Journal of Surgical Education最新文献

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Impact of a Pediatric Ambulatory Surgical Center on Surgery Resident Education 儿科门诊外科中心对外科住院医师教育的影响
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-06 DOI: 10.1016/j.jsurg.2025.103444
Parker Evans MD , Sameer Sundrani BS , Christina Bailey MD , Jamie Robinson MD, PhD , Jeffrey Upperman MD , Harold Lovvorn III MD
{"title":"Impact of a Pediatric Ambulatory Surgical Center on Surgery Resident Education","authors":"Parker Evans MD ,&nbsp;Sameer Sundrani BS ,&nbsp;Christina Bailey MD ,&nbsp;Jamie Robinson MD, PhD ,&nbsp;Jeffrey Upperman MD ,&nbsp;Harold Lovvorn III MD","doi":"10.1016/j.jsurg.2025.103444","DOIUrl":"10.1016/j.jsurg.2025.103444","url":null,"abstract":"<div><h3>Objective</h3><div>Most operative education for surgery trainees occurs in primary academic hospitals. The impact of ambulatory surgery centers (ASCs) on resident operative experience with adult procedures is variable but has not been reported regarding pediatric cases. We hypothesized that the introduction of a pediatric ASC in our health system led to decreased opportunities for surgery residents to participate in ACGME-required cases.</div></div><div><h3>Design</h3><div>We performed a retrospective analysis of operative data from the electronic health record (EHR) and resident-reported case logs for procedures performed at an academic children's hospital (CH) and its pediatric ASC from 2018 to 2023. Pediatric surgery first performed operations at the ASC in May 2020. Operative cases analyzed were those performed at both the ASC and the CH. The presence of trainees in overlapping case types was analyzed, and descriptive statistics were performed.</div></div><div><h3>Setting</h3><div>Vanderbilt University Medical Center, General Surgery training program and Vanderbilt Children's Hospital, both quaternary care centers.</div></div><div><h3>Participants</h3><div>General surgery residents rotating on the Pediatric Surgery service between 2018 and 2023.</div></div><div><h3>Results</h3><div>Overlapping cases included inguinal, umbilical, and epigastric herniorrhaphies, as well as subcutaneous lesion excisions. Of 17,012 cases performed by pediatric surgeons during the study period, 5,413 (31.8%) were overlapping cases, and 599 (3.5%) were performed at the ASC. Retrospective review of the EHR demonstrated resident presence in 82.9% of CH cases before the ASC and 81.8% afterwards. Resident presence in ASC cases was minimal (<em>n</em> = 9). Categorical General Surgery and Pediatric Surgery residents had no decrease in case volume after ASC initiation based on EHR data or case logs.</div></div><div><h3>Conclusions</h3><div>The introduction of a pediatric ASC did not reduce resident operative experience but represents a missed educational opportunity in the ambulatory setting.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 4","pages":"Article 103444"},"PeriodicalIF":2.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143338082","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
Internalized Shame Experiences and Burnout in General Surgery Residents 普通外科住院医师的内化羞耻体验与倦怠
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-06 DOI: 10.1016/j.jsurg.2025.103447
Sophia M. Smith MD, MS , Anna Kobzeva-Herzog MD , Patrick McGillen MD, MS , Myriam Castagne-Charlotin MD , Joshua Davies MD , Sabrina E. Sanchez MD, MPH , Tracey Dechert MD, FACS , Tejal S. Brahmbhatt MD, FACS , Sheina Theodore MD
{"title":"Internalized Shame Experiences and Burnout in General Surgery Residents","authors":"Sophia M. Smith MD, MS ,&nbsp;Anna Kobzeva-Herzog MD ,&nbsp;Patrick McGillen MD, MS ,&nbsp;Myriam Castagne-Charlotin MD ,&nbsp;Joshua Davies MD ,&nbsp;Sabrina E. Sanchez MD, MPH ,&nbsp;Tracey Dechert MD, FACS ,&nbsp;Tejal S. Brahmbhatt MD, FACS ,&nbsp;Sheina Theodore MD","doi":"10.1016/j.jsurg.2025.103447","DOIUrl":"10.1016/j.jsurg.2025.103447","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>General surgery residents have high rates of professional burnout, characterized by depersonalization, emotional exhaustion, and reduced sense of personal accomplishment. While shame experiences in surgical residency have been sparsely studied, there are no studies evaluating internalized shame states in surgical residents. This study quantifies internalized shame in surgical residents and its association with burnout. We hypothesized that higher levels of internalized shame would be associated with higher odds of burnout.