Three-phase model for surgical training: A proposal for improved resident training, assessment, and satisfaction

Journal of Surgical Education

Volumn 69, Issue 1, 2012, Pages 70-76

  Moalem, Jacob ^a   Schwartz, Seymour I ^a  

^a UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

Author keywords

Interpersonal and Communication Skills; Medical Knowledge; Patient Care; Practice Based Learning and Improvement; Professionalism; Systems Based Practice

Indexed keywords

ARTICLE; BURNOUT; CLINICAL COMPETENCE; HUMAN; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; RESIDENCY EDUCATION; SKILL; SURGICAL TRAINING;

CURRICULUM; GENERAL SURGERY; INTERNSHIP AND RESIDENCY; MODELS, EDUCATIONAL; PERSONAL SATISFACTION;

EID: 84855165582     PISSN: 19317204     EISSN: 18787452     Source Type: Journal    
DOI: 10.1016/j.jsurg.2011.07.003     Document Type: Article

References (38)

1. A. Park, D. Witzke, M. Donnelly Ongoing deficits in resident training for minimally invasive surgery J Gastrointest Surg 6 2002 501 507 discussion: 507-509
2. C.A. Pellegrini, A.L. Warshaw, H.T. Debas Residency training in surgery in the 21st century: a new paradigm Surgery 136 2004 953 965 (Pubitemid 39452293)
3. A.K. Sachdeva, R.H. Bell Jr, L.D. Britt National Efforts to Reform Residency Education in Surgery Acad Med 82 2007 1200 1210 (Pubitemid 350211582)
4. R.K. Reznick, H. MacRae Teaching surgical skills: changes in the wind N Engl J Med 355 2006 2664 2669 (Pubitemid 44969125)
5. R.G. Williams, N.K. Roberts, C.J. Schwind, G.L. Dunnington The nature of general surgery resident performance problems Surgery 145 2009 651 658
6. N.I. Bhatti, C.W. Cummings Viewpoint: competency in surgical residency training: defining and raising the bar Acad Med 82 2007 569 573 (Pubitemid 46828205)
7. R.H. Bell Surgical council on resident education: a new organization devoted to graduate surgical education J Am Coll Surg 204 2007 341 346 (Pubitemid 46283514)
8. K.R. Borman, L.R. Vick, T.W. Biester, M.E. Mitchell Changing demographics of residents choosing fellowships: longterm data from the American Board of Surgery J Am Coll Surg 206 2008 782 788 discussion: 788-789
9. S.C. Stain, T.W. Biester, J.B. Hanks Early tracking would improve the operative experience of general surgery residents Ann Surg 252 2010 445 451
10. J. Moalem From the Chair of the RAS-ACS: surgery residency training: the time for change has come Bull Am Coll Surg 94 2009 12 14
11. J. Moalem, P. Salzman, D.T. Ruan Should all duty hours be the same? Results of a national survey of surgical trainees J Am Coll Surg 2009 47 54 54 e41-42
12. G.A. Lin, D.C. Beck, A.L. Stewart, J.M. Garbutt Resident perceptions of the impact of work hour limitations J Gen Intern Med 22 2007 969 975 (Pubitemid 46878621)
13. J. Jagannathan, G.E. Vates, N. Pouratian Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity J Neurosurg 110 2009 820 827
14. C. Dola, L. Nelson, J. Lauterbach, S. Degefu, G. Pridjian Eighty hour work reform: faculty and resident perceptions Am J Obstet Gynecol 195 2006 1450 1456 (Pubitemid 44635384)
15. Beister T. Director of Psychometrics and Data Analysis, American Board of Surgery. Personal email communication to Moalem, J. July 14, 2011.
16. Accreditation Council on Graduate Medical Education Common Program Requirements www.acgme-2010standards.org/pdf/Common-Program-Requirements- 07012011.pdf Accessed April 15, 2011
17. H.T. Debas, B.L. Bass, M.F. Brennan Blue Ribbon Committee report on surgical education: 2004 Ann Surg 241 2005 1 8
18. B.L. Bass Early specialization in surgical training: an old concept whose time has come? Semin Vasc Surg 19 2006 214 217 (Pubitemid 44908918)
19. W.E. Longo, B. Sumpio, A. Duffy, J. Seashore, R. Udelsman Early specialization in surgery: the new frontier Yale J Biol Med 81 2008 187 191
20. J. Moalem, E. Edhayan, D.A. DaRosa Incorporating the SCORE curriculum and web site into your residency J Surg Educ 68 2011 294 297
21. Fundamentals of Surgery http://www.flsprogram.org/ Accessed June, 2011
22. N.J. Soper, G.M. Fried The fundamentals of laparoscopic surgery: its time has come Bull Am Coll Surg 93 2008 30 32
23. J.A. Martin, G. Regehr, R. Reznick Objective structured assessment of technical skill (OSATS) for surgical residents Br J Surg 84 1997 273 278 (Pubitemid 27073483)
24. J.L. Larson, R.G. Williams, J. Ketchum, M.L. Boehler, G.L. Dunnington Feasibility, reliability and validity of an operative performance rating system for evaluating surgery residents Surgery 138 2005 640 649 (Pubitemid 41546185)
25. R.H. Bell Jr, T.W. Biester, A. Tabuenca Operative experience of residents in US general surgery programs: a gap between expectation and experience Ann Surg 249 2009 719 724
26. A.E. Cyr-Taro, C.A. Kotwall, R.P. Menon, M.S. Hamann, D.K. Nakayama Employment and satisfaction trends among general surgery residents from a community hospital J Surg Educ 65 2008 43 49 (Pubitemid 351280166)
27. V.C. Lusco, S.A. Martinez, J.H.C. Polk Program directors in surgery agree that residents should be formally trained in business and practice management Am J Surg 189 2005 11 13 (Pubitemid 40215497)
28. R.H. Bell Jr Graduate education in general surgery and its related specialties and subspecialties in the United States World J Surg 32 2008 2178 2184
29. P.J. Foley, R.E. Roses, R.R. Kelz The state of general surgery training: a different perspective J Surg Educ 65 2008 494 498
30. M.J. Sutherland A young surgeon's perspective on alternate surgical training pathways Am Surg 73 2007 114 119 (Pubitemid 351396724)
31. T.D. Shanafelt, C.M. Balch, G. Bechamps Burnout and medical errors among American surgeons Ann Surg 251 2010 995 1000
32. N.K. Thomas Resident burnout JAMA 292 2004 2880 2889 (Pubitemid 39628236)
33. L.W. McCray, P.F. Cronholm, H.R. Bogner, J.J. Gallo, R.A. Neill Resident physician burnout: is there hope? Fam Med 40 2008 626 632
34. D.V. Gelfand, Y.D. Podnos, J.C. Carmichael Effect of the 80-hour workweek on resident burnout Arch Surg 139 2004 933 938 discussion: 938-940
35. R.A. Naylor, J.S. Reisch, R.J. Valentine Do student perceptions of surgeons change during medical school? A longitudinal analysis during a 4-year curriculum J Am Coll Surg 210 2010 527 532
36. M.E. Klingensmith, R.J. Valentine Early experience with alternative training pathways: a view from the trenches J Surg Educ 66 2009 80 84
37. A. Schanzer, J. Nahmias, K. Korenda SS29 An increasing demand for integrated vascular residency training far outweighs the limited supply of positions J Vasc Surg 49 2009 S10 S11
38. Surgeon Atlas http://www.acshpri.org/documents/SurgeonAtlas-BOOK.pdf Accessed April 15, 2011