Journal of Surgical Education最新文献

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Application of Mini-CEX Evaluation Combined With Segmented Teaching Approach in the Training of Surgical Clinical Practice Skills for Resident Physicians Mini-CEX评价结合分段教学法在住院医师外科临床实践技能培训中的应用
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-03-05 DOI: 10.1016/j.jsurg.2025.103497
Chao Liu MMed , Mei Ren MMed , Chaoen Luo MMed , Khan Asfandyar MMed , Jia Liu MMed , Dan Chen MD , Zhengwen Lei MD
{"title":"Application of Mini-CEX Evaluation Combined With Segmented Teaching Approach in the Training of Surgical Clinical Practice Skills for Resident Physicians","authors":"Chao Liu MMed ,&nbsp;Mei Ren MMed ,&nbsp;Chaoen Luo MMed ,&nbsp;Khan Asfandyar MMed ,&nbsp;Jia Liu MMed ,&nbsp;Dan Chen MD ,&nbsp;Zhengwen Lei MD","doi":"10.1016/j.jsurg.2025.103497","DOIUrl":"10.1016/j.jsurg.2025.103497","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of integrating Mini-CEX assessment with Segmented teaching on the improvement of surgical clinical practice skills among first-year resident physicians, and to compare its effectiveness with traditional teaching methods.</div></div><div><h3>Methods</h3><div>A total of 42 first-year resident physicians undergoing standardized training at the First Affiliated Hospital of Hengyang Medical School, University of South China from April to June 2024, who were participating in surgical clinical practice skills training for excision of superficial tumors, were selected as subjects. The participants were randomly divided into 2 groups: an experimental group and a control group, with 21 participants in each. The control group employed traditional teaching methods, while the experimental group utilized the Mini-CEX assessment combined with Segmented teaching methods. Both groups were assessed on their practical skills, theoretical knowledge, Mini-CEX evaluations, and Student Evaluation of Educational Quality (SEEQ) before and after the training, and their results were compared.</div></div><div><h3>Results</h3><div>There were no statistically significant differences in practical skills and theoretical knowledge scores between the experimental and control groups before training (p &lt; 0.05). However, after the training, the experimental group scored significantly higher than the control group in theoretical and practical exams, Mini-CEX evaluation dimensions, and SEEQ teaching quality assessment scores, with statistically significant differences (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The combination of Mini-CEX assessment with Segmented teaching methods can achieve better training outcomes in surgical clinical practice skills training.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103497"},"PeriodicalIF":2.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550467","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}
引用次数: 0
The Influence of Dedicated Research Year on Applicant Familiarity in the Integrated Plastic Surgery Match 综合整形外科配型中专用研究年份对申请人熟悉程度的影响
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-03-05 DOI: 10.1016/j.jsurg.2025.103478
Oluwaseun D. Adebagbo BS , Amanda Girardi BA , Helen S. Quinn MD , Lifei Guo MD, PhD, FACS
{"title":"The Influence of Dedicated Research Year on Applicant Familiarity in the Integrated Plastic Surgery Match","authors":"Oluwaseun D. Adebagbo BS ,&nbsp;Amanda Girardi BA ,&nbsp;Helen S. Quinn MD ,&nbsp;Lifei Guo MD, PhD, FACS","doi":"10.1016/j.jsurg.2025.103478","DOIUrl":"10.1016/j.jsurg.2025.103478","url":null,"abstract":"<div><h3>Objective</h3><div>“Applicant familiarity,” or prior knowledge of an applicant, is associated with successful plastic surgery match outcomes. While a research year (RY) enhances academic productivity, mentorship, and specialty exposure, its impact on familiarity and matching at the RY institution remains unclear. This study examines whether a RY improves applicant familiarity and match outcomes at the RY program.