Journal of Surgical Education最新文献

{"title":"An Eye on Childbearing, Fertility, and Lactation Experiences: A Survey of Canadian Ophthalmologists and Trainees","authors":"Gayathri K. Sivakumar MD, MSc ,&nbsp;Daiana R. Pur MSc ,&nbsp;Lulu L.C.D. Bursztyn MD, FRCSC","doi":"10.1016/j.jsurg.2024.09.005","DOIUrl":"10.1016/j.jsurg.2024.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize the experiences of childbearing, fertility, and lactation among Canadian ophthalmologists and trainees.</div></div><div><h3>Design</h3><div>Online, cross-sectional survey.</div></div><div><h3>Methods</h3><div>A survey was distributed to Canadian ophthalmologists and trainees between April and August 2022. Likert-type scales were used to measure respondents' agreement with each survey item. Fisher's exact test was used to identify significant differences based on gender.</div></div><div><h3>Results</h3><div>Data were obtained from a total of 137 survey respondents (46% females). Women more than men reported that training and clinical practice influenced the number of children they chose to have (p = 0.002), as well as their ability to conceive (p &lt; 0.001). Compared to their male counterparts, more women had concerns about future fertility (p = 0.040) and parental leave (p = 0.037). Among factors affecting parental leave, pressure from colleagues (p = 0.046) and difficulty finding coverage for clinical practice (p = 0.022) were statistically significant among women more than men. More women reported taking parental leave during medical school, residency, and clinical practice than men (p &lt; 0.001). Childbearing (p = 0.005) and parental leave (p = 0.031) influenced pursuit of leadership roles and opportunities for career advancement among women more than men. Of those with lactation experiences, one-third of women felt they did not have adequate space or storage to facilitate their breastfeeding goals in the workplace.</div></div><div><h3>Conclusions</h3><div>Over the span of their careers, female ophthalmologists and trainees face unparalleled challenges related to childbearing and parenthood duties, coping with infertility and obstetric risks, stigma, inadequate parental leaves, and poor supports for lactation and childcare, while balancing their career demands and aspirations. Garnering an understanding of gender inequities is essential to promote work-family integration within the surgical culture and address the systemic and structural barriers which impose a glass ceiling for female surgeons.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 12","pages":"Article 103286"},"PeriodicalIF":2.6,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378746","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":"Development and Assessment of a Deceased Donor Organ Recovery Workshop for Surgical Fellows","authors":"Shilpa Balaji MSc ,&nbsp;Prachikumari Patel MBBS, MSc ,&nbsp;Hala Muaddi MD, PhD ,&nbsp;Taylor M. Coe MD ,&nbsp;Irfan Ahmer MBChB ,&nbsp;Karolina Gaebe BM ,&nbsp;Carla Andrea Luzzi MD ,&nbsp;Aileigh Kay MS ,&nbsp;Nadia Rukavina MS ,&nbsp;Markus Selzner MD, MBA ,&nbsp;Trevor William Reichman MD, PhD ,&nbsp;Chaya Shwaartz MD","doi":"10.1016/j.jsurg.2024.08.023","DOIUrl":"10.1016/j.jsurg.2024.08.023","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To assess the impact of a deceased donor organ procurement training workshop on the transplant fellow's confidence and proficiency in organ recovery. This pilot workshop was designed to address the current gap in the transplant fellow's training in North America.</div></div><div><h3>DESIGN</h3><div>Participants’ confidence and competence in deceased donor organ recovery were assessed pre- and postworkshop (immediate, 1- and 6-month) using a survey questionnaire. Participants’ responses were compared using T-test and Wilcoxon tests before and after the workshop.</div></div><div><h3>PARTICIPANTS</h3><div>The hepatopancreatobiliary-transplant fellows from the University of Toronto participated in the workshop.</div></div><div><h3>RESULTS</h3><div>Seven fellows participated, with 57% reported very limited exposure to deceased donor operations in the past year. Fellows’ confidence improved significantly immediately postworkshop (69% vs. 85%, p = &lt;0.05), persisting at 1 month (86%, p = &lt;0.05) and 6 months (91%, p = &lt;0.05). Competence scores also demonstrated improvement postworkshop (88% vs. 78%, p = 0.3), remaining constant at 1 month (88%, p = 0.18), and further increasing at 6 months (92%, p = 0.19).</div></div><div><h3>CONCLUSION</h3><div>This pilot study represents a notable step as the first workshop tailored for transplant fellows in Canada, demonstrating sustained improvement in both confidence and competence for deceased donor organ procurements. The study is limited by results from a single center and small sample size, impacting the generalizability of findings. However, the workshop addresses variability in transplant fellows' exposure and confidence levels, emphasizing the importance of structured training in organ procurement to enhance skills and readiness for real-time procedures.