Journal of Surgical Education最新文献

{"title":"Standardizing Pediatric Facial Laceration Management to Advance Equity and Education","authors":"Ogonna N. Nnamani Silva MD ,&nbsp;David A. Mills MD, MPH ,&nbsp;Eric W. Fleegler MD, MPH ,&nbsp;Jason A. Levy MD, RDMS ,&nbsp;John G. Meara MD, DMD, MBA ,&nbsp;Andrew F. Miller MD ,&nbsp;Ingrid M. Ganske MD, MPA","doi":"10.1016/j.jsurg.2025.103613","DOIUrl":"10.1016/j.jsurg.2025.103613","url":null,"abstract":"<div><div>The core competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME) provide a framework for evaluating and fostering essential skills in medical education and residency training. The Department of Plastic and Oral Surgery and the Division of Emergency Medicine jointly developed and implemented guidelines for managing facial lacerations in the pediatric emergency department (PED). This initiative aimed to enhance trainee learning experiences, streamline triage, facilitate interdepartmental collaboration, and improve healthcare equity. This report presents a novel approach to standardizing inter-specialty consultation in pediatric settings, its alignment with ACGME goals, and its potential to improve educational and equity outcomes. A plan for future evaluation will assess its impact on competency attainment and equitable care delivery.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103613"},"PeriodicalIF":2.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686820","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":"Returning to Surgical Residency After Maternity Leave: Exploring Challenges and Shining a Light on the Motherhood Advantage","authors":"Oonagh Scallan MD ,&nbsp;Emily Field BA ,&nbsp;Sayra Cristancho PhD ,&nbsp;Kori LaDonna PhD","doi":"10.1016/j.jsurg.2025.103621","DOIUrl":"10.1016/j.jsurg.2025.103621","url":null,"abstract":"<div><h3>Objective</h3><div>Surgeon and surgical resident mothers continue to face discrimination and inequities related to motherhood. Current literature reports on the logistical challenges and some of the negative perceptions faced by these individuals, but we do not know the whole story of how women navigate these challenges. With increasing attention to EDI, understanding women's experiences is crucial for transforming surgical culture.</div></div><div><h3>Design</h3><div>Using constructivist grounded theory, the experiences of surgical residents as mothers were explored as they reflected on their transition back to work after maternity leave. Semi-structured interviews were conversational, and interview questions evolved throughout the study. Interview transcripts were analyzed using constant comparative analysis.</div></div><div><h3>Setting</h3><div>This was a Canadian-wide study, including current trainee or faculty participants who had completed surgical training at Canadian institutions.</div></div><div><h3>Participants</h3><div>Eligible participants were any faculty surgeon or current trainee who had taken a maternity leave from a Canadian surgical program between 2012 and 2022. Twenty-one participants were included from the specialties of general surgery, plastic surgery, vascular surgery, orthopedics, urology, ophthalmology, and obstetrics and gynecology.</div></div><div><h3>Results</h3><div>Participants detailed the challenges they faced returning to surgical residency after maternity leave, and the factors that made this transition easier. Upon reflection, participants described this transition as transformative for their professional identity, highlighting how motherhood facilitated the development of essential skills including communication, empathy, and setting boundaries.</div></div><div><h3>Conclusions</h3><div>Despite efforts to better support women in surgery, challenges with the transition back to work following maternity leave persist. Both individuals and systems need to reevaluate priorities, design more flexible call schedules, implement better accommodations for chest-feeding parents, and establish mentorship programs for all parents. Negative perceptions of and biases against surgeon mothers must also be challenged. Notably, this study’s novel findings that motherhood enhances, rather than detracts from, surgical skill development should be recognized.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103621"},"PeriodicalIF":2.