</div></div><div><h3>Design</h3><div>The Plastic Surgery (PRS) Match 2023 to 2024 Google spreadsheet was used to analyze matched applicants' RY status, familiarity with their matched program and match rates. Applicant familiarity included home program, research-year match (RYM), away/subinternship (SI) match, or unfamiliar program. Match rates between RY and non-RY applicants were compared using Chi-squared test.</div></div><div><h3>Setting</h3><div>N/A</div></div><div><h3>Participants</h3><div>213 applicants matched and 146 matched applicants with complete data were included.</div></div><div><h3>Results</h3><div>Among the matched PRS applicants, 71.9% had a home PRS program, and 50% completed a RY. Away/subinternship and home match rates for the entire matched cohort were 52.1% and 23.97%, respectively. Compared to the non-RY group, RY applicants had lower away/subinternship match rates (36.3% vs. 15.8%, respectively) and were significantly more likely to match at unfamiliar programs (0.68% vs. 18.5%, p &lt; 0.0001). Only 4.8% of RY applicants matched at their RY institution.</div></div><div><h3>Conclusions</h3><div>Most matched RY applicants secured positions at unfamiliar programs, with fewer than 5% matching at their RY institution. A dedicated RY provides limited benefit in fostering applicant familiarity for matching at a specific program, especially when compared to the higher match rates of away rotations and home programs.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103478"},"PeriodicalIF":2.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550468","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}
引用次数: 0
Who is the “Ideal Surgical Trainee?”: A Qualitative Analysis of Letters of Recommendation to Subspecialty Surgical Fellowship 谁是“理想的外科实习生”?:对亚专科外科奖学金推荐信的定性分析
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-03-01 DOI: 10.1016/j.jsurg.2025.103479
Jonathan S. Abelson MD, MS , Ali Al Jabri MD , Hina Bhat MD , Elizabeth M. Breen MD , Angela H. Kuhnen MD , Sharon L. Stein MD , Emily Steinhagen MD , Julia T. Saraidaridis MD, MMSc
{"title":"Who is the “Ideal Surgical Trainee?”: A Qualitative Analysis of Letters of Recommendation to Subspecialty Surgical Fellowship","authors":"Jonathan S. Abelson MD, MS ,&nbsp;Ali Al Jabri MD ,&nbsp;Hina Bhat MD ,&nbsp;Elizabeth M. Breen MD ,&nbsp;Angela H. Kuhnen MD ,&nbsp;Sharon L. Stein MD ,&nbsp;Emily Steinhagen MD ,&nbsp;Julia T. Saraidaridis MD, MMSc","doi":"10.1016/j.jsurg.2025.103479","DOIUrl":"10.1016/j.jsurg.2025.103479","url":null,"abstract":"<div><h3>Objective</h3><div>It is unknown what traits practicing surgeons value in those wishing to become colorectal surgeons. The objective of this study was determine the most common qualities used to describe applicants to colorectal surgery residency.</div></div><div><h3>Design</h3><div>Letters of a recommendation (LOR) qualitatively analyzed to determine how writers described applicants. Letters were analyzed, coded, and categorized to understand the qualities most admired and devalued by reviewers.</div></div><div><h3>Setting</h3><div>LOR submitted to Lahey Hospital and Medical Center in Massachusetts</div></div><div><h3>Participants</h3><div>111 applicants to colorectal surgery residency at Lahey during the 2019 to 2020 cycle including 658 letters and 409 letter writers. There were 315 standardized LOR and 343 narrative LOR.</div></div><div><h3>Results</h3><div>75% of letters described some aspect of “grindstone” or hard-working attributes as being a positive. Other LORs valued attributes including being likeable and having good clinical and technical skills. The most frequent applicant flaws identified in the LOR included poor leadership skills and lack of delegation skills. Several letter writers also expressed concerns when an applicant was too soft spoken.</div></div><div><h3>Conclusions</h3><div>This study codifies the qualities valued by letter writers in describing colorectal surgery applicants. The descriptors used by surgeons in LOR can be thought of as a portrayal of the qualities composing an “ideal surgical trainee.” This cohort of LOR emphasized grindstone characteristics as a positive and poor leadership as a negative. As work-life integration becomes increasingly important to early career surgeons, intergenerational conflict may arise if the qualities lauded in the “ideal applicant” focus on work at all cost.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103479"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519388","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}