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 12","pages":"Article 103273"},"PeriodicalIF":2.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376428","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":"Not From Around Here: Evaluation of In-Person Interviews in an Urban General Surgery Residency Program","authors":"Daniel Castellanos MD ,&nbsp;Cassie Eno PhD","doi":"10.1016/j.jsurg.2024.09.002","DOIUrl":"10.1016/j.jsurg.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study used a program evaluation approach to investigate the perceptions of utilizing in-person applicant interviews for a general surgery residency program.</div></div><div><h3>Design</h3><div>The study utilized de-identified data routinely collected during the residency program applicant interviews in the General Surgery Residency Program during the fall of 2023. Applicant and faculty/resident exit interview questionnaires were developed to evaluate perceptions of in-person interviewing; the questions were informed by domains for considering the appropriateness and feasibility of continuing in-person interviews as identified by the institution's Graduate Medical Education Committee. Applicants completed the survey at the end of their interview day; faculty and resident interviewers completed the survey following the applicant rank meeting.</div></div><div><h3>Setting</h3><div>The Sponsoring Institution approved a pilot transition from virtual to in-person interviews for the General Surgery Residency Program 2023 recruitment cycle. Surveys were completed electronically.</div></div><div><h3>Participants</h3><div>Sixty-four applicants were interviewed and requested to complete the exit survey. The survey was completed by 55 (Response rate = 86%) program applicants and eight (Response rate = 100%) faculty and residents in the program.</div></div><div><h3>Results</h3><div>49.1% of applicants indicated a preference for in-person interviews, 40.0% of applicants indicated a preference to choose and only 10.9% indicated a preference for virtual interviews<em>.</em> Applicants from out-of-state had a significantly higher preference for in-person interviews than those from in-state. Applicants and faculty interviewers perceived in-person interviews to provide a strong assessment of applicants. Applicants from out-of-state had a significantly higher confidence in their ability to demonstrate their strength and assess fit than those from in-state.</div></div><div><h3>Conclusions</h3><div>While most applicants and faculty interviewers were generally comfortable with an in-person interviewing format, applicants from out-of-state had a particularly high preference for and perception of in-person interviews. General surgery residency programs and sponsoring institutions would benefit from the development of a comprehensive program evaluation strategies for their residency program interviews to make evidence-informed decisions about how best to structure interviews for their programs.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 12","pages":"Article 103283"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368073","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":"Advancing Cultural Competency and Equity in Surgical Specialties (ACCESS): A Model for a Combined Resident and Faculty DEI Initiative","authors":"Priyanka V. Chugh MD, MS,&nbsp;Ashlee N. Seldomridge MD,&nbsp;Louis Kester MD,&nbsp;Gordana Rasic MD, MS,&nbsp;Sheina Theodore MD,&nbsp;Sabrina E. Sanchez MD, MPH,&nbsp;Tracey Dechert MD,&nbsp;Christopher S. Digesu MD","doi":"10.1016/j.jsurg.2024.09.006","DOIUrl":"10.1016/j.jsurg.2024.09.006","url":null,"abstract":"<div><h3>BACKGROUND</h3><div>Committees dedicated to diversity, equity, and inclusion (DEI) are not commonplace within departments of surgery. Even rarer are joint initiatives for residents and faculty. We aim to describe the creation of a collaborative committee within a department of surgery to better foster and advance the ideals of DEI.</div></div><div><h3>METHODS</h3><div>An informal needs-assessment was performed amongst the general surgery residency, advanced practice practitioners, and faculty. Other DEI groups throughout the institution were engaged for feedback and interdisciplinary collaboration.</div></div><div><h3>RESULTS</h3><div>Gaps were identified in social support for those from diverse backgrounds, advocacy and recruitment, general DEI education, and research. Three pillars were formed: Social Support, Education and Advocacy, and Research. The overall group and each pillar are co-led by residents and faculty. In less than a year, the group has launched a cultural complications morbidity and mortality curriculum, hosted the first city-wide LGTBQ+ in surgery event, created a safe space for discussion and support, and advocated for recruitment DEI initiatives. So far, the group consists of 48 residents, faculty, advanced practice practitioners, and staff.