Journal of Surgical Education最新文献_第5页

Obstetrics and Gynecology Residency: A Time Motion Analysis Evaluating Time Allocation and Duty Hours 妇产科住院医师：评估时间分配和值班时间的时间运动分析

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-26 DOI: 10.1016/j.jsurg.2025.103828

Alejandra Cacheiro MD , Lauren A. Cadish MD, MAS , Amira Zayed MS , Jenny Chang MPH , Felicia Lane MD

Objective

Our study seeks to examine the distribution of residents’ time spent across a work week and identify strategies for safely reducing nonessential tasks while maintaining necessary training experience.

Design

observational time-motion study.

Setting

single academic tertiary medical center.

Participants

Among 27 Obstetrics and Gynecology residents, 14 (51.9%) were rotating at home institution between April and June 2024 and were eligible to participate in the study. Eligible participants were shadowed by trained observers who recorded their clinical and nonclinical activities. To achieve this, training sessions were structured to include a review of the data collection tool. For all shifts, observed duty hours were compared to logged hospital hours using the MedHub system.

Results

Data was collected from 14 (51.9%) residents across eight rotations. In total, 28 observation shifts were completed in their entirety, 10,948 minutes were observed, resulting in 1,002 recorded tasks. Direct care activities comprised the largest share of residents’ time (6,499 minutes, 59.4%). Documentation and administration activities were the least observed at 171 (1.6%) and 453 (4.1%) minutes, respectively. No significant differences were found between weekly hours observed and logged hours (p = 0.51).

Conclusions

Understanding residents’ workflow and time management is essential for evaluating potential changes in the Accreditation Council for Graduate Medical Education (ACGME) common program requirements. Initiatives aimed at optimizing nonclinical activities, including documentation and administrative responsibilities, may present an opportunity to alleviate residents’ workload and support feasible duty-hour adjustments without compromising education or patient care.

目的：本研究旨在调查住院医生一周工作时间的分布，并确定在保持必要培训经验的同时安全减少非必要任务的策略。设计：观察时间运动研究。设置单一的学术三级医疗中心。在27名妇产科住院医师中，14名（51.9%）于2024年4月至6月在家庭机构轮转，符合参加研究的条件。合格的参与者由训练有素的观察员跟踪，记录他们的临床和非临床活动。为此，培训课程的结构包括对数据收集工具的审查。对于所有班次，观察到的值班时间与使用MedHub系统记录的住院时间进行了比较。结果从8个轮转的14名（51.9%）居民中收集数据。总共完成了28个观察班次，观察了10,948分钟，产生了1,002个记录任务。直接护理活动占居民时间的最大份额（6499分钟，59.4%）。记录和管理活动是最少的，分别为171（1.6%）和453（4.1%）分钟。每周观察时数与记录时数之间无显著差异（p = 0.51）。结论了解住院医师的工作流程和时间管理对于评估研究生医学教育认证委员会（ACGME）共同项目要求的潜在变化至关重要。旨在优化非临床活动的举措，包括文件和行政责任，可能提供一个机会，减轻住院医生的工作量，支持可行的值班时间调整，而不影响教育或病人护理。

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引用次数: 0

A Scoping Review to Assess Current Interventions and Gaps in Recruiting for an Inclusive Surgical Workforce 评估当前干预措施和招募包容性外科劳动力差距的范围审查。

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-22 DOI: 10.1016/j.jsurg.2025.103819

Jamila K. Picart MD MSc , Rachna Sridhar BS , Steven Xie MD , Roopa Gorur BS , Jacie E. Lemos MS , Mahdi Mazeh BS , Mark MacEachern MLIS , Staci T. Aubry MD , Hope T. Jackson MD , Gurjit Sandhu PhD

PURPOSE

While the diversity of the surgical workforce has well-studied benefits for patient care, surgical subspecialties have historically been unsuccessful in recruiting diverse trainees. Although surgical programs have made substantial efforts to address this problem, to progress, we need to (1) synthesize the evidence for successful strategies for recruiting diverse surgical trainees and (2) identify the dimensions of diversity that have not been studied. This scoping review assesses strategies for the effective recruitment of diverse surgical trainees, identifies the level of evidence supporting these strategies, and examines the current gaps in the literature.