引用次数: 0
Penny Wise, Pound Foolish: The Troubling Parallels of Corporatization in the Aviation Industry and Academic Surgery 便士明智,英镑愚蠢:航空工业公司化和学术手术令人不安的相似之处
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-27 DOI: 10.1016/j.jsurg.2025.103468
Joshua Roshal MD , Alec Max Bernard MD , Tejas Sathe MD , Jed Calata MD
{"title":"Penny Wise, Pound Foolish: The Troubling Parallels of Corporatization in the Aviation Industry and Academic Surgery","authors":"Joshua Roshal MD ,&nbsp;Alec Max Bernard MD ,&nbsp;Tejas Sathe MD ,&nbsp;Jed Calata MD","doi":"10.1016/j.jsurg.2025.103468","DOIUrl":"10.1016/j.jsurg.2025.103468","url":null,"abstract":"<div><div>The passengers of Lion Air Flight 610 and Ethiopian Airways Flight 302 paid the ultimate price for decades of prioritizing profits over technical expertise at The Boeing Company. Now, American surgical education is showing similar signs of turbulence. While surgical training has long been known for its rigor and potency, corporatized medicine is compromising what was once a proud standard. The American Board of Surgery has recently overhauled graduation requirements from surgical residency, hoping to increase the trustworthiness of new surgeons to the public. However, we are at a tipping point where the decisions being made in hospitals mirror those that led to aviation failures. This is more than a professional issue; it's a public one. How we train the next generation of surgeons will determine the quality-of-care millions of people receive. This story is about systemic cracks—and how we can begin to repair them. Boeing's trajectory shifted from an engineering-first culture to a profit-driven one, and this shift has compromised safety and performance. Similarly, surgical education is undergoing a transformation driven by financial pressures. Hospitals are increasingly prioritizing revenue generation over the quality of training. The consequences? A lack of operative autonomy for residents, fewer opportunities for hands-on learning, and ultimately, a generation of surgeons less prepared for independent practice. Now surgeons are forced to meet productivity and “relative-value unit” demands that leave little time to train the next generation. While the field of surgery has initiated changes in surgical education from within, these efforts are not enough. We need funding and prioritization of educational endeavors. We aim to engage readers in this discussion because improving the quality of the next generation of surgeons is crucial to the quality of care they will receive. It's a conversation we need to have now—before the consequences become as visible as they have in the aviation industry.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103468"},"PeriodicalIF":2.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508868","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}
引用次数: 0
Preference Signals and Away Rotations Greatly Influence Application Success in the Integrated Plastic Surgery Match 在综合整形手术匹配中,偏好信号和远离旋转对应用成功有很大影响
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-25 DOI: 10.1016/j.jsurg.2025.103467
Jacob L. Kotlier BA , Angela P. Mihalic MD , Christopher Homsy MD
{"title":"Preference Signals and Away Rotations Greatly Influence Application Success in the Integrated Plastic Surgery Match","authors":"Jacob L. Kotlier BA ,&nbsp;Angela P. Mihalic MD ,&nbsp;Christopher Homsy MD","doi":"10.1016/j.jsurg.2025.103467","DOIUrl":"10.1016/j.jsurg.2025.103467","url":null,"abstract":"<div><h3>Objective</h3><div>Integrated plastic surgery implemented a preference signaling program (PSP) starting the 2022 to 2023 application cycle which allowed applicants to signal their top 5 preferred programs through the Plastic Surgery Central Application (PSCA). In this study, we aim to evaluate the effect on this new PSP at both the applicant and program level.