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679506","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":"Tipping the Scales: Quantifying the Impact of USMLE Step 1 Pass/Fail Scoring on Application Interpretation in the Integrated Plastic Surgery Match","authors":"Cole Bird BS ,&nbsp;Kerilyn N. Godbe MD ,&nbsp;Niaman Nazir MD, MPH ,&nbsp;Sterling Braun MD ,&nbsp;Rebecca Farmer MD, PhD ,&nbsp;Richard Korentager MD","doi":"10.1016/j.jsurg.2025.103625","DOIUrl":"10.1016/j.jsurg.2025.103625","url":null,"abstract":"<div><h3>Objective</h3><div>The United States Medical Licensing Exam® (USMLE®) Step 1 exam implemented pass/fail scoring to \"create a more holistic residency application selection process.” We aimed to assess whether this transition favored holistic review or redirected emphasis to other metrics.</div></div><div><h3>Design</h3><div>Quantifiable data from 330 Plastic Surgery Common Applications (PSCAs) submitted to a single academic center were collected. Applicants were stratified into 2 groups based on numeric or pass/fail Step 1 score. Logistic regression was performed for each group to assess the odds of matching based on quantifiable application components.</div></div><div><h3>Setting</h3><div>2023-2024 Match cycle.</div></div><div><h3>Participants</h3><div>330 integrated plastic surgery applicants.</div></div><div><h3>Results</h3><div>A total of 137 applications reported numeric Step 1 scores, while 193 reported pass/fail scores. For applicants with a numeric Step 1 score, the factors most predictive of matching were Step 2 score &gt;265 (OR 159 [95% CI, 6.6-999], Step 1 Score between 240 and 250 (OR 21.8 [95% CI, 4.8-98.6]), and being a U.S. citizen (OR 21.1 [95% CI, 3.9-116]). Letter of recommendation numeric strength (OR 11.0 [95% CI, 2.7-45.6]) was also a significant match predictor, followed by more than 16 podium presentations (OR 10.8 [95% CI, 2.6-45.5]). In comparison, for students with pass/fail Step 1 scores, there were only 3 significant factors that predicted a successful match: strength of recommendation letters (OR 3.7 [95% CI, 1.8-7.6]), Alpha Omega Alpha society membership (OR 3.2 [95% CI, 1.3-7.7]), and graduation from a U.S News and World Report top 40 medical school in research (OR 3.0 [95% CI, 1.5-6.1]).</div></div><div><h3>Conclusion</h3><div>For applicants with a numeric Step 1 score, Step 1 and 2 scores remained the most critical match factors. In comparison, letter of recommendation strength and graduation from a top 40 medical school were most important for applicants with pass/fail scoring, indicating a shift toward other application metrics following the scoring change.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103625"},"PeriodicalIF":2.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679507","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":"Enhancing Perceptions of Social Support and Belonging in Surgery Residency Programs","authors":"Jennifer H. Chen MD ,&nbsp;Sarah A. Keyes EdD, PA-C ,&nbsp;Valerie DeGregorio PA-C ,&nbsp;Aimee K. Gardner PhD","doi":"10.1016/j.jsurg.2025.103612","DOIUrl":"10.1016/j.jsurg.2025.103612","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate perceptions of social support, belongingness, and program culture among general surgery trainees.</div></div><div><h3>Design</h3><div>Cross-sectional quantitative study using a program assessment survey with Likert scale questions (1-5). Questions evaluated trainee perceptions of organizational culture (4 dimensions—Authoritarian, Empowering, Self-Directed, and Relational; 29 items), social support (5 items), belongingness (7 items), frequency of social interactions (1 item), satisfaction with socializing (2 items) and ease of access to support (6 items).</div></div><div><h3>Setting</h3><div>Four academic general surgery programs in the United States.</div></div><div><h3>Participants</h3><div>General surgery trainees.</div></div><div><h3>Results</h3><div>Overall response rate was 67% (63/94). Respondents were 46% (29) women, 72% White (45), and 61.9% (39) junior residents (PGY 1-3). Trainees shared similar perceptions of level of social support (mean 4.29, SD 0.75, p = 0.08), access to support, and sense of belonging (mean 4.27, SD 0.76, p = 0.17) across programs. Majority reported either daily (34, 41.7%) or weekly (19, 33.3%) social interactions. Increased social interaction frequency was associated with higher perceptions of social support (p = 0.04), with anything beyond 2 interactions per month outside of work associated with the highest levels of perceived social support. Trainees’ sense of belonging was strongly correlated with perceptions of social support (r = 0.89, p &lt; 0.001). Both social support and sense of belonging were positively correlated with a program culture predominant in Self-Directed and Relational dimensions (social support: r = 0.531 and 0.366, belonging: r = 0.531 and 0.313, all p &lt; 0.05 respectively) and negatively correlated with a program culture predominant in Authoritarian and Empowering dimensions (social support: r = −0.323 and −0.282, belonging: r = −0.387 and −0.366, all p &lt; 0.05, respectively).