Tapia et al test the hypothesis that residents lack a foundation in several nonclinical core competencies and develop a curriculum for integration into current didactic time. Proportions of resident responses are scored as positive (agree or strongly agree) or negative (disagree or strongly disagree) on 10 topics of a needs assessment survey.
This survey study assesses how often surgeons disclosed adverse events, what they revealed, and how they expressed the disclosure.
This study addresses the need for accredited local surgical specialization programs and providing health care professionals with essential equipment and resources for anesthesia.
Gifford et al determine how often categorical general surgery residents seriously consider leaving residency. At 13 residency programs, they administered an anonymous survey of 371 residents and 10-year attrition rates. Responses from those who seriously considered leaving were compared with those who did not. See the Invited Commentary by Deveney.
Valentine et al determine the relationship among level of peer interaction, group and solo practice, and maintenance of certification examination performance.
Waits et al investigate the relationship between survival of liver transplant recipients and a new measure of surgical risk assessment they term morphometric age.
To characterize the demographics and attitudes of US general surgery residents performing full-time research.
Cross-sectional national survey administered after the 2008 American Board of Surgery In-Service Training Examination.
Two hundred forty-eight residency programs.
General surgery residents.
A third of categorical general surgery residents interrupt residency to pursue full-time research. To our knowledge, there exist no comprehensive reports on the attitudes of such residents.
Four hundred fifty residents performing full-time research and 864 postgraduate year 3 (PGY-3) clinical residents completed the survey. Thirty-eight percent of research residents were female, 53% were married, 30% had children, and their mean age was 31 years. Residency programs that were academic, large, and affiliated with fellowships had proportionally more research residents compared with other programs. Research and PGY-3 residents differed (P < .05) on 10 survey items. Compared with PGY-3 residents, research residents were less likely to feel they fit well in their program (86% vs 79%, respectively), that their program had support structures if they struggled (72% vs 64%), or that they could turn to faculty (71% vs 65%). They were more likely to feel training was too long (21% vs 30%) and that surgeons must be specialty trained (55% vs 63%). In multivariate analyses, research residents believed surgical training was too long (odds ratio, 1.36) and they fit in less well at their programs (odds ratio, 0.71) (P < .05).
Compared with PGY-3 residents, research residents report less satisfaction with important aspects of training, suggesting this is a vulnerable stage. Interventions could be targeted to facilitate support and better integration into the mainstream of surgical education.