Pub Date : 2024-09-07DOI: 10.1016/j.amjsurg.2024.115956
Florence E. Turrentine, Charles M. Friel, Anneke T. Schroen
Letters of recommendation (LOR) are vital to surgical residency applications. Our prior study demonstrated differences in letter content by applicant sex, including more frequent reference to leadership and awards for male applicants. This study evaluates if leadership activities and awards as documented by the applicant's curriculum vitae (CV) corroborate differences noted in corresponding recommendation letters. LORs and CVs for 2016–2017 surgery resident applicants selected for interview at single academic institution were analyzed for documentation of leadership and awards and assessed for concordance. 89 applicant CVs (45 male, 44 female) and 332 LORs (165 male, 167 female) were reviewed for evidence of leadership and awards. While 94 % of CVs had evidence of leadership, leadership was referenced in LORs more often for men than women (45 % vs 30 %, p = 0.004). References to leadership skills (38 % vs 21 %, p=<0.001), elected/appointed office (33 % vs 16 %, p < 0.001), and volunteer/work-related leadership role (12 % vs 3 %, p = 0.001) occurred more commonly for men. Similarly, awards were present in 74 % of CVs without difference by sex but referenced more commonly for men compared to women (64 % vs 46 %, p = 0.001). References to leadership and awards in LORs were more common for men than women applicants, which is not reflective of CV content. Although LOR need not recapitulate CVs, fair appraisal of leadership abilities is encouraged.
推荐信(LOR)对于外科住院医师培训申请至关重要。我们之前的研究表明,不同性别的申请者在推荐信内容上存在差异,其中男性申请者更常提及领导能力和奖项。本研究评估了申请人简历(CV)中记录的领导活动和奖项是否证实了相应推荐信中的差异。研究人员分析了被选中参加单一学术机构面试的 2016-2017 年外科住院医师申请者的推荐信和简历,以了解其是否记录了领导力和奖项,并评估其一致性。对 89 份申请者简历(45 名男性,44 名女性)和 332 份 LOR(165 名男性,167 名女性)进行了审查,以查找领导力和获奖的证据。虽然 94% 的简历中都有领导能力的证明,但在 LOR 中,男性比女性更常提到领导能力(45% 对 30%,p = 0.004)。男性更常提及领导技能(38 % vs 21 %,p=<0.001)、当选/任命职位(33 % vs 16 %,p<0.001)和志愿者/与工作相关的领导角色(12 % vs 3 %,p=0.001)。同样,在 74% 的简历中都提到了奖项,没有性别差异,但男性比女性更常提到奖项(64% 对 46%,p = 0.001)。男性申请人比女性申请人更常在自荐信中提及领导能力和奖项,这并不反映简历的内容。虽然 LOR 不一定要概括简历内容,但应鼓励对领导能力进行公平评价。
{"title":"Concordance of leadership documentation in curricula vitae and recommendation letters among applicants for general surgery residency","authors":"Florence E. Turrentine, Charles M. Friel, Anneke T. Schroen","doi":"10.1016/j.amjsurg.2024.115956","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.115956","url":null,"abstract":"Letters of recommendation (LOR) are vital to surgical residency applications. Our prior study demonstrated differences in letter content by applicant sex, including more frequent reference to leadership and awards for male applicants. This study evaluates if leadership activities and awards as documented by the applicant's curriculum vitae (CV) corroborate differences noted in corresponding recommendation letters. LORs and CVs for 2016–2017 surgery resident applicants selected for interview at single academic institution were analyzed for documentation of leadership and awards and assessed for concordance. 89 applicant CVs (45 male, 44 female) and 332 LORs (165 male, 167 female) were reviewed for evidence of leadership and awards. While 94 % of CVs had evidence of leadership, leadership was referenced in LORs more often for men than women (45 % vs 30 %, p = 0.004). References to leadership skills (38 % vs 21 %, p=<0.001), elected/appointed office (33 % vs 16 %, p < 0.001), and volunteer/work-related leadership role (12 % vs 3 %, p = 0.001) occurred more commonly for men. Similarly, awards were present in 74 % of CVs without difference by sex but referenced more commonly for men compared to women (64 % vs 46 %, p = 0.001). References to leadership and awards in LORs were more common for men than women applicants, which is not reflective of CV content. Although LOR need not recapitulate CVs, fair appraisal of leadership abilities is encouraged.","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"193 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-06DOI: 10.1016/j.amjsurg.2024.115951
Paulina M. Gutkin, Margaret Botros, Laura Kasper, Irina Solovieva, Isabella Gomes, Sophie Dream, 2022–2023 Association of Women Surgeons National Medical Student Committee
It is unclear how changes to the 2023–2024 Electronic Residency Application Service (ERAS) application will impact future applicants. We investigate students’ perceptions about applying to residency during this transition period. An anonymous electronic survey was sent to medical students through social media of a women's surgical society. Questions reflected aspects of the ERAS application. There were 415 responses, with 68 % planning to apply into surgical specialties (SS) and 17 % into non-surgical specialties (NSS). Compared with the NSS group, SS students reported decreased confidence in successfully matching, less attainable applicant expectations, and increased personal sacrifices to pursue their residency of interest. Students interested in Plastic and Reconstructive Surgery (PRS) placed 3-times more importance on the number of publications than General Surgery students. Away rotations were rated significantly more important for Otolaryngology, Orthopaedic, and PRS students. Students applying into surgical residencies experience unique stressors. Values among SS students differed across surgical subspecialties in preparation for the match. Further investigation characterizing the relationship between these values and characteristics of successful resident applicants is warranted.