</div></div><div><h3>CONCLUSIONS</h3><div>An intentional, collaborative effort between residents and faculty in a department of surgery can successfully result in an effective partnership to advance DEI initiatives.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 12","pages":"Article 103287"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368071","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":"Self-Assessment and Coaching Techniques Utilized in an Intraoperative Resident Peer Coaching Program","authors":"Stefanie J. Soelling MD, MPH ,&nbsp;Lily V. Saadat MD ,&nbsp;Joshua S. Jolissaint MD, MSc ,&nbsp;Emily Cummins PhD ,&nbsp;Stephanie L. Nitzschke MD ,&nbsp;Douglas S. Smink MD, MPH","doi":"10.1016/j.jsurg.2024.09.004","DOIUrl":"10.1016/j.jsurg.2024.09.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate junior resident self-assessments and utilization of effective coaching principles by chief resident coaches in a resident peer surgical coaching program.</div></div><div><h3>Design</h3><div>All residents underwent the Surgical Coaching for Operative Performance Enhancement (SCOPE) coaching curriculum. Junior residents (“coachees”) were paired with chief resident coaches. A case was selected for coaching. The coaching structure was: 1) junior resident preoperative goal setting, 2) unscrubbed, intraoperative case observation by the coach, 3) postoperative coaching debrief. Debriefs were recorded to determine frequency of junior resident self-assessment and use of the effective coaching principles (goal setting, collaborative analysis, constructive feedback, action planning). Deductive thematic analysis was conducted.</div></div><div><h3>Setting</h3><div>A general surgery residency at a single, large academic medical center.</div></div><div><h3>Participants</h3><div>16 junior resident (PGY1-3) coachees and 6 chief resident (PGY5) coaches.</div></div><div><h3>Results</h3><div>There were 18 recorded coaching debrief sessions that lasted an average of 12.65 minutes (range 4-31 minutes). All debrief sessions included self-assessments by the junior resident coachees. There were numerous examples of the 4 effective coaching principles with all debriefs including use of at least 3. The most commonly used were collaborative analysis and constructive feedback. For technical skills, these highlighted body positioning, needle angles, and dissection techniques, including instrument choice, laparoscopic instrument technique, and use of electrocautery. Collaborative analysis of nontechnical skills emphasized communication with the attending surgeon, specifically operative decision-making and advocating for resident autonomy. Nontechnical constructive feedback addressed strategies the coaches themselves used for managing stress, interacting with attendings, and excelling in the operating room.</div></div><div><h3>Conclusions</h3><div>Self-assessments and use of effective coaching principles were frequent throughout peer coaching debriefs. Collaborative analysis and constructive feedback were employed to promote operative technical and nontechnical skill development. Within a peer coaching program, residents are able to employ high level teaching and coaching techniques to encourage operative performance enhancement.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 12","pages":"Article 103285"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368074","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":"Can the Surgery-to-Resident Ratio be Used to Determine the Ideal Number of Residents in a General Surgery Training Clinic? Single Center Experience","authors":"Çağrı Büyükkasap MD,&nbsp;Ahmet Can Koyuncuoğlu MD,&nbsp;Aydın Yavuz MD,&nbsp;Hüseyin Göbüt MD,&nbsp;Kürşat Dikmen MD","doi":"10.1016/j.jsurg.2024.08.017","DOIUrl":"10.1016/j.jsurg.2024.08.017","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>General surgery is a fundamental medical discipline that requires extensive training to develop competent surgeons. This study examines the impact of the number of residents on surgical training quality in a general surgery clinic and evaluates the usability of the Surgery-to-Resident Ratio (SRR) in determining the ideal number of residents.</div></div><div><h3>DESIGN</h3><div>Retrospective analysis.</div></div><div><h3>SETTING</h3><div>General Surgery Department, Gazi University Faculty of Medicine Hospital, Ankara, Turkey.</div></div><div><h3>PARTICIPANTS</h3><div>Data from surgical residents at the General Surgery Department, collected from 2012 to 2023.