Article
Education, Scientific Disciplines
Elizabeth M. Stoeckl, Margaret E. Garren, Akira Nishii, Julie Evans, Rebecca M. Minter, Gurjit Sandhu, Sarah A. Jung
Summary: The objective of the study was to develop a supplementary tool to aid faculty and residents in improving entrustment behavior based on different motivational styles. This was achieved by providing dialogue and self-reflection items in the operating room.
JOURNAL OF SURGICAL EDUCATION
(2022)
Article
Surgery
Cindy Huynh, Lucas Da Cunha Godoy, Chia-Ling Kuo, Matthew Smeds, Kwame S. Amankwah
Summary: The survey results showed that the familiarity between attending physicians and trainees is a key factor in developing autonomy among vascular surgery trainees. Balancing OR efficiency and trainees' safe struggle is crucial for the growth of independent operative skills in vascular surgery trainees.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Surgery
Christine Nguyen, Julie Thompson-Burdine, Michael T. Kemp, Aaron M. Williams, Samantha Rivard, Gurjit Sandhu
Summary: This study analyzed the importance of operative experience with appropriate degree of supervised autonomy in resident training, aiming to identify consistently observed intraoperative behaviors that are linked with higher resident entrustment. Results showed key differences in intraoperative behaviors exhibited by residents and faculty in high and low entrustment interactions.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Gurjit Sandhu, Julie Thompson-Burdine, Janet Dombrowski, Danielle C. Sutzko, Vahagn C. Nikolian, Anna Boniakowski, Patrick E. Georgoff, Niki Matusko, Kaustubh Prabhu, Rebecca M. Minter
Summary: This study demonstrated increased intraoperative entrustment among faculty and resident participants following the educational intervention, highlighting the efficacy of the innovative educational bundle in preparing individuals for competency-based assessment frameworks like EPAs.
Article
Surgery
Aaron M. Williams, Monita Karmakar, Julie Thompson-Burdine, Niki Matusko, Sunjong Ji, Neil Kamdar, Kristian Seiler, Rebecca M. Minter, Gurjit Sandhu
Summary: OpTrust, an educational intervention to increase faculty entrustment and resident entrustability, does not compromise postoperative patient outcomes.
Article
Surgery
Hope E. Werenski, Maggie E. Bosley, Myron S. Powell, J. Wayne Meredith, Reese W. Randle
Summary: This study showed that despite longer operative times, outcomes and complication rates following cholecystectomy were similar between the chief resident service and standard academic services, with the former having lower readmission rates.
JOURNAL OF SURGICAL RESEARCH
(2021)
Review
Surgery
Alaina D. Geary, Hilary Sanfey, Loretto Glynn, Luise I. Pernar
Summary: This study conducted a literature review to explore the scope and purpose of teaching assistant cases, their impact on patients and safety, as well as the barriers and facilitators to resident participation. The findings suggest that trustworthiness plays a crucial role in residents being granted teaching assistant opportunities.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Health Care Sciences & Services
Daniel P. Schauer, Benjamin Kinnear, Matthew Kelleher, Dana Sall, Daniel J. Schumacher, Eric J. Warm
Summary: This study describes the development of an expected entrustment score within our WBA system, which serves as a guide for interpreting resident performance. Regression modeling and historical data were utilized to generate the expected score.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Education, Scientific Disciplines
Brentley Q. Smith, Ingrid Woelfel, Ritu Salani, Alan Harzman, Xiaodong Chen
Summary: This study focused on residents' perception and expectations of autonomy, as well as self-entrustment of their surgical competencies in obstetrics and gynecology procedures. The findings showed a significant shift in autonomy perception throughout residency training, with residents exhibiting higher expectations and self-entrustment for OB surgical procedures. Factors such as case volume, OR teaching modalities, and communication were identified as influencing residents' self-entrustment of surgical competencies.
JOURNAL OF SURGICAL EDUCATION
(2021)
Article
Education, Scientific Disciplines
Sebastian Dewhirst, Timothy J. Wood, Warren J. Cheung, Jason R. Frank
Summary: Work-based assessments (WBAs) are commonly used to determine trainee progression. However, they often fail to differentiate between trainees of different abilities and have poor reliability. Entrustment-supervision scales may improve WBA performance, but there is limited research comparing them to traditional WBA tools.
Article
Education, Scientific Disciplines
Benjamin Kinnear, Eric J. J. Warm, Holly Caretta-Weyer, Eric S. S. Holmboe, David A. A. Turner, Cees van der Vleuten, Daniel J. J. Schumacher
Summary: This article discusses the various ways in which entrustment is used in competency-based medical education, including decisions based on different purposes, risks, and processes. It also explores how these factors can be aligned to optimize the value of entrustment in assessment programs.
Article
Education & Educational Research
Yun You
Summary: The article examines the Shanghai experience of entrustment management reform, finding that the reform has reconstructed school leadership structure and decreased the autonomy of 'weak' schools, although the overall process has proceeded smoothly.