METHODS

NLM PubMed, Elsevier Embase, and Clarivate Web of Science were searched on September 4, 2024. We included studies reporting original data assessing interventions to recruit diverse trainees, defined broadly, e.g., gender and sexual minorities, ethnic and racial minorities, persons with disabilities, and veterans, into graduate surgical training programs (general surgery, otolaryngology, orthopedic surgery, plastic surgery, urology, neurosurgery, vascular surgery, oral and maxillofacial surgery, and cardiothoracic surgery).

RESULTS

In this scoping review of 25 articles, we found the most common interventions included early exposure programs (11 of 25 included studies; 44%), efforts to reduce bias in the interview process (8 of 25; 32%), and improving programmatic structure to promote inclusion (6 out of 25; 24%). We found that the highest level of evidence achieved in the literature was level 3 (20 out of 25 included studies; 80%). Studies most commonly intervened to increase racial and ethnic minority representation (19/25; 76%) and women's representation (11/25; 44%).

CONCLUSION

This scoping review summarizes and assesses the literature on evidence-based practices for recruiting a diverse surgical workforce. This work outlines interventions institutions can develop to promote diversity within the surgical workforce. Furthermore, it provides areas for advancing the recruitment of an inclusive surgical workforce.

目的：虽然外科工作人员的多样性对患者护理的好处已经得到了充分的研究，但外科专科在招募多样化的学员方面一直不成功。尽管外科项目已经为解决这一问题做出了巨大的努力，但为了取得进展，我们需要(1)综合招募不同外科学员的成功策略的证据；(2)确定尚未研究的多样性维度。本综述评估了有效招募不同外科培训生的策略，确定了支持这些策略的证据水平，并检查了目前文献中的空白。方法：2024年9月4日检索NLM PubMed、Elsevier Embase、Clarivate Web of Science。我们纳入了报告原始数据评估干预措施的研究，以招募不同的受训人员，定义广泛，例如，性别和性少数群体，少数民族和种族，残疾人和退伍军人，纳入研究生外科培训计划（普通外科，耳鼻喉科，骨科，整形外科，泌尿外科，神经外科，血管外科，口腔颌面外科和心胸外科）。结果：在对25篇文章的范围综述中，我们发现最常见的干预措施包括早期暴露计划（25篇纳入的研究中有11篇；44%），努力减少面试过程中的偏见（25篇中有8篇；32%），以及改善项目结构以促进包容（25篇中有6篇；24%）。我们发现文献中获得的最高证据水平为3级（25项纳入的研究中有20项；80%）。研究最常见的干预措施是增加种族和少数民族的代表性（19/25;76%）和妇女代表性（11/25;44%）。结论：本综述总结并评估了以证据为基础的招募多样化外科工作人员的文献。这项工作概述了干预机构可以发展，以促进外科工作人员的多样性。此外，它还提供了促进招募包容性外科劳动力的领域。

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引用次数: 0

Enhancing Medical Student Exposure to Transplantation: The New York Medical College and Westchester Medical Center Transplant Education Program 加强医学生接触移植：纽约医学院和威彻斯特医疗中心移植教育计划。

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-22 DOI: 10.1016/j.jsurg.2025.103823

Samuel A. Beber MSc , Adrianus J. Ekelmans BA , Harris Z. Whiteson BS , Ryosuke Misawa MD , Kenji Okumura MD , Gregory Veillette MD , Seigo Nishida MD , Steven Lansman MD , Hiroshi Sogawa MD

Objective

Although solid-organ transplantation is standard of care in the United States, formal education for medical students on the practice is lacking. We assessed knowledge and attitudes of medical students before and after one year of involvement in a novel Transplant Education Program.