</div></div><div><h3>DESIGN</h3><div>This cross-sectional study was conducted via an anonymous survey consisting of demographic information, the Maslach Burnout Inventory (MBI), and the Experience of Shame Scale (ESS), both validated measures. Multivariable logistic regression was used to determine the association between ESS and MBI scores, controlling for age, sex, relationship and parental status, and resident seniority level.</div></div><div><h3>SETTING</h3><div>The survey was distributed among United States general surgery residency programs via email through the Association of Program Directors in Surgery.</div></div><div><h3>PARTICIPANTS</h3><div>Categorical general surgery residents were invited to participate.</div></div><div><h3>RESULTS</h3><div>122 general surgery residents responded to the survey. Respondents were 61.48% female (<em>n</em> = 75), with a median age of 31 (IQR 29-32) and distributed across postgraduate years. On multivariable logistic regression, increased ESS scores were significantly associated with higher odds of burnout (OR 1.11, 95% CI 1.06-1.16, p &lt; 0.001).</div></div><div><h3>CONCLUSIONS</h3><div>General surgery residents experience high rates of internalized shame (median ESS score 54.5, IQR 43-69), and shame states are significantly associated with increased odds of experiencing burnout. Interventions to minimize internalized shame experiences may help mitigate the high rates of burnout found in general surgery residents.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 4","pages":"Article 103447"},"PeriodicalIF":2.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143360441","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
Professional Experience Modulates the Effect of Impulsiveness on Laparoscopic Simulator Performance 专业经验调节冲动对腹腔镜模拟器性能的影响
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-06 DOI: 10.1016/j.jsurg.2025.103443
Bas Kengen MD, PhD, Harry van Goor MD, PhD, Jan-Maarten Luursema PhD
{"title":"Professional Experience Modulates the Effect of Impulsiveness on Laparoscopic Simulator Performance","authors":"Bas Kengen MD, PhD,&nbsp;Harry van Goor MD, PhD,&nbsp;Jan-Maarten Luursema PhD","doi":"10.1016/j.jsurg.2025.103443","DOIUrl":"10.1016/j.jsurg.2025.103443","url":null,"abstract":"<div><h3>Objective</h3><div>High impulsiveness is associated with adverse outcomes, such as dangerous driving leading to traffic accidents and decreased job performance in general. In surgical training, high impulsiveness is associated with increased damage during simulated laparoscopic tasks. The objective of this study is to investigate the impact of professional experience on the relation between impulsiveness and simulated laparoscopy.</div></div><div><h3>Methods</h3><div>In this single institution study, a total of 120 participants, of whom 78 inexperienced medical students and residents (≤ 10 laparoscopic procedures as primary surgeon), and 42 residents and attending surgeons experienced in laparoscopy (&gt; 10 laparoscopic procedures as primary surgeon), performed 4 different, standardized laparoscopic tasks on the LapSim Virtual Reality trainer. Based on the UPPSP impulsive behavior scale, a scale to measure impulsiveness, we divided participants into equal sized high- and low impulsiveness groups for both experience groups. We used Mann–Whitney U tests to compare task duration and damage parameters between the low and high impulsiveness group, separately for inexperienced and experienced participants. Spearman's rank correlation tests were used to investigate the correlation of different facets of impulsiveness (positive and negative urgency, premeditation, perseverance and sensation seeking) on performance.