Pilot Study to Improve Resident Experience on Vascular Surgery by Standardizing Dissemination of Operative Steps.
J Surg Educ
; 81(10): 1473-1483, 2024 Oct.
Article
in En
| MEDLINE
| ID: mdl-39127532
ABSTRACT
OBJECTIVE:
Many surgical residencies have passed along attendings preferences and procedural knowledge as a highly utilized but informal resource. The objective was to assess the effect of providing operative steps and attending preferences on surgical resident performance.DESIGN:
This was a prospective observational study with a survey-based design.SETTING:
We created and shared vascular surgery operative steps including institutional and attending preferences with junior residents at the Massachusetts General Hospital.PARTICIPANTS:
There were a total of 31 residents who completed a survey to assess self-perception of performance in operative knowledge and Accreditation Council for Graduate Medical Education (ACGME) Milestone criteria.RESULTS:
Advice from colleagues was the most utilized resource, followed by web-based materials. Of the web-based materials, almost all residents utilized Google searches over other web-based resources designed to specifically help surgical trainees. The vascular surgery resource was used by 90% of residents more than 3 times per week to prepare for operative cases. There was significant improvement in patient positioning, instrument selection, operative field exposure, anatomy, sequence of procedure, procedure choices, and peri-operative care knowledge.CONCLUSIONS:
Development of institutional resources that specifically capture attending surgeon procedural variations can improve resident performance, encourage resident autonomy, and provide a catalog of approaches to challenging operative situations.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vascular Surgical Procedures
/
Clinical Competence
/
Internship and Residency
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
J Surg Educ
/
J. surg. educ
/
Journal of surgical education
Year:
2024
Document type:
Article
Country of publication: