The American Journal of Surgery最新文献

Concordance of leadership documentation in curricula vitae and recommendation letters among applicants for general surgery residency 普外科住院医师申请者简历和推荐信中领导力文件的一致性

The American Journal of Surgery Pub Date : 2024-09-07 DOI: 10.1016/j.amjsurg.2024.115956

Florence E. Turrentine, Charles M. Friel, Anneke T. Schroen

{"title":"Concordance of leadership documentation in curricula vitae and recommendation letters among applicants for general surgery residency","authors":"Florence E. Turrentine, Charles M. Friel, Anneke T. Schroen","doi":"10.1016/j.amjsurg.2024.115956","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.115956","url":null,"abstract":"Letters of recommendation (LOR) are vital to surgical residency applications. Our prior study demonstrated differences in letter content by applicant sex, including more frequent reference to leadership and awards for male applicants. This study evaluates if leadership activities and awards as documented by the applicant's curriculum vitae (CV) corroborate differences noted in corresponding recommendation letters. LORs and CVs for 2016–2017 surgery resident applicants selected for interview at single academic institution were analyzed for documentation of leadership and awards and assessed for concordance. 89 applicant CVs (45 male, 44 female) and 332 LORs (165 male, 167 female) were reviewed for evidence of leadership and awards. While 94 % of CVs had evidence of leadership, leadership was referenced in LORs more often for men than women (45 % vs 30 %, p = 0.004). References to leadership skills (38 % vs 21 %, p=<0.001), elected/appointed office (33 % vs 16 %, p < 0.001), and volunteer/work-related leadership role (12 % vs 3 %, p = 0.001) occurred more commonly for men. Similarly, awards were present in 74 % of CVs without difference by sex but referenced more commonly for men compared to women (64 % vs 46 %, p = 0.001). References to leadership and awards in LORs were more common for men than women applicants, which is not reflective of CV content. Although LOR need not recapitulate CVs, fair appraisal of leadership abilities is encouraged.","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"193 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

In the Era of pass/fail: Medical student perceptions on optimizing their surgical residency applications 及格/不及格时代：医学生对优化外科住院实习申请的看法

The American Journal of Surgery Pub Date : 2024-09-06 DOI: 10.1016/j.amjsurg.2024.115951

Paulina M. Gutkin, Margaret Botros, Laura Kasper, Irina Solovieva, Isabella Gomes, Sophie Dream, 2022–2023 Association of Women Surgeons National Medical Student Committee

{"title":"In the Era of pass/fail: Medical student perceptions on optimizing their surgical residency applications","authors":"Paulina M. Gutkin, Margaret Botros, Laura Kasper, Irina Solovieva, Isabella Gomes, Sophie Dream, 2022–2023 Association of Women Surgeons National Medical Student Committee","doi":"10.1016/j.amjsurg.2024.115951","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.115951","url":null,"abstract":"It is unclear how changes to the 2023–2024 Electronic Residency Application Service (ERAS) application will impact future applicants. We investigate students’ perceptions about applying to residency during this transition period. An anonymous electronic survey was sent to medical students through social media of a women's surgical society. Questions reflected aspects of the ERAS application. There were 415 responses, with 68 % planning to apply into surgical specialties (SS) and 17 % into non-surgical specialties (NSS). Compared with the NSS group, SS students reported decreased confidence in successfully matching, less attainable applicant expectations, and increased personal sacrifices to pursue their residency of interest. Students interested in Plastic and Reconstructive Surgery (PRS) placed 3-times more importance on the number of publications than General Surgery students. Away rotations were rated significantly more important for Otolaryngology, Orthopaedic, and PRS students. Students applying into surgical residencies experience unique stressors. Values among SS students differed across surgical subspecialties in preparation for the match. Further investigation characterizing the relationship between these values and characteristics of successful resident applicants is warranted.","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"201 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conceptualizing patient benefit after vascular surgery procedures – How is our cognitive performance? 血管外科手术后患者获益的概念化--我们的认知能力如何？

The American Journal of Surgery Pub Date : 2024-09-05 DOI: 10.1016/j.amjsurg.2024.115940