Design

Prospective cohort study.

Setting

New York Medical College and Westchester Medical Center.

Participants

81 medical students enrolled in the Transplant Education Program (TEP) (60.5% in year 1, 34.6% year 2, 3.7% year 3, 1.2% year 4). Forty-four post-surveys were received; 28 were paired with a pre-survey.

RESULTS

After 1 year, students reported significantly greater understanding of surgical techniques (p = <0.001), indications/contraindications for organ transplantation (p = <0.001) and long-term care/monitoring of transplant recipients (p = <0.001). The average rating for the effectiveness of the program was 7.3 (1 = very poor, 10 = very strong).

CONCLUSIONS

We report a novel transplant education program that significantly strengthens medical students' understanding of associated topics. With greater exposure, students may be better equipped to support transplant patients throughout their training and practice.

目的：虽然实体器官移植是美国的标准治疗，但缺乏对医学生的正规教育。我们评估了医学生在参与一个新颖的移植教育项目前后一年的知识和态度。设计：前瞻性队列研究。地点：纽约医学院和威彻斯特医疗中心。参与者：81名参加移植教育计划（TEP）的医学生（1年级60.5%，2年级34.6%，3年级3.7%，4年级1.2%）。共收到44份事后调查；其中28人与预调查配对。结果：1年后，学生对外科技术的理解显著提高（p = ）结论：我们报告了一种新的移植教育方案，显著加强了医学生对相关主题的理解。通过更多的接触，学生可以更好地在他们的培训和实践中支持移植患者。

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引用次数: 0

Integrating Surgical Education and Patient Care: The Impact of a Student-Led Spine Patient Navigator Program 整合外科教育和病人护理：学生主导的脊柱病人导航员计划的影响

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-20 DOI: 10.1016/j.jsurg.2025.103815

Dana G. Rowe MHSc , Antoinette J. Charles MD, MPH , Courtney Rory Goodwin MD, PhD , Melissa M. Erickson MD, MBA

OBJECTIVE

To evaluate the impact of the Spine Patient Navigator Program (SPNP) on medical student leadership, teaching, and clinical skills, undergraduate student development, and the perioperative experience of spine surgery patients.

METHODS

A structured, student-led patient navigation program was implemented at an academic medical center using a tiered mentorship model. Medical and undergraduate students were selected to serve as navigators and organized into teams led by one medical student overseeing three undergraduates, supported by faculty leaders and a multidisciplinary advisory group. Collectively, the teams provided support to adult patients undergoing spine surgery who faced psychosocial barriers to care. Pre and postprogram surveys assessed patient satisfaction and medical and undergraduate student growth.

RESULTS

Thirty-one patients were supported by six medical students and 15 undergraduates. The program was well-received by patients, with 89% stating they would recommend it. Medical students reported significant gains in confidence leading clinical teams, mentoring undergraduates, and supporting patients. Undergraduates reported meaningful contributions to patient care, increased confidence in patient communication, and early exposure to clinical roles and effective teamwork.

CONCLUSION

Engaging medical and undergraduate students in structured perioperative support through the SPNP enhances educational experience—strengthening leadership, teaching, and clinical skills—while also providing patients with practical, hands-on support. This dual impact supports the integration of near-peer mentorship programs into surgical education and patient care.

目的评价脊柱患者导航员项目（SPNP）对医学生领导能力、教学和临床技能、本科生发展以及脊柱外科患者围手术期体验的影响。方法采用分层指导模式，在某学术医疗中心实施了一项结构化的、以学生为主导的患者导航计划。医学生和本科生被选为领航员，并被组织成由一名医学生领导的小组，监督三名本科生，由教师领导和一个多学科咨询小组提供支持。总的来说，这些团队为接受脊柱手术的成年患者提供支持，这些患者在护理方面面临心理障碍。课程前后的调查评估了患者满意度以及医学和本科生的成长情况。结果31例患者由6名医学生和15名本科生支持。这个项目受到了患者的好评，89%的患者表示他们会推荐这个项目。医学生报告说，他们在领导临床团队、指导本科生和支持病人方面的信心有了显著提高。据报道，本科生对病人护理做出了有意义的贡献，增加了与病人沟通的信心，并更早地接触到临床角色和有效的团队合作。结论：通过SPNP让医学生和本科生参与到有组织的围手术期支持中，可以提高教育经验，加强领导、教学和临床技能，同时也为患者提供实际的、动手的支持。这种双重影响支持将近同伴指导计划整合到外科教育和患者护理中。

