Are General Surgery Residents Ready to Practice? A Survey of the American College of Surgeons Board of Governors and Young Fellows Association

Napolitano, Lena M.; Savarise, Mark; Paramo, Juan C.; Soot, Laurel; Todd, S. Rob; Gregory, Jay; Timmerman, Gary; Cioffi, William G.; Davis, Elisabeth; Sachdeva, Ajit K.

doi:10.1016/j.jamcollsurg.2014.02.001

Cited by 148 publications

(65 citation statements)

References 23 publications

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“…The survey, however, asked residents to "Rate your confidence in performing the following procedures…" with no further elaboration, requiring survey-takers to define confidence for themselves prior to answering. The authors 17 text, open-ended responses, [11][12][13]19 but as a variable, autonomy is perhaps even more challenging to define and measure than confidence. Some studies 22,31 found no correlation between case volume and a residents' confidence or perception of competence.…”

Section: Methodsmentioning

confidence: 99%

Confidence Crisis Among General Surgery Residents

Elfenbein

2016

JAMA Surg

124

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Importance: In the surgical community, there is concern that general surgery residents are choosing subspecialty training in large numbers because of a crisis in confidence at the end of training. Survey studies are used as evidence to support modifications in the training paradigm.Objectives: Confidence is an essential quality of surgeons, and recent studies have attempted to quantify and measure it in graduating general surgery residents. This study was undertaken to systematically review the quality of evidence provided, and to critically analyze the language used to describe the findings using quantitative methods..Evidence Review: A systematic review of the PubMed indexed literature on general surgery resident confidence was performed. A summative table of each study's hypothesis, definition of confidence, quality using MERSQI, influence using Web of Science citations, results and conclusions was created, and qualitative coding was applied to identify emerging themes. Conclusions and Relevance: Confidence is difficult to define and measure. Despite limitations, survey studies are used to shape discourse and influence policies. Social and cultural factors influence selfefficacy, and focusing on operative volume and autonomy alone may not address all of the reasons that some residents express concerns about readiness to practice.

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Section: Methodsmentioning

confidence: 99%

Confidence Crisis Among General Surgery Residents

Elfenbein

2016

JAMA Surg

124

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“…1 This concern is shared by fellowship directors and fellows of the American College of Surgeons. [2][3][4] One contributor to this feeling of unpreparedness may be a lack of practice administration education and experience gained during residency. Practice management education during residency has been shown to be limited and highly variable among residency programs.…”

mentioning

confidence: 99%

Practice administration training needs of recent general surgery graduates

Klingensmith

Cogbill

Samonte

et al. 2015

Surgery

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“…(4) This is in spite of the fact that the residency programme is more well established in North America. We should therefore be prepared to examine closely the 'operational readiness' of our own local graduates.…”

Section: Discussionmentioning

confidence: 99%