Resident Perception of Technical Skills Education and Preparation for Independent Practice

被引:19
作者
Odell, David D.
Macke, Ryan A.
Tchantchaleishvili, Vakhtang
Loor, Gabriel
Nelson, Jennifer S.
LaPar, Damien J.
LaZar, John F.
Wei, Benjamin
DeNino, Walter F.
Berfield, Kathleen
Stein, William
Youssef, Samuel J.
Nguyen, Tom C.
机构
[1] Thorac Surg Residents Assoc, Execut Comm, Chicago, IL USA
[2] Univ Pittsburgh, Med Ctr, Dept Cardiothorac Surg, Pittsburgh, PA USA
[3] Univ Wisconsin, Div Cardiothorac Surg, Madison, WI USA
[4] Univ Rochester, Div Cardiac Surg, Rochester, NY USA
[5] Univ Minnesota, Div Cardiothorac Surg, Minneapolis, MN USA
[6] Univ N Carolina, Div Cardiothorac Surg, Chapel Hill, NC USA
[7] Univ Virginia, Div Thorac & Cardiovasc Surg, Charlottesville, VA USA
[8] Duke Univ, Div Cardiovasc & Thorac Surg, Durham, NC USA
[9] Med Univ S Carolina, Div Cardiothorac Surg, Charleston, SC 29425 USA
[10] Univ Washington, Div Cardiothorac Surg, Seattle, WA 98195 USA
[11] Emory Univ, Div Cardiothorac Surg, Atlanta, GA 30322 USA
[12] Swedish Med Ctr, Div Cardiac Surg, Seattle, WA USA
[13] Univ Texas Houston, Dept Cardiothorac & Vasc Surg, Houston, TX USA
关键词
OPERATIVE EXPERIENCE; COMPETENCE; CURRICULUM;
D O I
10.1016/j.athoracsur.2015.05.135
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. Surgical skills are traditionally taught and practiced in the operating room. However, changes in health care policy and outcome-based evaluation have decreased trainee operative autonomy. We examined cardiothoracic residents' perceptions of operative experience and the role of simulation. Methods. The In-Training Examination (ITE) is taken each year by all residents. Completion of a 30-question preexamination survey is mandatory, ensuring a 100% response rate. Survey data related to operative experience, career preparedness, and surgical simulation were analyzed. Opinion questions were asked on a 5-point Likert scale. Respondents were grouped into three cohorts by training paradigm (2-year versus 3-year traditional programs and 6-year integrated programs). Results. In all, 314 respondents (122 2-year, 96 3-year, and 96 6-year integrated) completed the survey. Of the three groups, residents in 3-year programs had the highest levels of satisfaction. Advanced training was most common among residents in 6-year integrated programs (66%, versus 49% for 2-year and 26% for 3-year programs; p = 0.63). Desire to specialize drove further training (97%), with 2% stating further training was needed owing to inadequacy and 1% owing to a poor job market. In all assessed categories, the majority of residents believed that simulation did not completely replicate the educational value of an operative case. Conclusions. Cardiothoracic residents largely feel well prepared for the transition to practice under the current educational paradigm. Although many residents seek advanced training, it seems driven by the desire for specialization. Residents view simulation as an adjunct to traditional intraoperative education, but not as a viable replacement. Further study is necessary to better understand how best to integrate simulation with operative experience. (C) 2015 by The Society of Thoracic Surgeons
引用
收藏
页码:2305 / 2313
页数:9
相关论文
共 16 条
  • [1] Does the Level of Experience of Residents Affect Outcomes of Coronary Artery Bypass Surgery?
    Bakaeen, Faisal G.
    Dhaliwal, Amandeep S.
    Chu, Danny
    Bozkurt, Biykem
    Tsai, Peter
    LeMaire, Scott A.
    Wall, Matthew J., Jr.
    Coselli, Joseph S.
    Huh, Joseph
    [J]. ANNALS OF THORACIC SURGERY, 2009, 87 (04) : 1127 - 1134
  • [2] Development of a cardiac surgery simulation curriculum: From needs assessment results to practical implementation
    Baker, Craig J.
    Sinha, Raina
    Sullivan, Maura E.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2012, 144 (01) : 7 - 16
  • [3] Self-perceived video-assisted thoracic surgery lobectomy proficiency by recent graduates of North American thoracic residencies
    Boffa, Daniel J.
    Gangadharan, Sidharta
    Kent, Michael
    Kerendi, Faraz
    Onaitis, Mark
    Verrier, Edward
    Roselli, Eric
    [J]. INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2012, 14 (06) : 797 - 800
  • [4] Early Subspecialization and Perceived Competence in Surgical Training: Are Residents Ready?
    Coleman, Jamie J.
    Esposito, Thomas J.
    Rozycki, Grace S.
    Feliciano, David V.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2013, 216 (04) : 764 - 771
  • [5] Effect of work-hour restriction on operative experience in cardiothoracic surgical residency training
    Connors, Rafe C.
    Doty, John R.
    Bull, David A.
    May, Heidi T.
    Fullerton, David A.
    Robbins, Robert C.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (03) : 710 - 713
  • [6] Are residents accurate in their assessments of their own surgical skills?
    de Blacam, Catherine
    O'Keeffe, Dara A.
    Nugent, Emmeline
    Doherty, Eva
    Traynor, Oscar
    [J]. AMERICAN JOURNAL OF SURGERY, 2012, 204 (05) : 724 - 731
  • [7] The General Surgery Chief Resident Operative Experience 23 Years of National ACGME Case Logs
    Drake, Frederick Thurston
    Horvath, Karen D.
    Goldin, Adam B.
    Gow, KennethW.
    [J]. JAMA SURGERY, 2013, 148 (09) : 841 - 847
  • [8] Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: The Boot Camp experience
    Fann, James I.
    Calhoon, John H.
    Carpenter, Andrea J.
    Merrill, Walter H.
    Brown, John W.
    Poston, Robert S.
    Kalani, Maziyar
    Murray, Gordon F.
    Hicks, George L., Jr.
    Feins, Richard H.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 139 (05) : 1275 - 1281
  • [9] Surgical Residents' Perception of Competence and Relevance of the Clinical Curriculum to Future Practice
    Fronza, Jeffrey Scott
    Prystowsky, Jay P.
    DaRosa, Debra
    Fryer, Jonathan P.
    [J]. JOURNAL OF SURGICAL EDUCATION, 2012, 69 (06) : 792 - 797
  • [10] The Eighty-Hour Workweek: Surgical Attendings' Perspectives
    Griner, Devan
    Menon, Rema P.
    Kotwall, Cyrus A.
    Clancy, Thomas V.
    Hope, William W.
    [J]. JOURNAL OF SURGICAL EDUCATION, 2010, 67 (01) : 25 - 31