</div></div><div><h3>Design</h3><div>This cross-sectional study relies on self-reported survey data from 2019 to 2024 from the Texas Seeking Transparency in Application to Residency (STAR) database. Variables associated were analyzed using 2-sided t-tests, Chi-squared tests, variance ratio testing and receiver operating characteristic (ROC) analysis.</div></div><div><h3>Results</h3><div>Plastic surgery applicants from 2023 to 2024 submitted more applications (85.1 vs 67.3, p &lt; 0.001) and received fewer interview offers (12.5 vs 15.7, p = 0.003) than 2017 to 2022 applicants. 2023 to 2024 interview offers were more evenly distributed (SD: 8.25 vs 10.5, p = 0.001). Applications employing a signal were more likely to receive an interview (OR: 5.72, p &lt; 0.001) and subsequently match (OR: 5.19, p &lt; 0.001). Applications where students had done away rotations were significantly more likely to result in an interview offer (OR: 30.2, p &lt; 0.001) and a match (OR: 27.4, p &lt; 0.001). There was no significant difference in application number, Step 2 CK scores or honored clerkships between matched and unmatched 2023 to 2024 applicants.</div></div><div><h3>Conclusions</h3><div>The implementation of preference signaling in the integrated plastic surgery residency application process appears to have corresponded to an increase in average applications per student, decreased interview offers and more evenly distributed interviews among applicants. Away rotations, preference signals and geographic connections seem to most strongly predict whether an application results in a successful match.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103467"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480735","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}
引用次数: 0
Surgical Advanced Practice Provider Perspectives Regarding Parental Leave 关于育婴假的外科高级实践提供者观点
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-25 DOI: 10.1016/j.jsurg.2024.103411
Nell Weber , Nicole Christian , Michaele Francesco Corbisiero , Becky Hill , Samantha Bothwell , Richele Koehler , Shannon Acker
{"title":"Surgical Advanced Practice Provider Perspectives Regarding Parental Leave","authors":"Nell Weber ,&nbsp;Nicole Christian ,&nbsp;Michaele Francesco Corbisiero ,&nbsp;Becky Hill ,&nbsp;Samantha Bothwell ,&nbsp;Richele Koehler ,&nbsp;Shannon Acker","doi":"10.1016/j.jsurg.2024.103411","DOIUrl":"10.1016/j.jsurg.2024.103411","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>The purpose of the study was to understand the attitudes of surgical advanced practice providers (APPs) towards parental leave for themselves and surgical trainees.</div></div><div><h3>DESIGN</h3><div>APPs in a single department of surgery (DOS) were surveyed. The survey evaluated 1) personal experience with parental leave, 2) experience with surgical trainees taking parental leave and 3) attitudes towards parental leave.</div></div><div><h3>SETTING</h3><div>University of Colorado Anschutz Medical Campus; level 1 Trauma Center.</div></div><div><h3>PARTICIPANTS</h3><div>All surgical APPs were invited to participant in the study. There was a total of 65 respondents.</div></div><div><h3>RESULTS</h3><div>Survey response rate was 34.0% (N = 65). 81.5% (N = 53) of respondents were married or in domestic partnership. 56.9% (N = 37) of respondents had children and 16.0% (N = 11) took parental leave within the DOS. 58.5% (N = 38) of respondents worked with a trainee who took parental leave for which 19 APPS were asked to cover additional work. 21.5 % (N = 14) of respondents reported that time off for parental leave for childbearing surgical trainees places an unreasonable strain on APPs. Almost all (96.9%, N = 63) APPs reported childbearing surgical trainees should receive 6 to 12 weeks or &gt;12 weeks of parental leave.</div></div><div><h3>CONCLUSIONS</h3><div>APPs are often asked to cover for surgical trainees taking parental leave. Nonetheless, APPs are supportive of trainees taking leave.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103411"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Table of Contents & Bacode 目录和代码
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-25 DOI: 10.1016/S1931-7204(25)00070-4