</div></div><div><h3>Results</h3><div>Inexperienced participants with high impulsiveness demonstrated significantly faster task completion (<em>z</em> = 2.74, p &lt; 0.01). Inexperienced participants of very high-impulsiveness (upper quartile) also caused significantly more tissue damage (<em>z</em> = 2.27, p = 0.02). Conversely, experienced surgeons exhibited no discernible performance variations based on impulsiveness for time (<em>z</em> = 1.42, p = 0.16) or tissue damage (<em>z</em> = −0.19, p = 0.85). For inexperienced participants the impulsiveness facets (lack of) premeditation and sensation seeking correlated with shorter task duration, while negative urgency, positive urgency, and (lack of) perseverance were associated with increased tissue damage. For the experienced participants no significant correlations were found between impulsiveness facets and simulator outcomes.</div></div><div><h3>Conclusion</h3><div>High impulsiveness results in shorter task duration but tend to increase tissue damage for laparoscopic simulator performance of inexperienced trainees. The performance of experienced surgeons remained unaffected by impulsiveness, indicating that professional experience may play a role in mitigating its influence.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 4","pages":"Article 103443"},"PeriodicalIF":2.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143360442","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
The Impact of Medical School Experiences in Global Surgery on Perceptions and Career Plans Among U.S. Medical Students 全球外科医学院经历对美国医学生认知和职业规划的影响。
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-02 DOI: 10.1016/j.jsurg.2025.103441
Lydia Kersh MS, MPH , Paul Serrato MS , Cassandra Anderson MD , Vanitha Raguveer MD , Connor Peck MD , Syeda Akila Ally MD , Isha Gondi BS , Shivani Subhedar DO , Allison Rollins MD , Blake Hauser MD , Anusha Jayaram MD , Sarah Hill MD , Bathsheba Wariso MD , Shahyan Rehman MD , Global Surgery Student Alliance, James Clune MD
{"title":"The Impact of Medical School Experiences in Global Surgery on Perceptions and Career Plans Among U.S. Medical Students","authors":"Lydia Kersh MS, MPH ,&nbsp;Paul Serrato MS ,&nbsp;Cassandra Anderson MD ,&nbsp;Vanitha Raguveer MD ,&nbsp;Connor Peck MD ,&nbsp;Syeda Akila Ally MD ,&nbsp;Isha Gondi BS ,&nbsp;Shivani Subhedar DO ,&nbsp;Allison Rollins MD ,&nbsp;Blake Hauser MD ,&nbsp;Anusha Jayaram MD ,&nbsp;Sarah Hill MD ,&nbsp;Bathsheba Wariso MD ,&nbsp;Shahyan Rehman MD ,&nbsp;Global Surgery Student Alliance,&nbsp;James Clune MD","doi":"10.1016/j.jsurg.2025.103441","DOIUrl":"10.1016/j.jsurg.2025.103441","url":null,"abstract":"<div><h3>INTRODUCTION</h3><div>There is a growing interest among medical students to learn about global surgery and how they can incorporate it into their further training in residency. This study addresses US-based medical student perceptions of global surgery, medical school experiences, and career plans.</div></div><div><h3>METHODS</h3><div>A cross-sectional survey study of US-based medical students was performed. Univariate and multivariable regression models were constructed to assess the impact of student experiences during medical school and mentor experiences on global surgery perceptions and career plans. Career plans for international surgical mission trips and for global surgery advocacy/research were further evaluated.</div></div><div><h3>RESULTS</h3><div>Of the 708 responses, 251 (34.6%) students indicated interest in global surgery. Global surgery curricular experiences during medical school were associated with increased odds of believing that global surgery topics should be included in medical school curricula (OR = 2.42, p = 0.021) and having career plans for global surgery research or advocacy (OR = 3.72, p = 0.002). Students with mentors with global surgery research experience were more likely to have career plans for global surgery research or advocacy (OR = 4.36, p = 0.019). Student participation in global health research was associated with lower odds of having career plans for international surgical mission trips (OR = 0.22, p &lt; 0.001).</div></div><div><h3>CONCLUSION</h3><div>Students with more experience in global surgery view it more favorably, and have greater odds of participating in global surgery in their future careers. There is a desire among the respondent medical students for more global surgery education and mentoring among medical institutions. Therefore, medical schools may benefit by offering more global surgery opportunities at their institutions.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 4","pages":"Article 103441"},"PeriodicalIF":2.6,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082866","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