</div></div><div><h3>Conclusions</h3><div>Resident perceptions of social support and belongingness are interrelated and may be maximized by increasing frequency of social interactions and fostering program cultures higher in Self-Directed and Relational dimensions. Programs should make efforts to cultivate and encourage activities outside of work to optimize trainee inclusivity and support.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103612"},"PeriodicalIF":2.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653006","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 Evolving Role of Artificial Intelligence in Plastic Surgery Education: Insights From Program Directors and Residents","authors":"Ariana Genovese ,&nbsp;Srinivasagam Prabha ,&nbsp;Cesar A. Gomez-Cabello ,&nbsp;Syed Ali Haider ,&nbsp;Sahar Borna ,&nbsp;Maissa Trabilsy ,&nbsp;Antonio Jorge Forte","doi":"10.1016/j.jsurg.2025.103622","DOIUrl":"10.1016/j.jsurg.2025.103622","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the current state of artificial intelligence (AI) policies, educational resources, and perceptions within U.S. plastic surgery residency programs from the perspectives of program directors (PDs) and residents.</div></div><div><h3>Design</h3><div>Cross-sectional study using 2 anonymized surveys to evaluate AI-related policies, current use, educational tools, perceived barriers, and attitudes toward AI use in surgical education and residency applications.</div></div><div><h3>Setting</h3><div>Plastic surgery residency programs across the United States</div></div><div><h3>Participants</h3><div>Program directors (<em>n</em> = 77) were invited via email, with 24 (31%) responding. Residents (<em>n</em> = 89) were recruited via social media; 1 resident per program was randomly selected to ensure institutional diversity, with 23 (26%) completing the survey.</div></div><div><h3>Results</h3><div>Institutional adoption of AI was limited. Only 8% of PDs reported screening residency applications for AI-generated content, and 88% indicated their programs had no formal policies on AI use. AI-based educational tools were available in 13% of programs, 21% offered AI ethics training, and 8% reported using AI to assess surgical skill. Barriers included lack of expertise (65%), data privacy concerns (52%), cost (48%), and limited evidence of efficacy (48%). In contrast, residents reported substantial independent AI use (50%). Residents used platforms such as ChatGPT (50%), Google Gemini, Microsoft Copilot, and Claude (each 9%)—often to generate clinical explanations (43%), procedural guides (17%), and differential diagnoses (13%). One resident also reported undergoing AI-based surgical skill assessment. Despite this engagement, 74% stated their programs lacked AI-related educational resources. Residents expressed moderate trust in AI (mean 5.26/10), stating it “probably” or “definitely” has a place in their education (86%).</div></div><div><h3>Conclusions</h3><div>A marked discrepancy exists between institutional policies and resident usage of AI in plastic surgery education. As residents adopt these tools independently, there is an urgent need for evidence-based guidelines, validated resources, and structured implementation to ensure safe, effective integration into surgical training.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103622"},"PeriodicalIF":2.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Recipe for a Continuous Quality Improvement Program in Surgical Residency","authors":"Krysta M. Sutyak DO ,&nbsp;Terry Fisher MPH, PMP, CPHQ ,&nbsp;David H. Kim MD ,&nbsp;Michael W. Wandling MD, MS ,&nbsp;Akemi L. Kawaguchi MD, MS ,&nbsp;Sasha D. Adams MD ,&nbsp;Lillian S. Kao MD, MS ,&nbsp;Kevin P. Lally MD, MS ,&nbsp;Tamara E. Saunders MD","doi":"10.1016/j.jsurg.2025.103589","DOIUrl":"10.1016/j.jsurg.2025.103589","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To design, implement, and analyze the effectiveness of a multifaceted quality improvement (QI) educational curriculum for a general surgery residency program.