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引用次数: 0

How I Do It: Video-Based Self-Assessment as a Method of Open Surgical Education for Vascular Surgery Trainees 我怎么做：基于视频的自我评估作为血管外科学员开放手术教育的一种方法

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-19 DOI: 10.1016/j.jsurg.2025.103824

Scot Stanulis MD , Morgan Engmann BS , Nicole Roberts PhD , Tian Zhang MD , William Robinson MD , Khalil Qato MD

OBJECTIVE

Video-based assessments have been described for surgical residents, with limited use in open vascular surgery education. Our aims were to evaluate self-assessment ability and whether video-based self-assessment can improve performance of a simulated operation in vascular surgery trainees.

DESIGN

Four integrated vascular surgery residents were recorded independently performing a carotid endarterectomy (CEA) on a cadaver during two simulation sessions spaced one month apart. Residents were evaluated by double-blinded faculty and completed self-assessment forms. Resident performance was compared between the two sessions and agreement between self-evaluations and faculty evaluations was analyzed.

RESULTS

Junior residents saw improved performance on certain task-specific metrics between sessions and an improvement in their self-assessment abilities. Senior residents performed well initially and did not show improvement between sessions.

CONCLUSIONS

This proof-of-concept experience shows that video recordings and self-evaluation alongside faculty feedback can be used to improve resident operative performance and self-assessment ability, particularly for trainees with limited exposure to an operation.

目的：对外科住院医师进行基于视频的评估，但在开放血管手术教育中的应用有限。我们的目的是评估自我评估能力，以及基于视频的自我评估是否可以提高血管外科学员模拟手术的表现。设计记录了4名综合血管外科住院医师在间隔一个月的两次模拟会话中分别对一具尸体进行颈动脉内膜切除术（CEA）。住院医师由双盲教师进行评估，并填写自我评估表格。比较两期住院医师的表现，分析自我评价与教师评价的一致性。结果：初级住院医生在某些特定任务指标上的表现有所改善，自我评估能力也有所提高。老年住院医生最初表现良好，但在两次治疗之间没有表现出改善。这一概念验证的经验表明，视频记录和自我评估以及教师反馈可以用来提高住院医生的手术表现和自我评估能力，特别是对于有限接触手术的实习生。

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引用次数: 0

Examining the Quality and Quantity of Verbal Feedback in the Operating Room: A Multi-Specialty Study in a Canadian Context 检查手术室中口头反馈的质量和数量：一项加拿大背景下的多专业研究。

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-16 DOI: 10.1016/j.jsurg.2025.103803

Rachael Allen MD , Ingrid de Vries MEd , Tianna M.M. Murray MHSc , Navah Ball BMSc , Natalie McGuire PhD , Stephen Mann MD, MMEd , Glenio B. Mizubuti MD, PHd , Peter Szasz MD, PhD , Boris Zevin MD, PhD

Objective

To investigate (1) the quantity and quality of verbal feedback provided to residents in surgery and anesthesiology in the operating room (OR), (2) the relationship between provided verbal feedback and assigned entrustment scores; and (3) residents’ perceptions of usefulness of verbal feedback they received in the OR for a specific entrustable professional activity (EPA).

Design

This was a prospective observational study.

Setting

An academic tertiary care hospital in Kingston, Ontario, Canada.