{"title":"Table of Contents & Bacode","authors":"","doi":"10.1016/S1931-7204(25)00070-4","DOIUrl":"10.1016/S1931-7204(25)00070-4","url":null,"abstract":"","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 4","pages":"Article 103490"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Is Art Used to Train Surgeons? A Survey of 198 Surgery Residency Program Directors 如何用艺术来训练外科医生?对198名外科住院医师项目主任的调查
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-25 DOI: 10.1016/j.jsurg.2025.103465
Stephanie M. Cohen MD , Nova Chen BA , Tara S. Kent MD , Joel T. Katz MD , Ingrid M. Ganske MD MPA
{"title":"How Is Art Used to Train Surgeons? A Survey of 198 Surgery Residency Program Directors","authors":"Stephanie M. Cohen MD ,&nbsp;Nova Chen BA ,&nbsp;Tara S. Kent MD ,&nbsp;Joel T. Katz MD ,&nbsp;Ingrid M. Ganske MD MPA","doi":"10.1016/j.jsurg.2025.103465","DOIUrl":"10.1016/j.jsurg.2025.103465","url":null,"abstract":"<div><h3>Background</h3><div>Art engagement during surgical training often occurs informally and is difficult to characterize. The purpose of this study is to understand practices of surgical educators in using visual aids for teaching encounters, if program directors consider artistic aptitude when assessing residency applicants, perspectives regarding the incorporation of art into surgical training, and barriers that may exist toward the development of visual art curricula for surgery residents.</div></div><div><h3>Methods</h3><div>A survey study of all general surgery, orthopedic surgery, neurosurgery, otolaryngology, urology, vascular surgery, and cardiothoracic surgery program directors in the United States was conducted from September 2022 to June 2024.</div></div><div><h3>Results</h3><div>Responses from 198 program directors indicate that residencies rarely participate in graphic design courses (1.5%), visual abstract training (2.5%), art museum visits (3.5%), drawing activities (6.1%), or art related social events (15.7%). Sixty-six percent reported that they either “often” or “always” draw for patients to explain diagnoses. Forty-two percent considered having drawing skills to be favorable among residency applicants. Seventy-four percent answered that the ability to draw may be related to technical skills. Eighty-two percent considered that the ability to draw the steps of an operation was related to having the ability to perform that same operation. Barriers to incorporating art into training included lack of expertise, time, resources, and evidence.</div></div><div><h3>Conclusions</h3><div>Resident opportunities to participate in organized art-related activities through their surgery programs are rare, but survey responses indicate that program directors do perceive that there is value in art-related exercises for surgical trainees. Future studies ought to consider the effectiveness of incorporating different types of art-based teaching strategies for resident learning.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103465"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How We Do It: Video-Based Assessment Conference for Intraoperative Decision Making in Pediatric Surgery 我们如何做:基于视频的儿科手术中决策评估会议
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-22 DOI: 10.1016/j.jsurg.2025.103482
Mitchell G. Bryski , Mollie R. Freedman-Weiss , Stephen Niemiec , Samuel M. Alaish , Charbel Chidiac , Mark Slidell , Erica Hodgman , Carolyn J. Reuland , David J. Hackam , Alejandro V. Garcia , Isam Nasr , Shaun M. Kunisaki , Clint D. Cappiello , Daniel S. Rhee
{"title":"How We Do It: Video-Based Assessment Conference for Intraoperative Decision Making in Pediatric Surgery","authors":"Mitchell G. Bryski ,&nbsp;Mollie R. Freedman-Weiss ,&nbsp;Stephen Niemiec ,&nbsp;Samuel M. Alaish ,&nbsp;Charbel Chidiac ,&nbsp;Mark Slidell ,&nbsp;Erica Hodgman ,&nbsp;Carolyn J. Reuland ,&nbsp;David J. Hackam ,&nbsp;Alejandro V. Garcia ,&nbsp;Isam Nasr ,&nbsp;Shaun M. Kunisaki ,&nbsp;Clint D. Cappiello ,&nbsp;Daniel S. Rhee","doi":"10.1016/j.jsurg.2025.103482","DOIUrl":"10.1016/j.jsurg.2025.103482","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To demonstrate our experience with establishing a video-based assessment conference (VBA) for rare and complex procedures in a pediatric surgery fellowship program.