Serve Coffee, Hold Clamps, Do Not Complain: Student Perceptions and Experiences Regarding Surgery 端咖啡、拿夹钳、不抱怨:学生对外科手术的看法和体验。
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-01 DOI: 10.1016/j.jsurg.2024.103394
Begum Pekbay MD , Sjoerd M. Lagarde MD, PhD , Claudia M. Keyzer-Dekker MD, PhD , Frouke C. de Vries MSc , Jeroen de Jonge MD, PhD , Johanna M. Hendriks MD, PhD
{"title":"Serve Coffee, Hold Clamps, Do Not Complain: Student Perceptions and Experiences Regarding Surgery","authors":"Begum Pekbay MD ,&nbsp;Sjoerd M. Lagarde MD, PhD ,&nbsp;Claudia M. Keyzer-Dekker MD, PhD ,&nbsp;Frouke C. de Vries MSc ,&nbsp;Jeroen de Jonge MD, PhD ,&nbsp;Johanna M. Hendriks MD, PhD","doi":"10.1016/j.jsurg.2024.103394","DOIUrl":"10.1016/j.jsurg.2024.103394","url":null,"abstract":"<div><h3>Objective</h3><div>To explore medical students’ perceptions and experiences regarding the surgery clerkship and surgeons.</div></div><div><h3>Design</h3><div>Between November 2021 and February 2022, an anonymous prepost survey study was performed among 2 consecutive cohorts of medical students. The survey was taken 6 weeks prior to the surgery clerkship and repeated shortly after the surgery clerkship.</div></div><div><h3>Setting</h3><div>Single-center prepost survey study.</div></div><div><h3>Participants</h3><div>Medical students studying at Erasmus Medical Center entering a 6-week surgery education block directly followed by a ten-week surgery clerkship.</div></div><div><h3>Results</h3><div>The preclerkship response rate was 100% (n=145). One out of 5 students considered a surgical career (21%). Half of the students expected to be negatively treated (55%), mainly in terms of hierarchy and offensive language. The postclerkship response rate was 70% (n=101). Interest in a surgical career increased significantly from 21% to 50% (p&lt;0.001). Thirteen students (13%) reported being negatively treated during their surgery clerkship, mainly in terms of poor supervision of their learning process and nonconstructive feedback.</div></div><div><h3>Conclusions and Relevance</h3><div>Stereotypes of surgeons and the surgical clerkship are strongly prevalent among medical students. Half of the students enter the surgery clerkship with negative perceptions. Fortunately, the surgery clerkship debunked prejudices and increased interest in surgery. Poor supervision and feedback during the surgery clerkship were experienced as negative treatment, emphasizing the importance of cultivating a safe learning climate.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103394"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901479","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
Table of Contents & Bacode 目录和代码
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-01 DOI: 10.1016/S1931-7204(25)00004-2
{"title":"Table of Contents & Bacode","authors":"","doi":"10.1016/S1931-7204(25)00004-2","DOIUrl":"10.1016/S1931-7204(25)00004-2","url":null,"abstract":"","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103423"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147982","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
Urology Resident Autonomy in the Veterans Affairs Healthcare System 退伍军人事务医疗保健系统中的泌尿科住院医师自主权。
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-01 DOI: 10.1016/j.jsurg.2024.103370
Anh Thuy Nguyen , Joseph B. Oliver , Kunj Jain , Janmejay Hingu , Anastasia Kunac , Hossein Sadeghi-Nejad , Devashish Anjaria MD, FACS
