US general surgical trainee performance for representative global surgery procedures - 10/02/22

Doi : 10.1016/j.amjsurg.2021.05.016

Kenneth L. Abbott ^a,^b, Gifty Kwakye ^a, Grace J. Kim ^a, John L. Luckoski ^a, Andrew E. Krumm ^a,^c, Michael Clark ^d, Xilin Chen ^a, Tanvi Gupta ^a, Thomas G. Weiser ^e,^f, Brian C. George ^a,^⁎
on behalf of the
Society for Improving Medical Professional Learning
^a Center for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA
^b University of Michigan Medical School, Ann Arbor, MI, USA
^c Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA
^d Consulting for Statistics, Computing, and Analytics Research, University of Michigan, Ann Arbor, MI, USA
^e Stanford University School of Medicine, Department of Surgery, Division of General Surgery, Section of Trauma & Critical Care, Stanford, CA, USA
^f Department of Clinical Surgery, University of Edinburgh, Edinburgh, UK

^∗Corresponding author. Center for Surgical Training and Research, Department of Surgery, University of Michigan, 1C421 University Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.Center for Surgical Training and ResearchDepartment of SurgeryUniversity of Michigan1C421 University Hospital1500 East Medical Center DriveAnn ArborMI48109USA

Abstract

Background

Many US general surgery residents are interested in global surgery, but their competence with key procedures is unknown.

Methods

Using a registry managed by the Society for Improving Medical Professional Learning (SIMPL), we extracted longitudinal operative performance ratings data for a national cohort of US general surgery residents. Operative performance at the time of graduation was estimated via a Bayesian generalized linear mixed model.

Results

Operative performance ratings for 12,976 procedures performed by 1584 residents in 52 general surgery programs were analyzed. These spanned 17 of 31 (55%) procedures deemed important for global surgical practice. For these procedures, the probability of a graduating resident being deemed competent to perform a procedure was 0.95 (95% confidence interval 0.86–1.00) but was less than 0.9 for 3 observed procedures.

Conclusion

Our results highlight gaps in the preparedness of US general surgery trainees to perform procedures deemed most important for global surgery settings.

Il testo completo di questo articolo è disponibile in PDF.

Highlights

•	General surgery residents' performance for key global surgery procedures was examined.
•	Trainees were observed performing approximately half of these procedures.
•	Performance of graduating residents on some key global surgery procedures was uneven.
•	New surgeons may need additional training to safely operate in a global setting.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : General surgery, Resident, Global surgery, Procedure, Performance

Mappa

Significance for global surgical education

Esportazione

Vol 223 - N° 2

P. 224-228 - febbraio 2022 Ritorno al numero

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US general surgical trainee performance for representative global surgery procedures - 10/02/22

Abstract

Background

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Conclusion

Highlights

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