Participants

Twenty residents (8 anesthesiology, 8 general surgery, 4 orthopedic surgery) and 23 attending physicians (11 anesthesiology, 9 general surgery, 3 orthopedic surgery) from Kingston Health Sciences Centre participated voluntarily. Participants were recruited using convenience sampling and no compensation was provided.

Results

We recorded 1180 verbal feedback events across 122 hours of OR interactions for 50 attending physician-resident dyads. Verbal feedback events focused predominantly on analyzing performance (57%) and fostering learner agency (20%). Verbal feedback was rated by residents as “extremely useful” or “very useful” over 70% of the time. Verbal feedback events that addressed a greater number of FQI domains were perceived to be more useful by residents. There were no significant correlations between verbal feedback event quantity or quality and entrustment scores on EPAs.

Conclusion

Attending physicians frequently provide residents with verbal feedback on their performance in the OR; however, the quality of this feedback is variable. Future research should focus on developing strategies to capture and utilize verbal feedback as assessment for learning within CBME.

目的：探讨(1)手术室外科麻醉科住院医师口头反馈的数量和质量，(2)口头反馈与委托评分的关系；(3)居民对在手术室接受的口头反馈对特定委托专业活动（EPA）的有用性的感知。设计：这是一项前瞻性观察性研究。环境：加拿大安大略省金斯敦的一所三级专科医院。参与者：金斯顿健康科学中心20名住院医师（麻醉科8名、普外科8名、骨科4名）和23名主治医师（麻醉科11名、普外科9名、骨科3名）自愿参与。参与者采用方便抽样方式招募，不提供任何补偿。结果：我们在122小时的手术室互动中记录了50对住院医师的1180次口头反馈事件。口头反馈事件主要集中在分析绩效（57%）和培养学习者能动性（20%）。70%以上的居民将口头反馈评为“非常有用”或“非常有用”。居民认为解决更多FQI域的口头反馈事件更有用。言语反馈事件的数量或质量与EPAs的委托得分无显著相关。结论：主治医师经常对住院医师在手术室的表现给予口头反馈；然而，这种反馈的质量是可变的。未来的研究应侧重于制定策略，以捕捉和利用口头反馈作为CBME学习的评估。

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引用次数: 0

Artificial Intelligence for Suturing and Knot-tying Skills Assessment: A Systematic Review 人工智能缝合和打结技能评估：系统综述。

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-15 DOI: 10.1016/j.jsurg.2025.103817

Guixuan Xin BS , Wei Li MD, PhD , Jie Zhang MD, PhD , Geyu Chen PhD , Yilin Zhou MD , Yusen Xiao MD , Lei Fu MD , Yibo Liu MD , Jianming Lai MD , Jing Tian MD

Background

Artificial intelligence (AI) has great potential for surgical skill training and assessment. However, the heterogeneity of AI models for suturing and knot-tying skills assessment has limited their transformation to educational practice. Our study aimed to explore the utility of AI methods and identify potential challenges for AI-based suturing and knot-tying skills assessment.

Methods

We searched the PubMed, Web of Science and Embase databases from inception to June 30, 2024, for original studies that adopted AI for suturing and knot-tying skills assessment. Studies that used AI only for gesture or phase recognition, non-English language articles, reviews and conference abstracts were excluded. The data extracted consisted of study characteristics, input data, AI methods and accuracy.

Results

Forty-one studies with 807 participants were included. The majority of the studies (n = 20, 49 %) assessed both the suturing and knot-tying skills. In 27 studies (66%), kinematic data such as velocity (40.9 ± 0.9%) were employed for model training with 17 used for robotic surgery, whereas 22 studies (54%) used video data. AI models were used for simple classification in 38 studies (93%), with 26 reporting accuracy (60–100%). The convolutional neural network (CNN) demonstrated more consistent performance (91%-100%) than traditional machine learning (60%-100%). Three studies integrated physiological data with two improved performances (R² = 0.92).