{"title":"In the Era of pass/fail: Medical student perceptions on optimizing their surgical residency applications","authors":"Paulina M. Gutkin, Margaret Botros, Laura Kasper, Irina Solovieva, Isabella Gomes, Sophie Dream, 2022–2023 Association of Women Surgeons National Medical Student Committee","doi":"10.1016/j.amjsurg.2024.115951","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.115951","url":null,"abstract":"It is unclear how changes to the 2023–2024 Electronic Residency Application Service (ERAS) application will impact future applicants. We investigate students’ perceptions about applying to residency during this transition period. An anonymous electronic survey was sent to medical students through social media of a women's surgical society. Questions reflected aspects of the ERAS application. There were 415 responses, with 68 % planning to apply into surgical specialties (SS) and 17 % into non-surgical specialties (NSS). Compared with the NSS group, SS students reported decreased confidence in successfully matching, less attainable applicant expectations, and increased personal sacrifices to pursue their residency of interest. Students interested in Plastic and Reconstructive Surgery (PRS) placed 3-times more importance on the number of publications than General Surgery students. Away rotations were rated significantly more important for Otolaryngology, Orthopaedic, and PRS students. Students applying into surgical residencies experience unique stressors. Values among SS students differed across surgical subspecialties in preparation for the match. Further investigation characterizing the relationship between these values and characteristics of successful resident applicants is warranted.","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"201 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-05DOI: 10.1016/j.amjsurg.2024.115953
Ace St John, Nicole H. Ducich, Stephen M. Kavic
The American Board of Surgery In-Training Examination (ABSITE®) serves as a benchmark for assessing resident knowledge and comprehension in surgery training programs. While previous studies have examined factors such as USMLE Step 1 and Step 2 performance in ABSITE® preparation, the impact of rotational schedule on ABSITE® performance remains underexplored. We retrospectively investigated the independent influence of rotational schedule on ABSITE® performance among interns at a single academic institution over an 11 year period. Early exposure to minimally invasive surgery rotations and specialty rotations such as surgical oncology and vascular surgery during the winter or just before ABSITE® was associated with higher ABSITE® percentiles when controlled for USMLE Step 2 performance. This study underscores the significance of rotational scheduling in optimizing ABSITE® performance and suggests potential strategies for enhancing resident preparation and success on this examination.