ASIA PACIFIC JOURNAL OF EDUCATION
(2021)
Article
Surgery
Mariam F. Eskander, Ingrid Woelfel, Alan Harzman, Amalia L. Cochran, E. Christopher Ellison, Xiaodong (Phoenix) Chen
Summary: The Education M&M intervention improved awareness of challenges in OR teaching/learning among faculty and residents, as well as understanding of teaching and learning approaches. Most residents implemented the recommended solutions, but reported changes in faculty behavior did not reach statistical significance. This department-wide approach could enhance communication and identification of actionable solutions for OR training.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Education, Scientific Disciplines
Trevor J. G. Robinson, Natalie Wagner, Adam Szulewski, Nancy Dudek, Warren J. Cheung, Andrew K. Hall
Summary: This study aimed to explore factors influencing faculty's rating choices immediately following WBA assessments and revealed faculty's experiences using WBAs with entrustment anchors. The study found that faculty most commonly identified the amount of guidance the trainee required as the influencing factor in their ratings.
Article
Education, Scientific Disciplines
Daniel J. Schumacher, Olle ten Cate, Arvin Damodaran, Denyse Richardson, Stanley J. Hamstra, Shelley Ross, Jennie Hodgson, Claire Touchie, Laura Molgaard, Wade Gofton, Carol Carraccio
Summary: The rapid uptake of entrustable professional activities and entrustment decision-making in medical and health professions education may lead to confusion in the use of new terminologies. The authors seek to clarify various words related to the concept of entrustment, aiming to establish logical consistency. They emphasize the critical importance of a shared understanding of language around entrustment to strengthen connections among stages of training and practice.
Article
Surgery
Craig S. Brown, Nicholas H. Osborne, Gloria Y. Kim, Danielle C. Sutzko, Thomas W. Wakefield, Andrea T. Obi, Peter K. Henke
Summary: A study on patients undergoing truncal endovenous ablation with or without deep vein reflux showed that patients with deep reflux had a higher risk of complications but no significant difference in symptom improvement compared to those without deep reflux.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)
Article
Surgery
Akira Nishii, Julie Burdine, Niki Matusko, Ton Wang, Ana De Roo, Alisha Lussiez, Danielle C. Sutzko, Rebecca Minter, Gurjit Sandhu
Summary: The study identifies a set of behaviors that help residents infer faculty motivational styles. There is a positive correlation between how residents rate faculty on promotion and prevention-associated behaviors and how faculty self-assess their own behaviors. Residents can use this knowledge to enhance operative interactions.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
C. Haddon Mullins, Zdenek Novak, John C. Axley, Danielle C. Sutzko, Emily L. Spangler, Benjamin J. Pearce, Mark A. Patterson, Marc A. Passman, Brent D. Haverstrock, Jeffrey J. Siracuse, Adam W. Beck, Graeme E. McFarland
Summary: The study revealed that performing infrapopliteal PVI in IC patients is associated with higher amputation rates, indicating the need for more careful patient selection when performing PVI, especially when the disease extends into the infrapopliteal level.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Surgery
John Axley, Zdenek Novak, Juliet Blakeslee-Carter, Graeme E. McFarland, Emily L. Spangler, Benjamin J. Pearce, Marc A. Passman, Mark A. Patterson, Danielle C. Sutzko, Adam W. Beck
Summary: The incidence of POMI has remained unchanged or decreased over the past 15 years in VQI registries, except for TEVAR. Patients undergoing IIB and EVAR demonstrated decreases in POMI rates that correspond with a reduction in cardiac risk indices (CRIs) and increased preoperative statin use. CEA and SIB had no significant change in POMI rates or CRIs. The etiology of decreased POMI rate remains uncertain, but increasing statin use, patient-specific factors, and patient selection for procedures may be important drivers of this improvement.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Surgery
Luke M. Stewart, Emily L. Spangler, Danielle C. Sutzko, Benjamin J. Pearce, Graeme E. McFarland, Marc A. Passman, Mark A. Patterson, Brent Haverstock, Kenneth Unger, Zdenek Novak, Adam W. Beck
Summary: This study investigated the impact of preoperative length of stay (LOS) on surgical site infection (SSI) in patients with chronic limb-threatening ischemia undergoing lower extremity bypass (LEB). Results showed that a longer preoperative LOS was associated with an increased rate of SSI, along with factors such as blood transfusion and longer procedure length.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Tina Hellgren, Adam W. Beck, Christian-Alexander Behrendt, Daniel Becker, Barry Beiles, Jonathan R. Boyle, Mikko Jormalainen, Igor Koncar, Cristina Lopez Espada, Carlo Setacci, Nicla Settembre, Danielle C. Sutzko, Zoltan Szeberin, Ian Thomson, Maarit Venermo, Kevin Mani
Summary: This study aimed to evaluate practice patterns and short-term outcomes of TEVAR based on data from an international vascular registry collaboration. The results showed variations in the distribution of TEVAR procedures and patient outcomes among different pathologies. A common core dataset is proposed to achieve harmonization of registry-based quality outcome measures for TEVAR.
