2023
DOI: 10.1016/j.jss.2022.08.041
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Declining Surgical Resident Operative Autonomy in Acute Care Surgical Cases

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Cited by 8 publications
(9 citation statements)
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“…It has been demonstrated that residents are afforded greater autonomy for ACS cases overall versus elective cases. 19 The three most common ACS cases performed were appendectomy, amputation, and cholecystectomy, which accounted for 40% of the RP ACS cases. These mirror the reported literature that demonstrated that hernias, cholecystectomy, amputation, appendectomy, and open colectomy accounted for 73% of surgical resident operative autonomy cases.…”
Section: Discussionmentioning
confidence: 99%
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“…It has been demonstrated that residents are afforded greater autonomy for ACS cases overall versus elective cases. 19 The three most common ACS cases performed were appendectomy, amputation, and cholecystectomy, which accounted for 40% of the RP ACS cases. These mirror the reported literature that demonstrated that hernias, cholecystectomy, amputation, appendectomy, and open colectomy accounted for 73% of surgical resident operative autonomy cases.…”
Section: Discussionmentioning
confidence: 99%
“…17 Other studies have also shown no increase in morbidity or 30-day mortality when examining resident autonomy cases versus cases in which the attending scrubbed looking at general surgical procedures. 3,19,[25][26][27][28] Unfortunately, despite having higher rates of resident autonomy during off-hours, it has declined in parallel with daytime surgeries over the 15-year duration of the study. Many factors have been cited in the literature for resident trainees not being entrusted with operative autonomy.…”
Section: Discussionmentioning
confidence: 99%
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“…5 Over the past decade, concerns have arisen that resident autonomy is decreasing, impacting clinical and technical skill acquisition. 6 Previous studies have revealed that general surgery residents operate without meaningful autonomy on 34% to 85% of their logged cases, 1 and that 43% of fellowship program directors feel that their new trainees cannot perform 30 minutes of a major procedure without supervision. 2 Burnout is highly prevalent in surgical trainees.…”
mentioning
confidence: 99%