps were consistent across settings. However, different patterns emerged when evaluating 15 skills: effective communication behaviors occurred at the highest rates in pediatrics, followed by community surgery, and lowest in trauma. Most communication behaviors varied significantly between settings, underscoring the need to understand effective communication in each context to support learner development accordingly.</div></div><div><h3>Conclusions</h3><div>Communication skills varied significantly among the same surgical residents across different settings. The findings highlight the importance of supporting learners in adapting fundamental aspects of effective communication in various clinical environments. Modern surgical training can benefit from increased focus on communication skills across learning environments, using 1:1 communication coaching that emphasizes existing strengths, and tailoring communication skills to particular settings.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103373"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848716","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}