Graduating general surgery resident operative confidence: perspective from a national survey

Fonseca, Annabelle L.; Reddy, Vikram; Longo, Walter E.; Gusberg, Richard J.

doi:10.1016/j.jss.2014.05.014

Cited by 111 publications

(76 citation statements)

References 18 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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“…[7][8][9][10] In an attempt to increase operative experience early in residency training, the American Board of Surgery (ABS) requires residents to participate in 250 cases by the end of their second year of training. Considering this new requirement, we examined our resident case logs and found that our current residents frequently missed this upcoming benchmark.…”

Section: Introductionmentioning

confidence: 99%

General Surgery Resident Case Logs: Do They Accurately Reflect Resident Experience?

Nygaard

Daly

Camp

2015

Journal of Surgical Education

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“…Studies in obstetrics and gynecology and neurosurgery yielded similar results . Additionally, recent general surgery residency graduates expressed a significant lack of confidence upon graduation due to limited experiential learning …”

Section: Introductionmentioning

confidence: 65%