Conclusion

CNN models trained on spatiotemporal features or multimodal data effectively assessed suturing and knot-tying skills in open, laparoscopic and robotic surgeries, with results highly consistent with traditional scoring. Future studies should focus on standardizing the input data, enhancing cross-scenario transfer, and realizing automated scoring and feedback.

背景：人工智能（AI）在外科技能培训和评估方面具有巨大的潜力。然而，用于缝合和打结技能评估的人工智能模型的异质性限制了它们向教育实践的转变。我们的研究旨在探索人工智能方法的效用，并确定基于人工智能的缝合和打结技能评估的潜在挑战。方法：检索PubMed、Web of Science和Embase数据库，检索自成立以来至2024年6月30日采用人工智能进行缝合和打结技能评估的原始研究。仅将人工智能用于手势或阶段识别、非英语文章、评论和会议摘要的研究被排除在外。提取的数据包括研究特征、输入数据、人工智能方法和准确性。结果：纳入41项研究，共807名受试者。大多数研究（n = 20,49 %）评估了缝合和打结技巧。在27项研究（66%）中，运动学数据如速度（40.9 ± 0.9%）被用于模型训练，17项研究用于机器人手术，而22项研究（54%）使用视频数据。38项研究（93%）使用人工智能模型进行简单分类，26项研究报告准确率（60-100%）。卷积神经网络（CNN）表现出比传统机器学习（60%-100%）更一致的性能（91%-100%）。三项研究综合了生理数据和两项改进的性能（R² = 0.92）。结论：基于时空特征或多模态数据训练的CNN模型有效评估了开放、腹腔镜和机器人手术的缝合和打结技能，结果与传统评分高度一致。未来的研究应着眼于规范输入数据，加强跨场景传递，实现自动评分和反馈。

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引用次数: 0

Training Surgeons’ Visual Scanning Pattern in Laparoscopic Surgery to Enhance Patient Safety 培训外科医生在腹腔镜手术中的视觉扫描模式，提高患者安全。

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-15 DOI: 10.1016/j.jsurg.2025.103821

Bin Zheng MD, PhD , Yixiong Zheng MD, PhD , Yao Zhang BSc, MSc , Yuan Yuan Yao MD, PhD

OBJECTIVE

This study aimed to develop a novel approach for teaching visual scanning in surgery by integrating eye-tracking technology into a laparoscopic simulation environment.

DESIGN

A prospective controlled study was conducted in a surgical simulation setting.

PARTICIPANTS

Fifteen novice participants with no prior laparoscopic experience were recruited.

SETTING

Participants performed simulated laparoscopic cholecystectomy across six training sessions. The control group received conventional technical training, while the experimental group also viewed eye-tracking videos from expert surgeons and received targeted instruction on improving environmental awareness. Visual scanning patterns were assessed based on the percentage of eye fixations directed toward the surgical equipment panel and patient vital signs, in addition to the primary surgical monitor. Task completion times were recorded across sessions to evaluate learning curves and compare performance between the two groups.

RESULTS

Participants in the experimental group demonstrated significantly higher rates of eye scanning directed toward environmental inputs. Task completion times did not differ significantly between groups.

CONCLUSION

Eye-tracking technology proved effective in training visual scanning pattern in image-guided surgery. These findings support early integration of patient safety skills alongside conventional technical training.

目的：本研究旨在通过将眼动追踪技术与腹腔镜模拟环境相结合，开发一种新的外科视觉扫描教学方法。设计：在手术模拟环境下进行前瞻性对照研究。参与者：招募了15名没有腹腔镜经验的新手参与者。设置：参与者在六次训练中进行了模拟腹腔镜胆囊切除术。对照组接受常规的技术培训，而实验组还观看了外科专家的眼球追踪视频，并接受了有关提高环保意识的有针对性的指导。除了主要的手术监护仪外，还根据眼睛注视手术设备面板和患者生命体征的百分比来评估视觉扫描模式。任务完成时间被记录下来，以评估学习曲线并比较两组之间的表现。结果：实验组的参与者表现出明显更高的针对环境输入的眼睛扫描率。任务完成时间在两组之间没有显著差异。结论：眼动追踪技术在图像引导手术中训练视觉扫描模式是有效的。这些发现支持早期将患者安全技能与传统技术培训结合起来。