</div></div><div><h3>Design</h3><div>A prospective study was performed using the Plan-Do-Study-Act (PDSA) methodology from June 2020 to July of 2024 to design and implement a 3-pronged curriculum: foundational didactic lectures, resident-led faculty-mentored QI projects, and quarterly departmental QI-focused morbidity and mortality conferences. At the end of each PDSA cycle, residents were surveyed on educational topics received, participation in QI activities, knowledge of QI principles, and preparedness and interest in future QI work. A steering committee consisting of various stakeholders guided changes after each academic year (PDSA cycle) based on the prior years’ surveys and experience. A longitudinal cohort assessment was performed.</div></div><div><h3>Setting</h3><div>Major metropolitan general surgery residency program</div></div><div><h3>Participants</h3><div>General surgery residents</div></div><div><h3>Results</h3><div>A baseline survey and 4 PDSA cycles were completed. Over time, improvements were seen in the proportion of residents who reported education on QI educational topics, participated in QI activities, and had knowledge of QI principles. Overall interest in QI was 82% at baseline and remained steady throughout the timeline. Resident-led faculty-mentored practical components were implemented in PDSA cycle 2 and have led to the successful completion of real-time QI work in all subsequent classes. PDSA methodology allowed for changes to overcome identified barriers, such as the transition to a video-based lecture series and the creation of resident-protected time for QI project design.</div></div><div><h3>Conclusions</h3><div>The design and implementation of a QI curriculum that includes both didactic and practical components is feasible and significantly increases the proportion of residents with knowledge, comfort, and interest in QI. Faculty expertise and buy-in, resident engagement, program management, and program director leadership are crucial for success.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103589"},"PeriodicalIF":2.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653008","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":"Improving Serious Illness Communication Skills in Obstetrics and Gynecology Residents: A Pilot Study","authors":"Monica J. Janke ,&nbsp;Laura Taylor ,&nbsp;Michael P. Mendez ,&nbsp;Anita M. Malone ,&nbsp;Andrea McGowan ,&nbsp;Yang Liu ,&nbsp;Melissa W. Brackmann","doi":"10.1016/j.jsurg.2025.103619","DOIUrl":"10.1016/j.jsurg.2025.103619","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Delivering serious news to patients and their families is a crucial skill for obstetrician-gynecologists. However, effective communication practices are seldom taught during medical training and limited educational strategies exist for resident-level trainees. We aimed to implement a pilot course in serious illness communication for obstetrics and gynecology (OBGYN) residents and assess self-perceived preparedness in key skills before and after the course.</div></div><div><h3>DESIGN</h3><div>We created an OBGYN-specific serious illness communication course based on the nationally recognized VitalTalk framework. The course included a 1-hour didactic and a 2-hour small group live-action simulation. Participants were surveyed before and after the course to assess their comfort with delivering serious news and preparedness in performing key communication skills, using a 5-point Likert scale. Pre- and postcourse responses were analyzed using the Wilcoxon signed-rank test.</div></div><div><h3>SETTING</h3><div>A large academic medical center in the Midwest United States.</div></div><div><h3>PARTICIPANTS</h3><div>Twenty-five ACGME-accredited OBGYN residents during the 2023-2024 academic year participated in the course and completed pre- and postcourse survey assessments.</div></div><div><h3>RESULTS</h3><div>After course completion, residents felt significantly more comfortable with delivering serious news, with median ratings increasing from 4.0 (IQR 2.0-4.0) to 5.0 (IQR 4.0-5.0, p = 0.001). Residents’ median rating of preparedness to perform key communication skills significantly improved in all domains, including: conveying serious news (p &lt; 0.001) and prognosis (p &lt; 0.001), recognizing emotion and responding with empathy (p &lt; 0.001), leading a family meeting (p = 0.001), managing conflict (p &lt; 0.001), and responding to patients who deny the seriousness of their illness (p &lt; 0.001) or who want treatments that are not indicated (p &lt; 0.001).</div></div><div><h3>CONCLUSIONS</h3><div>Implementing an OBGYN-focused course that improves resident preparedness for and comfort with delivering serious news is feasible. Equipping residents with compassionate and effective communication skills should be integral to OBGYN residency training.