Literature DB >> 24530093

Operative confidence of graduating surgery residents: a training challenge in a changing environment.

Annabelle L Fonseca1, Vikram Reddy2, Walter E Longo2, Robert Udelsman2, Richard J Gusberg2.   

Abstract

BACKGROUND: Given the recent changes in general surgical training, this study was undertaken to assess the confidence of graduating general surgery residents in performing open operations and to determine factors that are associated with increased confidence.
METHODS: A survey was sent to the 5th-year general surgery residents in the Northeast. Respondents were queried regarding demographics, program characteristics and asked to rate their confidence in performing open operations. We compared those who indicated confidence with those who did not.
RESULTS: We received 232 responses: 74% male, 70% from university programs, and 50% from programs affiliated with a Veterans Affairs Hospital. Fifty-two percent expressed confidence in their ability to practice independently after residency. Operative confidence varied with sex, type of training program, affiliation to a Veterans Affairs Hospital, and surgical volume.
CONCLUSIONS: Graduating surgical residents indicated a significant lack of confidence in performing a variety of open surgical procedures. Analyzing and addressing this confidence deficit merits further study.
Copyright © 2014 Elsevier Inc. All rights reserved.

Keywords:  Open surgery; Operative confidence; Resident confidence

Mesh:

Year:  2014        PMID: 24530093     DOI: 10.1016/j.amjsurg.2013.09.033

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


  13 in total

1.  Decline of open surgical experience for general surgery residents.

Authors:  Katherine Bingmer; Asya Ofshteyn; Sharon L Stein; Jeffrey M Marks; Emily Steinhagen
Journal:  Surg Endosc       Date:  2019-06-10       Impact factor: 4.584

Review 2.  Confidence Crisis Among General Surgery Residents: A Systematic Review and Qualitative Discourse Analysis.

Authors:  Dawn M Elfenbein
Journal:  JAMA Surg       Date:  2016-12-01       Impact factor: 14.766

3.  Preoperative surgical rehearsal using cadaveric fresh tissue surgical simulation increases resident operative confidence.

Authors:  Erin L Weber; Hyuma A Leland; Beina Azadgoli; Michael Minneti; Joseph N Carey
Journal:  Ann Transl Med       Date:  2017-08

4.  Resident Surgeons Underrate Their Laparoscopic Skills and Comfort Level When Compared With the Rating by Attending Surgeons.

Authors:  Mitchell B Alameddine; Jake Claflin; Christopher P Scally; David M Noble; Bradley N Reames; Michael J Englesbe; Sandra L Wong
Journal:  J Surg Educ       Date:  2015-09-26       Impact factor: 2.891

5.  The Context of "Confidence": Analyzing the Term Confidence in Resident Evaluations.

Authors:  Janae K Heath; Meagan E Alvarado; Caitlin B Clancy; Todd D Barton; Jennifer R Kogan; C Jessica Dine
Journal:  J Gen Intern Med       Date:  2022-06-16       Impact factor: 6.473

6.  Factors that Can Promote or Impede the Advancement of Women as Leaders in Surgery: Results from an International Survey.

Authors:  Kazumi Kawase; Monika Carpelan-Holmström; Ava Kwong; Hilary Sanfey
Journal:  World J Surg       Date:  2016-02       Impact factor: 3.352

7.  Surgical Simulation Maximizing the Use of Fresh-Frozen Cadaveric Specimens: Examination of Tissue Integrity Using Ultrasound.

Authors:  Courtney D Bell; Joseph G O'Sullivan; Tamara E Ostervoss; William E Cameron; Ryan C Petering; Jacqueline M Brady
Journal:  J Grad Med Educ       Date:  2020-06

8.  Gender Differences in Entrustable Professional Activity Evaluations of General Surgery Residents.

Authors:  Elena P Padilla; Christopher C Stahl; Sarah A Jung; Alexandra A Rosser; Patrick B Schwartz; Taylor Aiken; Alexandra W Acher; Daniel E Abbott; Jacob A Greenberg; Rebecca M Minter
Journal:  Ann Surg       Date:  2022-02-01       Impact factor: 13.787

9.  Identifying technical skills and clinical procedures in surgery for a simulation-based curriculum: a national general needs assessment.

Authors:  Rune Dall Jensen; Charlotte Paltved; Claudia Jaensch; Jesper Durup; Randi Beier-Holgersen; Lars Konge; Leizl Nayahangan; Anders Husted Madsen
Journal:  Surg Endosc       Date:  2021-01-04       Impact factor: 4.584

10.  Effects of Gender Bias and Stereotypes in Surgical Training: A Randomized Clinical Trial.

Authors:  Sara P Myers; Mohini Dasari; Joshua B Brown; Stephanie T Lumpkin; Matthew D Neal; Kaleab Z Abebe; Nicole Chaumont; Stephanie M Downs-Canner; Meghan R Flanagan; Kenneth K Lee; Matthew R Rosengart
Journal:  JAMA Surg       Date:  2020-07-01       Impact factor: 14.766

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