</div></div><div><h3>DESIGN</h3><div>We share our experience in establishing a VBA conference in our Division of Pediatric Surgery from case selection, methods of operative video recording, equipment, and editing, and the structure of how cases are presented in conference.</div></div><div><h3>SETTING</h3><div>Pediatric Surgery Fellowship at the Johns Hopkins Children's Center in Baltimore, MD.</div></div><div><h3>PARTICIPANTS</h3><div>Pediatric surgery faculty, pediatric surgery fellows, general surgery residents, medical students, and nurse practitioners at Johns Hopkins participated in the conferences. Medical students and faculty were responsible for video recording and editing.</div></div><div><h3>CONCLUSIONS</h3><div>Allowing VBA of operative cases can improve comprehensive learning in technically challenging and rare cases seen in pediatric surgery. Our paper shares one methodology of establishing a successful VBA conference.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103482"},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental Imagery as a Formal Educational Adjunct for Surgical Skills Development in Medical Students: A Scoping Review 心理意象作为医学生外科技能发展的正式教育辅助:范围综述
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-22 DOI: 10.1016/j.jsurg.2025.103472
Khang Duy Ricky Le , Jessica Ferdinands , Kaylah Fink
{"title":"Mental Imagery as a Formal Educational Adjunct for Surgical Skills Development in Medical Students: A Scoping Review","authors":"Khang Duy Ricky Le ,&nbsp;Jessica Ferdinands ,&nbsp;Kaylah Fink","doi":"10.1016/j.jsurg.2025.103472","DOIUrl":"10.1016/j.jsurg.2025.103472","url":null,"abstract":"<div><h3>Background</h3><div>The development of surgical skills is a key component of the medical education curriculum. While simulation-based medical education approaches are increasingly adopted to facilitate skills development in a safe, standardized and realistic manner, mental imagery (MI) has been considered as an emerging approach for surgical skills development. MI is defined as the mental rehearsal of tasks without motor performance and has demonstrated effective skills development in industries such as elite sport and aviation. However, its benefit has yet to be explored and utilized in the medical school curriculum. This scoping review seeks to evaluate the current literature to characterize efficacy of MI interventions for the surgical skills development of medical students.</div></div><div><h3>Methods</h3><div>A scoping review was performed following a comprehensive search of Medline, Embase, CINAHL and Emcare databases. Articles evaluating the outcomes related to the impact of MI interventions on the development of technical and nontechnical surgical skills among medical students were included.</div></div><div><h3>Results</h3><div>MI-based programs among medical students improve certain areas of technical and nontechnical surgical skills performance such as in laparoscopic performance, fluidity and with co-benefits of improved stress management and low cost. However, inconsistencies were observed in findings across studies, with mixed results across the technical and nontechnical surgical skills assessed. This was largely attributed to significant study heterogeneity of the underlying evidence.</div></div><div><h3>Conclusions</h3><div>Despite the emerging evidence suggesting MI-based programs as an effective adjunct to the current surgical skills development, there are important limitations to the quality of the evidence. Our scoping review highlights the need for prospective research with standardized MI programs assessing surgical skills at the expected scope of competency for medical students to further characterize the utility of MI-based programs in the Accreditation Council for Graduate Medical Education (ACGME) surgical skills curriculum, particularly in areas of medical knowledge, professionalism, interpersonal and communication skills.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 5","pages":"Article 103472"},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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