</div></div><div><h3>METHODS</h3><div>The study analyzed the number of surgeries performed and the total number of residents in 3-month periods. The Surgery-Resident Ratio (SRR) was calculated by dividing the total number of surgical procedures by the total number of residents. The educational impact of the SRR was assessed to identify the optimal number of residents.</div></div><div><h3>RESULTS</h3><div>In the 48 periods analyzed, the number of residents in our clinic varied between 12 and 26, with an average of 18.69. An increase in the number of residents led to a decrease in the total number of surgical cases per resident, particularly during the COVID-19 pandemic, which caused a significant drop in elective surgeries. Excluding the COVID-19 periods, the SRR decreased significantly with more than 19 residents, suggesting that the ideal number of residents is 18 to maintain training quality.</div></div><div><h3>DISCUSSION</h3><div>The study indicates that an optimal number of residents is essential for ensuring adequate case exposure and workload distribution, which are crucial for developing surgical competence. The SRR can serve as a useful guide for clinics in determining the ideal number of residents to maintain high training standards. Our findings suggest that while the number 18 is specific to our clinic, the SRR method can be adapted to other settings to ensure effective surgical education.</div></div><div><h3>CONCLUSION</h3><div>The SRR method provides a systematic approach to determining the optimal number of residents in a surgical training program. Ensuring an adequate number of surgeries per resident is vital for their educational development and proficiency in surgical techniques.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 12","pages":"Article 103267"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368072","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":"Resident-Applicant Buddy Program Increases Applicant Interest and Program Transparency","authors":"Jennifer Shearer MD ,&nbsp;Rejoice F. Ngongoni MD ,&nbsp;Kirbi Yelorda MD, MS ,&nbsp;Chloe Nobuhara MD ,&nbsp;Dana T. Lin MD, FACS ,&nbsp;John Gahagan MD, FACS ,&nbsp;Monica Dua MD, FACS ,&nbsp;David A. Spain MD, FACS ,&nbsp;Cara A. Liebert MD, FACS","doi":"10.1016/j.jsurg.2024.08.010","DOIUrl":"10.1016/j.jsurg.2024.08.010","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Resident-Applicant Buddy Programs (RABPs) are a new initiative designed to improve resident recruitment. This study aims to evaluate the impact and perceived value of RABPs and to identify areas for improvement for future recruitment cycles.</div></div><div><h3>DESIGN</h3><div>Anonymous online survey study of RABP participants with mixed-methods approach to evaluate participants’ experience and perceived impact of the program. The survey queried demographics, Likert responses, and open-ended responses. Qualitative thematic analysis of open-ended responses was performed with inductive coding in an iterative fashion by 2 raters.</div></div><div><h3>SETTING</h3><div>This study was conducted at a general surgery residency program at a tertiary academic institution during 2022-2023 recruitment cycle.</div></div><div><h3>Participants</h3><div>Of 125 RABP participants (n = 39 residents and n = 86 interviewed applicants), surveys from n = 45 participants (n = 19 residents, 66%; n = 26 applicants, 30%) were completed and analyzed.</div></div><div><h3>RESULTS</h3><div>Applicants were predominantly female (65%) and first-generation physicians (69%). Buddy pairings were 65% gender concordant and 48% race/ethnicity concordant. Many applicants (60%) participated in RABPs at other institutions. Buddies connected for a mean (SD) of 52 (28) minutes. Majority of applicants agreed the program decreased stress/apprehension about interviewing (70%, 4.0 [1.1]), helped understand resident life at the program (91%, 4.3 [1.0]), and increased desire to match in the program (65%, 4.0 [1.1]). Residents agreed they enjoyed participation (89%, 4.5 [0.7]), the program should be continued (100%, 4.8 [0.4]), and desired to participate again (100%, 4.8 [0.4]). Thematic analysis revealed applicants valued the program as an approachable source of information, illumination of program culture, aid in interview preparation, and connection between applicant and program. Applicants appreciated the intentionality of the program to create a RABP.</div></div><div><h3>CONCLUSIONS</h3><div>RABP decreased applicants’ stress, improved understanding of resident life, and for the majority, increased desire to match at the program. Resident engagement and desire for ongoing participation in the RABP was high. Overall, RABPs can increase applicant interest and program transparency.