American journal of surgery最新文献_第2页

Erratum to "Don't forget your meds" [Am J Surg 252 (2026) 116771]. “不要忘记你的药”的勘误[J].中华外科杂志，252(2026):116771。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-05-07 DOI: 10.1016/j.amjsurg.2026.117008

Joey Lew, Keri A Seymour

引用次数: 0

Narrowing the gap: addressing sexual and gender minority-specific concerns throughout the breast cancer continuum. 缩小差距：在整个乳腺癌连续体中解决性和性别少数群体特有的问题。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-05-02 DOI: 10.1016/j.amjsurg.2026.117010

Jakob A Durden, Sarah Tevis

引用次数: 0

The Achilles heel in surgical culture: breastfeeding in surgery. An invited commentary. 外科文化的致命弱点：手术中的母乳喂养。特邀评论。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-30 DOI: 10.1016/j.amjsurg.2026.117015

Gabriela Rangel Brandao, Bruna Oliveira Trindade

引用次数: 0

Risky business: A call to reconsider risk in outpatient thyroidectomy. 高风险业务：呼吁重新考虑门诊甲状腺切除术的风险。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-30 DOI: 10.1016/j.amjsurg.2026.117016

Alexa Lisevick Kumar, Catherine McManus

引用次数: 0

Artificial intelligence and the next frontier of surgical assessment: Promise without readiness. 人工智能和外科评估的下一个前沿：没有准备的承诺。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-25 DOI: 10.1016/j.amjsurg.2026.116989

Carmen Fong

引用次数: 0

Conceptualizing and determining laparoscopic competencies in surgical residents: A qualitative study from China. 概念化和确定外科住院医师的腹腔镜能力：一项来自中国的定性研究。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-25 DOI: 10.1016/j.amjsurg.2026.117004

Yao Xiao, Yue Zhang, Yanmeng Zhao, Zhouwen Yang, Soomin Lee, Yangjun Liu, Qianqian Zhao, Oudong Xia

{"title":"Conceptualizing and determining laparoscopic competencies in surgical residents: A qualitative study from China.","authors":"Yao Xiao, Yue Zhang, Yanmeng Zhao, Zhouwen Yang, Soomin Lee, Yangjun Liu, Qianqian Zhao, Oudong Xia","doi":"10.1016/j.amjsurg.2026.117004","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.117004","url":null,"abstract":"Objective: Given the inadequacy of current evaluation systems for laparoscopic training, this study aims to develop a multidimensional competency framework for surgical residents. The framework is intended to identify key indicators that distinguish excellent performance and better support resident training.Methods: Based grounded theory and the Iceberg Model, interviews with 15 specialists and 21 residents informed the competency framework. For validation, residents were divided into \"excellent\" and \"average\" cohorts, undergoing double-blind competency scoring and comparative analysis.Results: The finalized competency framework comprises 47 specific competency characteristics across four themes: knowledge, skills, traits, and motives. Comparative analysis revealed four key competency characteristic (Surgical Procedures, Self-awareness, Professional Ethics, and Optimism & Confidence) that significantly distinguished excellent from average residents.Conclusion: By integrating explicit and implicit competencies, this model provides a novel evaluation tool for identifying and cultivating surgical talent, offering a paradigm shift for quality assurance in standardized laparoscopic residency programs.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"117004"},"PeriodicalIF":2.7,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809706","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

Foreign Bodies. 异物。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-24 DOI: 10.1016/j.amjsurg.2026.117009

Jorge A Dorantes

引用次数: 0

Girl, Interrupted: Mental health in children after firearm injuries. 女孩，被打断：枪伤后儿童的心理健康。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-17 DOI: 10.1016/j.amjsurg.2026.116995

Prisca C Obidike, Lily S Cheng

引用次数: 0

Understanding what surgical advance practice providers want: A survey of autonomy, tasks, and training preferences across three institutions. 了解外科提前执业提供者想要什么：对三家机构的自主权、任务和培训偏好的调查。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-16 DOI: 10.1016/j.amjsurg.2026.116992

Charlotte L Harrington, Max J Hyman, Nathan J Graham, Christopher P Filson, Susanne A Quallich, Sarah P Shubeck, Ted A Skolarus, Eric A Singer, Parth K Modi

{"title":"Understanding what surgical advance practice providers want: A survey of autonomy, tasks, and training preferences across three institutions.","authors":"Charlotte L Harrington, Max J Hyman, Nathan J Graham, Christopher P Filson, Susanne A Quallich, Sarah P Shubeck, Ted A Skolarus, Eric A Singer, Parth K Modi","doi":"10.1016/j.amjsurg.2026.116992","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116992","url":null,"abstract":"Background: Advanced practice providers (APPs) are essential to the surgical workforce, yet their roles, training, and drivers of satisfaction remain poorly understood. Identifying factors that support APP satisfaction is critical to workforce planning.Methods: We conducted a cross-sectional survey (June 5-25, 2024) of surgical APPs at three U.S. academic medical centers. The primary outcome was overall job satisfaction; the primary independent variable was frequency of independent clinical decision-making. Multivariable ordinal logistic regression was performed. Secondary analyses assessed task preferences, perceived appropriateness of independent practice by task, and training experiences.Results: Among 110 respondents, more frequent independent decision-making was associated with higher job satisfaction. APPs desired more procedural involvement and less documentation. Patient education, order entry, consenting, and documentation were commonly viewed as appropriate for independent practice. In-person and APP-specific training were rated most effective. Aligning responsibilities and training with APP preferences may improve satisfaction and workforce stability.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116992"},"PeriodicalIF":2.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832372","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

Using artificial intelligence to uncover keywords associated with resident EPA entrustability. 使用人工智能发现与常驻EPA可信赖性相关的关键字。

IF 2.7 3区医学

American journal of surgery Pub Date : 2026-04-15 DOI: 10.1016/j.amjsurg.2026.116980

Alexandra Z Agathis, Joanna Yang, Damien J Lazar, Lili Chan, Ann M Fefferman, Jeanne Z Wu, Celia M Divino

{"title":"Using artificial intelligence to uncover keywords associated with resident EPA entrustability.","authors":"Alexandra Z Agathis, Joanna Yang, Damien J Lazar, Lili Chan, Ann M Fefferman, Jeanne Z Wu, Celia M Divino","doi":"10.1016/j.amjsurg.2026.116980","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2026.116980","url":null,"abstract":"Background: Entrustable Professional Activity (EPA) evaluations are the emerging foundation for providing resident feedback and assessing practice-readiness. No studies to date have utilized artificial intelligence to compare qualitative feedback with quantitative scoring.Methods: This single-institution retrospective analysis applied natural language processing (NLP) models to elucidate keywords associated with resident entrustability. Resident EPA micro-assessments from 7/6/2023-12/3/2024 across post-graduate year levels were included. NLP algorithms and Spearman's correlations isolated keywords associated with entrustability and discrepancies between attending and resident-assigned scores.Results: One-thousand evaluations focused on gallbladder, intestinal disease, hernia, and acute severe illness cases. Lower entrustability themes included camera navigation, following the case, and retraction. Higher entrusted residents were described as \"independent\" and \"safe.\" Attendings who rated residents higher than residents' self-ratings mentioned complex pathologies and emotional aspects.Conclusions: This AI-based tool can be integrated across residency programs to identify characteristics of entrustable residents and help provide a valuable roadmap for development.","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":" ","pages":"116980"},"PeriodicalIF":2.7,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759850","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