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引用次数: 0

Effectiveness of a Formal Surgical Residency Quality and Safety Curriculum 正式外科住院医师质量与安全课程的有效性

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-13 DOI: 10.1016/j.jsurg.2025.103816

Jeffrey D. Arigo , Peter Juviler MD , Elizabeth Levatino RN , Yatee A. Dave MD , Amy E. Lawrence MD , Michael S. Leonard MD, MS , Alexa D. Melucci MD, MS , D.George Ormond MD , Michael A. Vella MD, MBA , Yanjie Qi MD , Sarah Elizabeth Peyre EdD , Derek S. Wakeman MD

Objective

We aimed to implement and determine the effectiveness of a quality improvement (QI) and patient safety (PS) focused curriculum for surgical residents.

Design

In 2018, our General Surgery residency training program implemented a 2-year curriculum combining online learning modules with didactic seminars and small group enrichment activities to equip surgical residents with foundational QI and PS competencies. We sought to measure the curriculum’s association with mature QI projects and scholarship activity through the analysis of peer-reviewed surgical resident-authored manuscripts from 2013 to 2024, classifying them by QI relevance. Additionally, to evaluate the curriculum’s effectiveness in enhancing trainee knowledge and understanding, we compared pre- and postcurriculum scores using a validated tool to assess resident comprehension and application of quality and safety competencies.

Setting

The quality and safety curriculum was implemented for the Department of Surgery residency training programs at an academic medical center.

Participants

A total of 67 surgical residents completed both years of the quality and safety curriculum since August 2018, with an additional 16 residents completing Year 1 alone.

Results

Following curriculum implementation in 2018, our Department of Surgery has had 19 resident-authored QI manuscripts, compared to 1 manuscript from the preceding 5 years. Additionally, postcurriculum residents consistently reported higher scores across all QI and PS subdomains of the assessment tool compared to precurriculum scores (p < 0.05).

Conclusions

A dedicated curriculum for QI and PS education can meaningfully foster a deeper understanding of the principles that drive safer, more effective patient care and is associated with practical engagement in improvement work, resulting in the dissemination of methods and outcomes.

目的：我们旨在实施并确定外科住院医师质量改进（QI）和患者安全（PS）课程的有效性。2018年，我们的普外科住院医师培训计划实施了为期两年的课程，将在线学习模块与教学研讨会和小组丰富活动相结合，使外科住院医师具备基本的QI和PS能力。我们试图通过分析2013年至2024年同行评议的外科住院医师撰写的手稿来衡量课程与成熟的QI项目和奖学金活动的关联，并根据QI相关性对其进行分类。此外，为了评估课程在提高学员知识和理解方面的有效性，我们使用一种经过验证的工具比较了课程前和课程后的分数，以评估学员对质量和安全能力的理解和应用。在某学术医疗中心外科住院医师培训项目中实施了质量和安全课程。自2018年8月以来，共有67名外科住院医生完成了两年的质量和安全课程，另有16名住院医生完成了第一年的课程。结果2018年课程实施后，我院外科共收到住院医师撰写的QI论文19篇，而前5年为1篇。此外，与课程前的分数相比，课程后住院医师报告的所有QI和PS子领域的分数都高于课程前的分数（p <； 0.05）。结论针对QI和PS教育的专门课程可以有意义地培养对推动更安全、更有效的患者护理的原则的更深层次的理解，并与改进工作的实际参与相关联，从而传播方法和结果。

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引用次数: 0

Table of Contents & Bacode 目录和代码

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education

Pub Date : 2025-12-13 DOI: 10.1016/S1931-7204(25)00421-0

引用次数: 0