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103619"},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653007","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 Perfect Orthopedic Surgery Applicant?: Exploring Trends in the National Resident Matching Program “Charting Outcomes in the Match” Reports","authors":"Cameron Gerhold BS ,&nbsp;Pavlo Kravchuk MS ,&nbsp;Rushabh Shah BS ,&nbsp;Lisa K. Cannada MD","doi":"10.1016/j.jsurg.2025.103616","DOIUrl":"10.1016/j.jsurg.2025.103616","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examines trends in applicant characteristics for orthopedic surgery residency from 2016 to 2024, focusing on changes in match rates, academic performance, and research productivity. It highlights the impact of key shifts such as the transition to pass/fail grading for USMLE Step 1 and the MD-DO residency merger. The study aims to provide insights into how selection criteria have evolved and what future applicants, medical schools, and residency programs should consider when navigating the competitive field of orthopedic surgery. The purpose of this study is to examine the landscape of orthopedic surgery residency applications from 2016 to 2024, and analyze key trends in applicant characteristics, academic performance, and match rates.</div></div><div><h3>Methods</h3><div>This was a retrospective review of objective characteristics of both matched and unmatched applicants to orthopedic surgery. Data was sourced from <em>NRMP, Charting Outcomes in the Match</em> and was inclusive of years 2016 to 2024 with every other application cycle. All collected data was separated based on applicant type, divided between U.S. allopathic and U.S osteopathic.</div></div><div><h3>Results</h3><div>Between 2016 and 2024, U.S. allopathic seniors consistently had the highest match rates for orthopedic surgery residency, with 74.3% matching in 2024, though unmatched applicants also increased over time, reflecting growing competition. U.S. osteopathic seniors showed improvements in their match rates, rising from just 4 matches in 2018 to 93 in 2024, while unmatched applicants also grew. Academic performance metrics, including USMLE Step 1 and Step 2 CK scores, revealed a rising emphasis on Step 2 CK after Step 1′s transition to pass/fail reporting. Research productivity notably increased across applicant groups, but was not the sole determinant of success in matching. Applicants with AOA membership and those from Top 40 NIH-funded medical schools had higher match rates, with AOA membership providing a particularly significant advantage.</div></div><div><h3>Conclusion</h3><div>This analysis of orthopedic surgery residency match data from 2016 to 2024 reveals increasing competitiveness, with a shift in focus from Step 1 scores to Step 2 CK and research productivity. U.S. osteopathic applicants continue to face challenges, but with strong academic performance and strategic applications, success remains attainable, prompting the need for further research into selection criteria and long-term outcomes.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103616"},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653009","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 Residents’ Motivation to Develop Laparoscopic Skills Through Simulation","authors":"Phillip P. Chao MBChB ,&nbsp;Andrew G. Hill MD, EdD, FACS, FACS(Hon), FRACS, FRSNZ ,&nbsp;Jonathan B. Koea MD, FACS, FRACS ,&nbsp;Sanket Srinivasa MBChB, PhD, FRACS","doi":"10.1016/j.jsurg.2025.103617","DOIUrl":"10.1016/j.jsurg.2025.103617","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the engagement of general surgery residents in a pilot simulation-based education curriculum promoting intrinsic motivation to develop laparoscopic technical skills.</div></div><div><h3>Design</h3><div>A pilot study of an 8-week simulation-based education curriculum to develop laparoscopic technical skills by fostering intrinsic motivation aligned to self-determination theory (SDT). The design followed Kern’s 6 steps to curriculum development for medical education. The curriculum addressed the basic psychological needs of autonomy, competence, and relatedness, explained in SDT, to promote intrinsic motivation. Participation, satisfaction, learning of procedural knowledge and competence were assessed using Moore’s expanded outcomes framework. Data were analyzed using quantitative and qualitative methods.