Article
Surgery
Leah K. Winer, Sarah Kader, Jonathan S. Abelson, Austin C. Hammaker, Chukwuma N. Eruchalu, James C. Etheridge, Nancy L. Cho, Darci C. Foote, Felicia A. Ivascu, Savannah Smith, Lauren M. Postlewait, Kathriena Greenwell, Katherine M. Meister, Kelsey B. Montgomery, Polina Zmijewski, Samuel E. Byrd, Mary K. Kimbrough, Stephen J. Stopenski, Jeffry T. Nahmias, Jalen Harvey, Deborah Farr, Zachary M. Callahan, Joshua A. Marks, Christopher C. Stahl, Motaz Al Yafi, Jeffrey M. Sutton, Ali Elsaadi, Samuel J. Campbell, Shah-Jahan M. Dodwad, Sasha D. Adams, Matthew R. Woeste, Robert C. G. Martin, Purvi Patel, Michael J. Anstadt, Bilal Waqar Nasim, Ross E. Willis, Jitesh A. Patel, Melisa R. Newcomb, Brian C. George, Ralph C. Quillin, Alexander R. Cortez
Summary: This study examined the differences in operative experience between male and female general surgery residents. It found that female residents performed significantly fewer cases than male residents, but this gap is narrowing.
Article
Surgery
Amanda C. Purdy, Christian de Virgilio, Amy H. Kaji, Edgar Shields Frey, Steven Lee-Kong, Kenji Inaba, Jeffrey M. Gauvin, Angela L. Neville, Timothy R. Donahue, Brian R. Smith, Edgardo S. Salcedo, Kristine E. Calhoun, V. Prasad Poola, Jukes P. Namm, David A. Spain, Karen J. Dickinson, Tiffany Tanner, Mary Wolfe, Farin Amersi
Summary: This study found a significant reduction in operative experience among general surgery residents in the US during the COVID-19 pandemic, affecting all postgraduate year levels and most case types. Level 1 trauma centers were less impacted, and if this trend continues, the impact on surgical training may be more severe.
Article
Cardiac & Cardiovascular Systems
Dennis M. Vaysburg, Dennis Wells, Caroline Lynch, Al-Faraaz Kassam, Alexander R. Cortez, John R. Potts, Sandra L. Starnes, R. Cutler Quillin, Robert M. Van Haren
Summary: The introduction of integrated thoracic surgery programs did not adversely affect the thoracic operative experience of residents in co-located general surgery programs, demonstrating that adequate training of both integrated thoracic surgery and general surgery residents at the same institution is feasible.
ANNALS OF THORACIC SURGERY
(2022)
Article
Surgery
Evan A. Heiderscheit, Cary Jo R. Schlick, Ryan J. Ellis, Elaine O. Cheung, Dre Irizarry, Daniela Amortegui, Joshua Eng, Julie Ann Sosa, David B. Hoyt, Jo Buyske, Thomas J. Nasca, Karl Y. Bilimoria, Yue-Yung Hu
Summary: This study surveyed 6381 surgical residents and found that LGBTQ+ general surgery residents reported higher rates of discrimination, harassment, and bullying compared to their non-LGBTQ+ peers, with attending surgeons being the most common source. Despite similar career satisfaction, LGBTQ+ residents were more likely to consider leaving their program and have thoughts of suicide. The study highlights the need for multifaceted interventions to create safer and more inclusive learning environments for LGBTQ+ surgery residents.
Article
Medicine, General & Internal
Faiz Tuma, Rafael D. Malgor, Nikit Kapila, Mohamed K. Kamel
Summary: Over the last 12 years, there has been a steady increase in the number of surgical cases performed by general surgery residents, despite the rise in subspecialty training programs. Further research is needed to explore the diversity of operative procedures and their outcomes in the coming years.
POSTGRADUATE MEDICAL JOURNAL
(2022)
Article
Education, Scientific Disciplines
Emily Y. Fan, Allison S. Crawford, Dejah R. Judelson, Francesco A. Aiello, Douglas W. Jones, Andres Schanzer, Jessica P. Simons
Summary: Over the past decade, integrated vascular surgery trainees have maintained stable total case volume and proportion of general surgery cases, with a shift in the type of general surgery cases towards fewer GS-laparoscopic cases and more open abdominal cases.