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 11","pages":"Pages 1792-1797"},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314926","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":"Promoting Surgical Resident Well-being Through Therapist-Facilitated Discussion Groups: A Quantitative and Qualitative Analysis","authors":"Jorge G. Zárate Rodriguez MD ,&nbsp;Ariana Naaseh MD ,&nbsp;Katharine E. Caldwell MD, MSCI ,&nbsp;Jaclynne Hedge MD ,&nbsp;Raquel R. Cabral PhD ,&nbsp;Jennifer G. Duncan MD ,&nbsp;Paul E. Wise MD","doi":"10.1016/j.jsurg.2024.08.014","DOIUrl":"10.1016/j.jsurg.2024.08.014","url":null,"abstract":"<div><h3>Objective</h3><div>To improve the well-being and sense of community of surgical trainees.</div></div><div><h3>Design</h3><div>Residents were invited to participate in confidential discussion groups during protected education time to have a safe space to support each other through common struggles. The groups were facilitated by licensed mental health professionals with experience working with medical trainees. An anonymous voluntary wellness survey and a qualitative feedback survey were used to understand residents’ experience participating in these discussion groups.</div></div><div><h3>Setting</h3><div>Single large academic institution.</div></div><div><h3>Participants</h3><div>General surgery and obstetrics and gynecology residents.</div></div><div><h3>Results</h3><div>677 resident responses to the wellness survey were collected between 2020 and 2023. Compared to residents who participated in &lt; 5 discussion group sessions, residents participating in ≥ 5 sessions reported improved self-perception of their own competency and capability (p = 0.012), and in their ability to contribute to others’ well-being (p = 0.045). They also reported considering more of their co-residents as friends (p = 0.002), increased willingness to discuss personal problems with their co-residents (p &lt; 0.001), and were more likely to report recently working with peers to solve a common problem (p = 0.041). In a second qualitative survey (n = 53), resident feedback revealed an appreciation for the opportunity to discuss shared experiences, creating community, having a safe space and dedicated time for introspection, and receiving input from a therapist. Opportunities for improvement included providing more structure to the discussion, increasing the frequency of group meetings, and focusing on developing coping skills.</div></div><div><h3>Conclusion</h3><div>Therapist-facilitated discussion groups can improve aspects of trainees’ mental well-being and help foster relatedness, community, and shared problem solving with peers. Residency programs should consider incorporating similar programs into their wellness initiatives.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 11","pages":"Pages 1798-1806"},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1931720424003878/pdfft?md5=43e0dbbcb6570da5ad6b2ad20f74a495&pid=1-s2.0-S1931720424003878-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314927","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":"General Surgery Residency Applicant Perspectives on Alternative Residency Interview Models with Implementation of an Optional Second Look Day","authors":"Sarah Keshwani MD,&nbsp;Gwyneth Sullivan MD,&nbsp;Henry Govekar MD,&nbsp;Claudia B. Perez DO,&nbsp;Ami Shah MD,&nbsp;Scott Schimpke MD","doi":"10.1016/j.jsurg.2024.08.005","DOIUrl":"10.1016/j.jsurg.2024.08.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;OBJECTIVE&lt;/h3&gt;&lt;div&gt;In response to Covid-19, the Association of American Medical Colleges (AAMC) recommended for residency interviews to take place virtually. Benefits of virtual interviews include substantial cost saving and scheduling flexibility. However, it is more difficult to understand program culture and there is concern that more emphasis will be placed on board examination scores and class rank. Programs are split in their decision to keep virtual interviews in the future. This study aims to provide more clarification on students’ perspectives and explore the role of an optional second look day to bridge the gap left by the lack of in-person interaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;DESIGN&lt;/h3&gt;&lt;div&gt;This cross-sectional study surveyed applicants at our general surgery residency program during the 2022 to 2023 cycle. An optional second look day event was held after submission of the program's rank list. The first survey was sent to all applicants who interviewed with the residency program and asked to pick an interview style that they favored (in person vs virtual) and then asked to rate factors that impacted their decision. It also asked if an optional second look day event was made available, what factors would applicants consider to be important in their decision to attend. The second survey was sent to applicants who attended second look day and asked applicants to state importance of factors that led to their decision to attend.