Literature DB >> 22920404

Trials and tribulations: the professional development of surgical trialists.

Anna F Jarman1, Nelda P Wray, Danielle M Wenner, Carol M Ashton.   

Abstract

BACKGROUND: Regulatory and professional bodies issue an ever-increasing number of guidance documents on the ethics and methods of clinical trials, but the quality of clinical trials of invasive therapeutic procedures continues to be a concern. We interviewed aspiring and accomplished surgical trialists to understand how they use guidance documents and other resources in their work.
METHODS: We performed a qualitative research study involving semistructured interviews of a diverse sample of 15 surgical trialists.
RESULTS: Professional development as a surgical trialist was haphazard, inefficient, and marked by avoidable mistakes. Four types of resources played constructive roles: formal education; written materials on clinical trials; experience with actual trials; and interpersonal interactions with peers, experts, collaborators, and mentors. Recommendations for improvement centered on education, mentoring, networking, participating in trials, and facilitation by department chairs.
CONCLUSIONS: The haphazard and unstructured nature of the current system is adding unnecessarily to the numerous challenges faced by surgical trialists.
Copyright © 2012 Elsevier Inc. All rights reserved.

Entities:  

Mesh:

Year:  2012        PMID: 22920404      PMCID: PMC3567847          DOI: 10.1016/j.amjsurg.2011.11.008

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  22 in total

1.  Improving the Surgeon's participation in research: is It a problem of training or priority?

Authors:  C Y Ko; E E Whang; W P Longmire; D W McFadden
Journal:  J Surg Res       Date:  2000-06-01       Impact factor: 2.192

Review 2.  Perspectives of evidence-based surgery.

Authors:  Moritz N Wente; Christoph M Seiler; Waldemar Uhl; Markus W Büchler
Journal:  Dig Surg       Date:  2003-05-15       Impact factor: 2.588

3.  Methodologic issues in randomized controlled trials of surgical interventions.

Authors:  P J Devereaux; Michael D McKee; Salim Yusuf
Journal:  Clin Orthop Relat Res       Date:  2003-08       Impact factor: 4.176

4.  Presidential address: academic surgery: can we adapt?

Authors:  David W Mercer
Journal:  Surgery       Date:  2005-08       Impact factor: 3.982

5.  Training the surgical scientist: how can that be accomplished?

Authors:  Courtney M Townsend
Journal:  Am Surg       Date:  2007-02       Impact factor: 0.688

Review 6.  Surgery and the randomised controlled trial: past, present and future.

Authors:  M J Solomon; R S McLeod
Journal:  Med J Aust       Date:  1998-10-05       Impact factor: 7.738

7.  The surgical scientist.

Authors:  S A Wells
Journal:  Ann Surg       Date:  1996-09       Impact factor: 12.969

Review 8.  Do surgical trials meet the scientific standards for clinical trials?

Authors:  Danielle M Wenner; Baruch A Brody; Anna F Jarman; Jacob M Kolman; Nelda P Wray; Carol M Ashton
Journal:  J Am Coll Surg       Date:  2012-07-21       Impact factor: 6.113

9.  Surgical research or comic opera: questions, but few answers.

Authors:  R Horton
Journal:  Lancet       Date:  1996-04-13       Impact factor: 79.321

Review 10.  Comparison of reports of randomized controlled trials and systematic reviews in surgical journals: literature review.

Authors:  Sukhmeet Singh Panesar; Ricky Thakrar; Thanos Athanasiou; Aziz Sheikh
Journal:  J R Soc Med       Date:  2006-09       Impact factor: 18.000

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  2 in total

Review 1.  Do surgical trials meet the scientific standards for clinical trials?

Authors:  Danielle M Wenner; Baruch A Brody; Anna F Jarman; Jacob M Kolman; Nelda P Wray; Carol M Ashton
Journal:  J Am Coll Surg       Date:  2012-07-21       Impact factor: 6.113

2.  Barriers and facilitators experienced in collaborative prospective research in orthopaedic oncology: A qualitative study.

Authors:  J S Rendon; M Swinton; N Bernthal; M Boffano; T Damron; N Evaniew; P Ferguson; M Galli Serra; W Hettwer; P McKay; B Miller; L Nystrom; W Parizzia; P Schneider; A Spiguel; R Vélez; K Weiss; J P Zumárraga; M Ghert
Journal:  Bone Joint Res       Date:  2017-05       Impact factor: 5.853

  2 in total

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