</div></div><div><h3>Setting</h3><div>Tertiary university hospital in New Zealand. The study used the portable eoSim (Limbs &amp; Things Ltd, Bristol, United Kingdom) laparoscopic box simulators with associated SurgTrac objective performance measurement software, exercises and biotissue models delivered at convenient locations in the hospital close to residents’ daily activities.</div></div><div><h3>Participants</h3><div>Department of general surgery residents were the primary target. Attendings, fellows and medical students were also able to participate in the curriculum.</div></div><div><h3>Results</h3><div>There were 25 participants, with 37% (15/41) of residents participating. The median number of sessions attended was 1, with a range of 1 to 9. The median time practicing on the simulator was 46 minutes, mean 119 minutes, ranging from 29 minutes to 9 hours and 38 minutes. Most junior residents and medical students reported a gain in procedural knowledge, and senior residents were able to demonstrate competence and performance. Forty percent of participants responded to the evaluation survey, and all stated that the curriculum was either useful or very useful for developing their laparoscopic technical skills.</div></div><div><h3>Conclusions</h3><div>A pilot simulation-based education curriculum aligned with self-determination theory (SDT) was able to intrinsically motivate a proportion of general surgery residents to develop their laparoscopic technical skills. Additional strategies to promote residents’ autonomous motivation to engage in learning and skill development are required.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103617"},"PeriodicalIF":2.6,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144611545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Nationwide Study in Türkiye on General Surgery Residents’ Satisfaction: Challenges and Realities","authors":"Özgün Cevdet Köse ,&nbsp;Yiğit Türk ,&nbsp;Sevgi Özan Köse ,&nbsp;Özgür Kılınçarslan ,&nbsp;Ozan Verendağ ,&nbsp;Murat Özdemir ,&nbsp;Özen Önen Sertöz ,&nbsp;Gökhan İçöz","doi":"10.1016/j.jsurg.2025.103601","DOIUrl":"10.1016/j.jsurg.2025.103601","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to evaluate the satisfaction of general surgery residents with their specialty choice in terms of exposure to mobbing, the effects of the pandemic process, burnout, anxiety, and depression levels.</div></div><div><h3>Method</h3><div>The study was designed as a descriptive cross-sectional online survey. A 73-item questionnaire, created in a digital format, was shared after obtaining the participants' consent by contacting 93 clinics providing general surgery training in Türkiye. General surgery residents undergoing training and agreeing to participate in the survey were included in the study. The questionnaire included items assessing participants’ demographic characteristics, professional opinions, experiences during the COVID-19 pandemic, and exposure to workplace mobbing. In addition, the Hospital Anxiety and Depression Scale (HADS) and the Maslach Burnout Inventory (MBI), 2 validated psychometric instruments, were used to assess levels of anxiety, depression, and burnout.</div></div><div><h3>Results</h3><div>A total of 552 participants took part in the study. In the past 3 months, 44.7% reported making a medical error, and 61.4% had considered resigning at least once during residency. Gender discrimination was significantly more prevalent among female participants (p &lt; 0.001) and was associated with higher resignation consideration (p = 0.045). Elevated anxiety (53.3%) and depression (82.4%) scores were common. High levels of emotional exhaustion (72.5%) and depersonalization (74.6%) were also observed, while 8.3% had low personal accomplishment. Burnout, anxiety, and depression scores were significantly higher among those who reported medical errors, considered resignation, or experienced gender discrimination (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Among general surgery residents in Türkiye, those who considered resignation, made medical errors, or experienced gender discrimination were found to have higher levels of anxiety, depression, and burnout. Additionally, anxiety and depression were higher in residents who slept less than 40 hours per week, worked more than 80 hours per week, experienced verbal or emotional abuse, were unable to spend sufficient time with their family and loved ones, and spent less than an hour in the operating room.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 9","pages":"Article 103601"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595574","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}