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;RESULTS&lt;/h3&gt;&lt;div&gt;About 50/110 completed the first survey. Applicants preferred virtual over in-person interviews (52% vs 28%). Those who chose virtual selected factors of time commitment and financial burden to be very important compared to those who chose in-person. Applicants who preferred in-person interviews placed most importance on avoiding technical issues and having personal interactions such as: with attending surgeons, with residents, assessment of program culture, visiting facilities, and visiting the town. Applicants were asked to pick important factors if they were to attend an optional second look day after their virtual interview. The following factors were chosen as very important: time commitment, financial burden, interaction with program leadership, interaction with attending surgeons, interaction with residents, visiting facilities, and visiting the town. We then held a second look event after the submission of our rank list. 34/110 attended and 17 complete the survey. Cost and time commitment were not as important to this group who actually attended; they chose in-person interactions with leadership and residents and assessing the program culture to be most important.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;CONCLUSION&lt;/h3&gt;&lt;div&gt;This study aimed to determine the best interview method based on student perceptions. We also piloted an optional second look day to determine whether or not it fills the gaps left by the suspension of in-person interviews. We recommend continuing with virtual interv","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 11","pages":"Pages 1784-1791"},"PeriodicalIF":2.6,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311224","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 and Evaluation of an Academic Development Rotation for Surgery Residents","authors":"Michael A Kochis MD, EdM ,&nbsp;David C Cron MD, MS ,&nbsp;Taylor M Coe MD ,&nbsp;Jordan D Secor MD ,&nbsp;Richard A Guyer MD, PhD ,&nbsp;Sarah A Brownlee MD ,&nbsp;Kelsey Carney BS ,&nbsp;John T Mullen MD ,&nbsp;Keith D Lillemoe MD ,&nbsp;Eric C Liao MD, PhD ,&nbsp;Genevieve M Boland MD, PhD","doi":"10.1016/j.jsurg.2024.08.015","DOIUrl":"10.1016/j.jsurg.2024.08.015","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To describe the design, implementation, and evaluation of a two-week rotation intended to enhance junior surgical residents’ preparation for their dedicated professional development time (PDT) and academic careers.</div></div><div><h3>DESIGN</h3><div>As part of a multifaceted effort to promote residents’ academic development, we designed a two-week, nonclinical “Academic Development Block” (ADB) rotation for postgraduate year (PGY)-2 and -3 residents. During this rotation, residents meet with clinical, research, and peer mentors and work on academic activities, with relevant deliverables specific to each class year. We analyzed feedback from postrotation surveys and interviews, which were inductively coded and thematically analyzed, and data on resident grant applications and earnings before and after implementation.</div></div><div><h3>SETTING</h3><div>The general surgery residency program at a major urban, university-affiliated academic medical center. ADBs were first implemented in 2021.</div></div><div><h3>PARTICIPANTS</h3><div>A total of 39 PGY-2 and PGY-3 residents rotated through the program with 51 ADBs over the first two years of implementation.</div></div><div><h3>RESULTS</h3><div>Surveys indicated overwhelmingly positive perceptions on the value of ADBs, including the amount of structure and resources available. Free-response and interview themes indicated appreciation for time to meet with mentors, develop ideas, and complete academic work. Residents believed the ADB rotation accelerated their transition into PDT and was a marker of institutional commitment. Areas for improvement pertained to the timing of ADBs and pairing of mentors. Both cohorts who participated in at least 1 ADB had higher proportions of residents who successfully applied for grants and a greater amount of total funding awarded compared to all 4 of the most recent cohorts prior to implementation.</div></div><div><h3>CONCLUSIONS</h3><div>A short academic development rotation protected from clinical responsibilities is a well-regarded intervention to help residents refine their career goals and prepare for their PDT. Similar initiatives may be of interest to residency programs seeking to foster their residents’ academic career development.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"81 11","pages":"Pages 1748-1755"},"PeriodicalIF":2.6,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311225","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}