Claire M. Motyl, Emily L. Spangler

引用次数: 0

Scheduling surgical success: Early minimally invasive surgery rotations as a predictor of ABSITE performance 安排手术成功：早期微创手术轮转是 ABSITE 业绩的预测因素

The American Journal of Surgery Pub Date : 2024-09-05 DOI: 10.1016/j.amjsurg.2024.115953

Ace St John, Nicole H. Ducich, Stephen M. Kavic

引用次数: 0

Promising patient-reported outcomes after complex incisional hernia repair – But how'd they do it? 复杂切口疝修补术后患者报告的结果令人鼓舞--但他们是怎么做到的？

The American Journal of Surgery Pub Date : 2024-09-04 DOI: 10.1016/j.amjsurg.2024.115945

Ryan Howard, Anne Ehlers

引用次数: 0

Trainee-initiated dictations of endocrine surgeries: Implications for education and reimbursement 内分泌手术的学员口述：对教育和报销的影响

The American Journal of Surgery Pub Date : 2024-08-31 DOI: 10.1016/j.amjsurg.2024.115947

Daniel M. Chopyk, Theresa N. Wang, David E. Weirich, Stephanie Paras, Barbra S. Miller, John E. Phay, Gurjit Sandhu, Emily Huang, Priya H. Dedhia

{"title":"Trainee-initiated dictations of endocrine surgeries: Implications for education and reimbursement","authors":"Daniel M. Chopyk, Theresa N. Wang, David E. Weirich, Stephanie Paras, Barbra S. Miller, John E. Phay, Gurjit Sandhu, Emily Huang, Priya H. Dedhia","doi":"10.1016/j.amjsurg.2024.115947","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.115947","url":null,"abstract":"Our university-based surgery department recently transitioned to attending-only authorship of operative reports. We performed a mixed-methods investigation to determine if trainee-initiated endocrine surgical reports were associated with under-coding of specific procedures. Endocrine operations performed from July 2020 to June 2022 were identified from billing data. Pre- and post-policy RVU distributions and note modification history were reviewed to determine how often trainees captured billable differentiators over attending note modification. 714 operations and 1138 billed procedures were identified. Parathyroidectomy alone showed greater mean RVUs with attending-only reports attributable to attending practice change in coding for intraoperative parathyroid hormone monitoring. Trainees were more likely to miss coding modifier 22 but RVU losses were prevented by attending note modification. Trainee-initiated operative reports were not associated with RVU losses for endocrine operations compared to attending-only reports. Trainee dictation can be improved by emphasizing education on procedural billing differences and surgical reasoning.","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"101 1","pages":"115947"},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From the Editor – In – Chief: Featured papers in the July 2024 issue 主编的话2024 年 7 月刊的特色论文

The American Journal of Surgery Pub Date : 2024-04-06 DOI: 10.1016/j.amjsurg.2024.04.008

Herbert Chen

引用次数: 0

My thoughts: The rise of social media as a reporting source for firearm violence 我的想法社交媒体作为枪支暴力报告来源的兴起

The American Journal of Surgery Pub Date : 2024-02-01 DOI: 10.1016/j.amjsurg.2024.02.024

Shaelyn Choi, Jason Liang, Megan R. Donnelly, Mallory Jebbia, C. Kuza, L. Swentek, A. Grigorian, Jeffry T. Nahmias

引用次数: 0

Traumatic lower extremity amputation as a risk factor for venous thromboembolism 创伤性下肢截肢是静脉血栓栓塞症的一个风险因素

The American Journal of Surgery Pub Date : 2024-02-01 DOI: 10.1016/j.amjsurg.2024.01.011

Dias Argandykov, Emanuele Lagazzi, Jefferson A. Proaño-Zamudio, Wardah Rafaqat, May Abiad, Michael P. DeWane, Charudutt N Paranjape, H. Kaafarani, G. Velmahos, J. Hwabejire

引用次数: 0

We don't really know our residents as well as we think. Trait characteristic recognition by faculty in autonomy needs more attention. But does it matter? 我们并不像自己想象的那样了解住院医生。教员在自主性方面的特质识别需要更多关注。但这重要吗？

The American Journal of Surgery Pub Date : 2024-02-01 DOI: 10.1016/j.amjsurg.2024.02.018

James N. Lau

引用次数: 0