{"title":"Urology Resident Autonomy in the Veterans Affairs Healthcare System","authors":"Anh Thuy Nguyen ,&nbsp;Joseph B. Oliver ,&nbsp;Kunj Jain ,&nbsp;Janmejay Hingu ,&nbsp;Anastasia Kunac ,&nbsp;Hossein Sadeghi-Nejad ,&nbsp;Devashish Anjaria MD, FACS","doi":"10.1016/j.jsurg.2024.103370","DOIUrl":"10.1016/j.jsurg.2024.103370","url":null,"abstract":"<div><h3>Purpose</h3><div>Surgical resident autonomy in procedures has been eroding over time, due to multiple factors that include duty hour restrictions, focus on operating time, complication rate, and trust among supervising physicians. This study examines whether urology residents at the Veterans Affairs hospitals (VA) have experienced decreased surgical autonomy and contributing factors.</div></div><div><h3>Methods</h3><div>The national VA Surgical Quality Improvement Program (VASQIP) was queried for the most common urologic procedures between 2004 to 2019 with resident involvement. The most frequent surgeries were transurethral resection of prostate (TURP); transurethral resection of small, medium, or large tumor (TURBT); photo vaporization of prostate, scrotal surgery, and ureteral stent placement. The cases were stratified by resident involvement: attending as primary (AP), attending and resident (AR), resident as primary (RP).</div></div><div><h3>Results</h3><div>93,756 urology cases were selected from 2004 to 2019. The above procedures accounted for 76.5% of all urologic cases. The percentage of RP cases decreased from 44.4% of cases in 2004 to 25.1% in 2019. Reduction in RP cases was seen in all of the 7 examined urology cases. Cases with resident involvement had patients with more medical comorbidities. Mean operative times were not significantly different. The 30-day composite complications and 30-day return to operating room were greatest for AR. Postoperative morbidity and all-cause mortality were not significantly different.</div></div><div><h3>Conclusions</h3><div>Urology resident autonomy has decreased within the VA healthcare system over the past 15 years. Mean operative times and postoperative complications are not significantly different in cases with residents as primary surgeon.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103370"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857456","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
The Many Faces of Good Operating Room Supervision: Supervisors’ and Residents’ Perspectives After Operating Together 良好手术室监管的多面性:手术后监护者与住院医师的视角。
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-01 DOI: 10.1016/j.jsurg.2024.103396
Bart Lambert MD , Martine C. Keuning MD , Paul C. Jutte MD, PhD , Agnes D. Diemers MD, PhD , Patrick Nieboer MD, PhD , Mike Huiskes PhD
{"title":"The Many Faces of Good Operating Room Supervision: Supervisors’ and Residents’ Perspectives After Operating Together","authors":"Bart Lambert MD ,&nbsp;Martine C. Keuning MD ,&nbsp;Paul C. Jutte MD, PhD ,&nbsp;Agnes D. Diemers MD, PhD ,&nbsp;Patrick Nieboer MD, PhD ,&nbsp;Mike Huiskes PhD","doi":"10.1016/j.jsurg.2024.103396","DOIUrl":"10.1016/j.jsurg.2024.103396","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>Effective operating room (OR) learning requires surgical and surgical-educational skills. Current insights into educational skills of surgical educators are derived from general perceptions of supervisors and residents via survey and interview studies. This study aims to provide insight into what educators and residents perceive as good OR supervision behavior based on actual day-to-day collaboration. Additionally, it seeks to explore the underlying goals of good OR supervision and to identify relations between good OR supervision behavior and underlying goals</div></div><div><h3>DESIGN</h3><div>16 supervisor-resident dyads performing a procedure were video recorded. Directly after the procedure educators and residents independently identified 3 moments of what they perceived as good supervision. During subsequent video-stimulated interviews, they elaborated on why they selected those moments. Thereafter, a qualitative thematic analysis was performed.</div></div><div><h3>SETTING</h3><div>Four common surgical procedures performed by a resident under supervision of a general or orthopedic surgeon in 6 different teaching hospitals in the Netherlands.</div></div><div><h3>PARTICIPANTS</h3><div>16 unique supervisor-resident dyads were included in a convenient sample.</div></div><div><h3>RESULTS</h3><div>Analysis yielded 13 different codes identifying supervisor behaviors and 6 underlying goals of good OR supervision. Which strategy surgical educators use to achieve one of the underlying goals is situation-dependent.</div></div><div><h3>CONCLUSIONS</h3><div>Good supervision is situated and needs to be updated as procedures progress. There is no one-on-one relation between types of good supervision behavior and the underlying goals. As such, a fixed template for effective OR supervision does not exist.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103396"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901480","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