JOURNAL OF SURGICAL EDUCATION
(2021)
Article
Surgery
Joseph B. Oliver, Anastasia Kunac, Jamal L. McFarlane, Devashish J. Anjaria
Summary: Surgical procedures performed by residents alone did not show significant differences in all-cause mortality or composite morbidity compared to procedures performed by attending surgeons alone or with the assistance of attending surgeons. Efforts to increase operative autonomy for surgical residents are both safe and necessary.
Article
Surgery
Anna Z. Fashandi, John B. Hanks, Adriana G. Ramirez, John R. Potts, Philip W. Smith
Summary: The study found that new endocrine surgery fellowship programs do not decrease the number of endocrine surgery cases performed by general surgery residents, and have not contributed to the national decline in endocrine surgery cases performed by general surgery residents.
Article
Urology & Nephrology
Ezra J. Margolin, Daniel Schoenfeld, Caleb H. Miles, Suzanne B. Merrill, Jay D. Raman, R. Houston Thompson, Adam C. Reese, Dipen J. Parekh, Elizabeth T. Brown, Adam Klausner, Daniel H. Williams, Richard K. Lee, Stanley Zaslau, Thomas J. Guzzo, Patrick J. Shenot, Christopher B. Anderson, Gina M. Badalato
Summary: This study examines the longitudinal trends in surgical case volume among junior urology residents. It finds a decrease in the number of major cases performed by first-year residents, indicating a potential decrease in their exposure to major cases early in residency.
Article
Education, Scientific Disciplines
Brendin R. Beaulieu-Jones, Gordana Rasic, Daniel Scott Howard, Teviah E. Sachs, Donald Hess, Jeffrey Cooper, Sarah Meade
Summary: This study retrospectively analyzed the operative volume of transplant surgery residents from 1999 to 2021 using the ACGME database. The findings suggest that the number of transplant cases and resident involvement in transplant surgeries have remained consistent over the past 20 years, indicating that changes in operative volume are unlikely to be the cause of declining interest in transplant surgery among US trainees.
JOURNAL OF SURGICAL EDUCATION
(2023)
Article
Education, Scientific Disciplines
Reiping Huang, D. Brock Hewitt, Elaine O. Cheung, Gaurava Agarwal, Caryn D. Etkin, Douglas S. Smink, Tait D. Shanafelt, Karl Y. Bilimoria, Yue-Yung Hu
Summary: Using a person-centered approach, this study identified classes of burnout symptomatology among general surgery residents in the United States, finding five distinct burnout classes and comparing their characteristics and residency programs. Men tend to exhibit more depersonalization symptoms, while women report more emotional exhaustion symptoms. Factors such as mistreatment, duty hour violations, and low exam scores may be associated with residents experiencing burnout.
JOURNAL OF SURGICAL EDUCATION
(2021)
Article
Surgery
Nnenna S. Nwaelugo, Matthew Goldblatt, Jon C. Gould, Rana M. Higgins
Summary: This study shows that the growth of robotic cases does not have a detrimental effect on the resident experience with open and laparoscopic cases. As robotic cases continue to increase, the impact on laparoscopic and open case volumes must be monitored to ensure a well-balanced training experience.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Adel Elkbuli, Haley Ehrlich, Toria Gargano, Kevin Newsome, Huazhi Liu, Mark McKenney, Darwin Ang
Summary: This study aimed to investigate the perceived confidence and operative autonomy of general surgery residents (GSRs) and identify influencing factors. The results showed that increased case volume, early surgical experience, and training at community teaching hospitals were important factors positively influencing the perception of operative confidence and autonomy among GSRs.
Article
Surgery
Cary Jo R. Schlick, Ryan J. Ellis, Caryn D. Etkin, Caprice C. Greenberg, Jacob A. Greenberg, Patricia L. Turner, Jo Buyske, David B. Hoyt, Thomas J. Nasca, Karl Y. Bilimoria, Yue-Yung Hu
Summary: The study found that gender discrimination and sexual harassment are common among surgical residents, with women reporting higher rates of mistreatment. Tailored strategies are needed to address these specific issues in order to improve the working environment for residents.
Review
Surgery
Xiaodong (Phoenix) Chen, Michael Go, Alan Harzman, Amber Traugott, Aslam Ejaz, Courtney Collins, Timothy M. Pawlik, E. Christopher Ellison
Summary: The study findings indicate that the implementation requirements of three major types of surgical coaching models for residents vary, with video-assisted coaching facing the most barriers and in-person coaching encountering the least barriers. Evaluating organizational readiness is crucial for ensuring the success and sustainability of the program.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2022)