{"title":"Scheduling surgical success: Early minimally invasive surgery rotations as a predictor of ABSITE performance","authors":"Ace St John, Nicole H. Ducich, Stephen M. Kavic","doi":"10.1016/j.amjsurg.2024.115953","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.115953","url":null,"abstract":"The American Board of Surgery In-Training Examination (ABSITE®) serves as a benchmark for assessing resident knowledge and comprehension in surgery training programs. While previous studies have examined factors such as USMLE Step 1 and Step 2 performance in ABSITE® preparation, the impact of rotational schedule on ABSITE® performance remains underexplored. We retrospectively investigated the independent influence of rotational schedule on ABSITE® performance among interns at a single academic institution over an 11 year period. Early exposure to minimally invasive surgery rotations and specialty rotations such as surgical oncology and vascular surgery during the winter or just before ABSITE® was associated with higher ABSITE® percentiles when controlled for USMLE Step 2 performance. This study underscores the significance of rotational scheduling in optimizing ABSITE® performance and suggests potential strategies for enhancing resident preparation and success on this examination.","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"48 1","pages":"115953"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-06DOI: 10.1016/j.amjsurg.2024.04.008
Herbert Chen
{"title":"From the Editor – In – Chief: Featured papers in the July 2024 issue","authors":"Herbert Chen","doi":"10.1016/j.amjsurg.2024.04.008","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.04.008","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140802025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.amjsurg.2024.02.024
Shaelyn Choi, Jason Liang, Megan R. Donnelly, Mallory Jebbia, C. Kuza, L. Swentek, A. Grigorian, Jeffry T. Nahmias
{"title":"My thoughts: The rise of social media as a reporting source for firearm violence","authors":"Shaelyn Choi, Jason Liang, Megan R. Donnelly, Mallory Jebbia, C. Kuza, L. Swentek, A. Grigorian, Jeffry T. Nahmias","doi":"10.1016/j.amjsurg.2024.02.024","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.02.024","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.amjsurg.2024.01.011
Dias Argandykov, Emanuele Lagazzi, Jefferson A. Proaño-Zamudio, Wardah Rafaqat, May Abiad, Michael P. DeWane, Charudutt N Paranjape, H. Kaafarani, G. Velmahos, J. Hwabejire
{"title":"Traumatic lower extremity amputation as a risk factor for venous thromboembolism","authors":"Dias Argandykov, Emanuele Lagazzi, Jefferson A. Proaño-Zamudio, Wardah Rafaqat, May Abiad, Michael P. DeWane, Charudutt N Paranjape, H. Kaafarani, G. Velmahos, J. Hwabejire","doi":"10.1016/j.amjsurg.2024.01.011","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.01.011","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"214 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139884172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.amjsurg.2024.02.018
James N. Lau
{"title":"We don't really know our residents as well as we think. Trait characteristic recognition by faculty in autonomy needs more attention. But does it matter?","authors":"James N. Lau","doi":"10.1016/j.amjsurg.2024.02.018","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.02.018","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"154 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139832515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.amjsurg.2024.01.021
Pawan J. Mathew, Yasmin M. Ali, Rick O'Connor, Rachel Levinson, Ahmed Khan, Kevin M. Schuster
{"title":"Patient reported outcomes of emergency general surgery procedures","authors":"Pawan J. Mathew, Yasmin M. Ali, Rick O'Connor, Rachel Levinson, Ahmed Khan, Kevin M. Schuster","doi":"10.1016/j.amjsurg.2024.01.021","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.01.021","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"67 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139817713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.amjsurg.2024.02.013
Juan P. Herrera-Escobar, Taylor Lamarre, Jordan Rosen, S. Ilkhani, Ashley N. Haynes, K. Hau, Kendall Jenkins, Jack Ruske, Joyce Y. Wang, Jessica Serventi-Gleeson, Sabrina E. Sanchez, H. Kaafarani, G. Velmahos, Ali Salim, Nomi C. Levy-Carrick, Geoffrey A. Anderson
{"title":"Determinants of long-term physical and mental health outcomes after intensive care admission for trauma survivors","authors":"Juan P. Herrera-Escobar, Taylor Lamarre, Jordan Rosen, S. Ilkhani, Ashley N. Haynes, K. Hau, Kendall Jenkins, Jack Ruske, Joyce Y. Wang, Jessica Serventi-Gleeson, Sabrina E. Sanchez, H. Kaafarani, G. Velmahos, Ali Salim, Nomi C. Levy-Carrick, Geoffrey A. Anderson","doi":"10.1016/j.amjsurg.2024.02.013","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.02.013","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"7 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.amjsurg.2024.02.025
Shaoqin Fan, Guosheng Chen, Kai Zhang, Li Zhao, Hao Yuan, Junli Wu, Wentao Gao, Jishu Wei, C. Xi, F. Guo, Jian-min Chen, Zipeng Lu, K. Jiang, Yi Miao, Bin Xiao
{"title":"The incidence and risk factors of marginal ulcers in the short and medium term in symptomatic post-pancreaticoduodenectomy patients –––– single-center experience","authors":"Shaoqin Fan, Guosheng Chen, Kai Zhang, Li Zhao, Hao Yuan, Junli Wu, Wentao Gao, Jishu Wei, C. Xi, F. Guo, Jian-min Chen, Zipeng Lu, K. Jiang, Yi Miao, Bin Xiao","doi":"10.1016/j.amjsurg.2024.02.025","DOIUrl":"https://doi.org/10.1016/j.amjsurg.2024.02.025","url":null,"abstract":"","PeriodicalId":501554,"journal":{"name":"The American Journal of Surgery","volume":"57 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139819851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}