The Perceived Impact of Global Surgery Engagement on Career Advancement among US Medical Students 全球外科参与对美国医学生职业发展的感知影响。
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-01 DOI: 10.1016/j.jsurg.2024.103404
Paul Serrato MS , Rafat Solaiman BA , Hiba Vohra MS , Katherine Hu BS , Amiti Jain BS , Yasmin Alamdeen BS , Bani Medegan Fagla BS , Connor Peck MD, MPH , Sarah Hill MD, MPH , Bathsheba Wariso MD, MPH, MHS , Shahyan Rehman MD , Shivani Subhedar DO, MS , Lydia Kersh MS , Cassandra Anderson MD , James Clune MD , Global Surgery Student Alliance
{"title":"The Perceived Impact of Global Surgery Engagement on Career Advancement among US Medical Students","authors":"Paul Serrato MS ,&nbsp;Rafat Solaiman BA ,&nbsp;Hiba Vohra MS ,&nbsp;Katherine Hu BS ,&nbsp;Amiti Jain BS ,&nbsp;Yasmin Alamdeen BS ,&nbsp;Bani Medegan Fagla BS ,&nbsp;Connor Peck MD, MPH ,&nbsp;Sarah Hill MD, MPH ,&nbsp;Bathsheba Wariso MD, MPH, MHS ,&nbsp;Shahyan Rehman MD ,&nbsp;Shivani Subhedar DO, MS ,&nbsp;Lydia Kersh MS ,&nbsp;Cassandra Anderson MD ,&nbsp;James Clune MD ,&nbsp;Global Surgery Student Alliance","doi":"10.1016/j.jsurg.2024.103404","DOIUrl":"10.1016/j.jsurg.2024.103404","url":null,"abstract":"<div><h3>Introduction</h3><div>There is growing interest among medical institutions to formalize global surgery training. Understanding medical students’ perceptions of how global surgery engagement can enhance career advancement is essential for providing appropriate guidance and support for individuals with aspirations in academic global surgery.</div></div><div><h3>Methods</h3><div>A cross-sectional survey study of US-based medical students from 38 participating schools was performed. Univariate and multivariate logistic regression models were constructed to assess motivations and the perceived impact of global surgery engagement on career advancement. The primary outcomes of interest were whether students perceived global surgery participation as beneficial for residency applications and for becoming a better surgeon.</div></div><div><h3>Results</h3><div>Of the 708 responses, 251 (35.5%) students indicated interest in global surgery. The most common top-ranked motivations for participating in global surgery were feeling a “responsibility to help those who are less privileged or underserved” (32.8%), “finding global health academically interesting” (19.3%), “having a moral commitment to global surgery as a component of health equity” (16.7%). Regardless of global surgery interest, most students believed global surgery engagement would make students better surgeons (83.1%) and better residency applicants (70.5%). On multivariate analysis, having global surgery in the medical school curriculum was associated with increased odds of perceiving the benefit of global surgery engagement for residency applications (aOR: 3.04, p = 0.042). Student membership in a global surgery interest group was associated with increased odds of perceiving the benefit of global surgery engagement for becoming a better surgeon (aOR: 2.17, p = 0.028).</div></div><div><h3>Conclusion</h3><div>Students with curricular and extracurricular involvement in global surgery during medical school tend to perceive the career benefits of global surgery engagement. Medical institutions should consider how participants will regard their professional growth when developing global surgery programs for trainees.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"82 2","pages":"Article 103404"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911373","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
Virtual Impressions: An Examination of OBGYN Programs’ Online Presence in the Match Process 虚拟印象:在匹配过程中对妇产科项目在线存在的检查:妇产科住院医师项目网站和社交媒体。
IF 2.6 3区 医学
Journal of Surgical Education Pub Date : 2025-02-01 DOI: 10.1016/j.jsurg.2024.103389
Kaitlyn Rewis MD, MA , Nuong Truong MD , Ann Lal MD , Nicole Sprawka MD , Layan Alrahmani MD
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