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Selection bias: Examining the feasibility, utility, and participant receptivity to incorporating simulation into the general surgery residency selection process - 27/09/17

Doi : 10.1016/j.amjsurg.2016.09.029 
Aimee K. Gardner, Ph.D. a, , Christopher P. Steffes, M.D. b, Dmitry Nepomnayshy, M.D. c, Cate Nicholas, M.S., P.A., Ed.D. d, Warren D. Widmann, M.D. e, Shimae C. Fitzgibbons, M.D. f, Brian J. Dunkin, M.D. g, Daniel B. Jones, M.D. h, John T. Paige, M.D. i
a Department of Surgery, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA 
b Department of Surgery, Wayne State University, Detroit, MI, USA 
c Department of Surgery, Lahey Hospital & Medical Center, Burlington, MA, USA 
d Clinical Simulation Laboratory, Department of Family Medicine, University of Vermont, Burlington, VT, USA 
e Department of Surgery, State University of New York, Downstate Medical Center, Brooklyn, NY, USA 
f Department of Surgery, MedStar Health, Washington, DC, USA 
g Department of Surgery, Houston Methodist Hospital, Houston, TX, USA 
h Department of Surgery, Beth Israel Deaconness Medical Center, Boston, MA, USA 
i Department of Surgery, LSU Health New Orleans Health Sciences Center, New Orleans, LA, USA 

Corresponding author. Tel.: +1-214-648-2677; fax: +1-214-648-9448.

Abstract

Background

Opportunities exist to revise the current residency selection process to capture desirable candidate competencies. We examined the extent to which components of the American College of Surgeons/Association for Surgical Education simulation-based medical student curriculum combined with a teamwork activity could be used as potential screening method.

Methods

Students participated in a workshop consisting of training/evaluation of knot tying, suturing, airway management, gowning/gloving, and teamwork. Surveys were given to medical students (MS) and faculty/resident/staff (FRS) to examine their opinions about the residency screening process, the most critical competencies to assess, and the effectiveness of each station for candidate evaluation.

Results

Communication (FRS, 4.86 ± .35; MS, 4.93 ± .26), leadership (FRS, 4.41 ± .80; MS, 4.5 ± .76), judgment (FRS, 4.62 ± .74; MS, 4.67 ± .62), professionalism (FRS, 4.64 ± .73; MS, 5.00 ± .00), integrity (FRS, 4.71 ± .78; MS, 4.87 ± .35), and grit/resilience (FRS, 4.71 ± .78; MS, 4.53 ± .74) were considered most valuable for candidate screening. The simulation-based curriculum for evaluation of residency candidates was rated lowest by both groups. Open response comments indicated positive perceptions of this process.

Conclusions

Employing simulation to assess candidates may be most beneficial for examining nontechnical attributes. Future work should continue to explore this area.

El texto completo de este artículo está disponible en PDF.

Highlights

We examined the extent to which a simulation-based medical student curriculum combined with a teamwork activity could be used as potential screening method.
Communication, leadership, judgment, professionalism, integrity, and grit/resilience were considered most valuable for candidate screening.
Employing simulation-based activities to assess candidates may be most helpful to evaluate nontechnical skills in individuals applying for surgical training.

El texto completo de este artículo está disponible en PDF.

Keywords : Selection, Simulation, Residency, Interview, Nontechnical skills


Esquema


 There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs.
 The authors declare no conflicts of interest.


© 2016  Elsevier Inc. Reservados todos los derechos.
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