Article
Surgery
Danielle C. Sutzko, Andrea T. Obi, Neil Kamdar, Monita Karamkar, Thomas W. Wakefield, Nicholas H. Osborne, Peter K. Henke
Summary: This retrospective cohort study examined the incidence, morbidity, and mortality of VTE in postoperative patients within a quality collaborative, revealing that despite widespread use of postoperative thromboprophylaxis, no decrease in VTE incidence was observed.
Article
Surgery
Stephanie L. Rakestraw, Herbert Chen, Britney Corey, Danielle C. Sutzko
Summary: This study examines the changes in gender representation in the leadership of a surgical department over the past few years, and finds that the proportion of females in leadership roles has increased. Promoting women to leadership positions can serve as role models for future female surgeons, and efforts should be made to promote gender equity in surgical leadership.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Health Care Sciences & Services
Virginia Sheffield, Sarah Hartley, R. Brent Stansfield, Megan Mack, Staci Blackburn, Valerie M. Vaughn, Lauren Heidemann, Robert Chang, Jennifer Reilly Lukela
Summary: Gender differences exist in the assessment of general internal medicine (GIM) faculty physicians by trainees, with male faculty generally receiving higher ratings in teaching ability and ACGME competencies compared to female faculty. These gender-based differences in evaluation are influenced by the clinical practice settings, particularly with the most significant difference observed in the inpatient setting.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Surgery
Hunter Boudreau, Juliet Blakeslee-Carter, Zdenek Novak, Danielle C. Sutzko, Emily L. Spangler, Marc A. Passman, Salvatore T. Scali, Graeme E. McFarland, Benjamin J. Pearce, Adam W. Beck
Summary: The study showed that statin therapy, either alone or combined with antiplatelet agents, significantly improved survival in all EVAR and OAR patients with ASCVD indications. Isolated statin therapy also improved mean survival in EVAR patients without a known ASCVD diagnosis. However, statin therapy in OAR patients without ASCVD did not show a significant survival benefit.
ANNALS OF VASCULAR SURGERY
(2022)
Article
Surgery
Juliet Blakeslee-Carter, Connie Shao, Ryan LaGrone, Irina Gonzalez-Sigler, Danielle C. Sutzko, Benjamin Pearce, Kyle Eudailey, Emily Spangler, Adam W. Beck, Graeme E. McFarland
Summary: This study assesses the occurrence and clinical impact of vascular complications in all modes and cannulation methods of ECMO in a high-volume academic center. The results show a high incidence of vascular complications, with acute limb ischemia (ALI) being the most common complication, which is associated with decreased in-hospital survival. The study also identifies areas for improvement and develops a lower extremity perfusion management protocol.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
John C. Axley, Matthew M. May, Zdenek Novak, Victoria J. Aucoin, Emily L. Spangler, Graeme E. McFarland, Danielle C. Sutzko, Benjamin J. Pearce, Mark A. Patterson, Adam W. Beck, Marc A. Passman
Summary: This study investigated the clinical practice and usage trends of inferior vena cava filters (IVCFs) at a single institution over a 19-year period. The study found that the usage of IVCFs increased steadily from 2000 to 2010, largely due to prophylactic placement, before decreasing from 2011 to 2018. The implementation of an active retrieval program led to improved retrieval rates.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2022)
Article
Surgery
Stephanie L. Rakestraw, Zdenek Novak, Michael Y. Wang, Charles A. Banks, Emily L. Spangler, Emily B. Levitan, Jayme E. Locke, Adam W. Beck, Danielle C. Sutzko
Summary: Patients with end-stage kidney disease (ESKD) undergoing endovascular peripheral vascular intervention (PVI) for chronic limb-threatening ischemia (CLTI) have worse long-term outcomes compared to non-ESKD patients. Mortality and amputation rates are higher in ESKD patients, while the reintervention rate is lower.
ANNALS OF VASCULAR SURGERY
(2023)
Article
Medicine, General & Internal
Heidi Kenaga, Tsveti Markova, R. Brent Stansfield, Tess McCready, Sarwan Kumar
Summary: Over the years 2017 to 2019, the Wayne State University Office of Graduate Medical Education effectively increased residents' awareness and adoption of the SAIF-IR mnemonic through the use of the direct observation tool TOC-CEX, promoting standardized transitions of care as a practice habit in the clinical learning environment.
Article
Medicine, General & Internal
R. Brent Stansfield, Heidi Kenaga, Tsveti Markova
Summary: Monitoring and improving resident physicians' well-being are essential to prevent burnout, depression, and suicide. Efforts to promote well-being need to be multidimensional, involving both institutional and individual initiatives for sustainable results.