Pub Date : 2024-08-01Epub Date: 2024-05-16DOI: 10.1016/j.jsurg.2024.04.007
Shwetha Mudalegundi, Marisa Clifton, Scott Lifchez, Dawn LaPorte, Saras Ramanathan, Ahmed H Sabit, Fasika Woreta
Objective: With the advent of virtual interviews, the potential for interview hoarding by applicants became of greater concern due to lack of financial constraints associated with in-person interviewing. Simultaneously, the average number of applications submitted each year is rising. Currently there is no cap to the number of applications or interviews an applicant may complete when applying to residency, with the exception of ophthalmology with a cap of 15 interviews. No studies have assessed the applicants' perspectives on an application or interview cap. We assessed the attitudes of surgical subspecialty applicants towards capping, which may be useful when considering innovations in residency selection.
Design/setting/participants: About 1841 applicants to the Johns Hopkins' ophthalmology, urology, plastic surgery, and orthopedic surgery residency programs from the 2022-2023 cycle were invited to respond to a 22-item questionnaire. Statistical analyses of aggregate data were conducted using R.
Results: Of the 776/1841 (42%) responses, 288 (40%) were in support of an application cap, while 455 (63%) were in support of an interview cap. Specialty (p < 0.001), gender (p < 0.001), taking a gap year (p = 0.02), medical school region (p = 0.04), and number of interviews accepted off of a waitlist (p = 0.01) were all significantly associated with a difference in opinion regarding an application cap. Specialty (p < 0.001), USMLE Step 1 score (p = 0.004), number of interviews (p < 0.001), and number of programs ranked (p < 0.001) were all significantly associated with a difference in opinion regarding an interview cap. Of those applicants who were in support of the respective caps they believed that on average a cap should consist of 48.1 (16.1) applications and 16.0 (8.0) interviews.
Conclusions: Our findings highlight the desire for interview caps among the majority of applicants to surgical subspecialties and thus this innovation may be considered by other specialties in the era of virtual interviews.
{"title":"Perspectives on Application and Interview Capping in Residency Selection of Surgical Subspecialties.","authors":"Shwetha Mudalegundi, Marisa Clifton, Scott Lifchez, Dawn LaPorte, Saras Ramanathan, Ahmed H Sabit, Fasika Woreta","doi":"10.1016/j.jsurg.2024.04.007","DOIUrl":"10.1016/j.jsurg.2024.04.007","url":null,"abstract":"<p><strong>Objective: </strong>With the advent of virtual interviews, the potential for interview hoarding by applicants became of greater concern due to lack of financial constraints associated with in-person interviewing. Simultaneously, the average number of applications submitted each year is rising. Currently there is no cap to the number of applications or interviews an applicant may complete when applying to residency, with the exception of ophthalmology with a cap of 15 interviews. No studies have assessed the applicants' perspectives on an application or interview cap. We assessed the attitudes of surgical subspecialty applicants towards capping, which may be useful when considering innovations in residency selection.</p><p><strong>Design/setting/participants: </strong>About 1841 applicants to the Johns Hopkins' ophthalmology, urology, plastic surgery, and orthopedic surgery residency programs from the 2022-2023 cycle were invited to respond to a 22-item questionnaire. Statistical analyses of aggregate data were conducted using R.</p><p><strong>Results: </strong>Of the 776/1841 (42%) responses, 288 (40%) were in support of an application cap, while 455 (63%) were in support of an interview cap. Specialty (p < 0.001), gender (p < 0.001), taking a gap year (p = 0.02), medical school region (p = 0.04), and number of interviews accepted off of a waitlist (p = 0.01) were all significantly associated with a difference in opinion regarding an application cap. Specialty (p < 0.001), USMLE Step 1 score (p = 0.004), number of interviews (p < 0.001), and number of programs ranked (p < 0.001) were all significantly associated with a difference in opinion regarding an interview cap. Of those applicants who were in support of the respective caps they believed that on average a cap should consist of 48.1 (16.1) applications and 16.0 (8.0) interviews.</p><p><strong>Conclusions: </strong>Our findings highlight the desire for interview caps among the majority of applicants to surgical subspecialties and thus this innovation may be considered by other specialties in the era of virtual interviews.</p>","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140961225","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 : 2023-12-01DOI: 10.1016/j.jsurg.2023.11.017
Neha Sharma, Emily Steinhagen, Jeffrey M Marks, J. Ammori
{"title":"Development of a Competency Framework Defining Effective Surgical Educators.","authors":"Neha Sharma, Emily Steinhagen, Jeffrey M Marks, J. Ammori","doi":"10.1016/j.jsurg.2023.11.017","DOIUrl":"https://doi.org/10.1016/j.jsurg.2023.11.017","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139020166","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 : 2023-12-01DOI: 10.1016/j.jsurg.2023.11.007
Michael Ho-Yan Lee, Yajur Iyengar, Dan Budiansky, P. Veinot, M. Law
{"title":"Exploring Medical Students' Perceptions of Peer-to-Peer Interactions Related to Applying to a Surgical Residency.","authors":"Michael Ho-Yan Lee, Yajur Iyengar, Dan Budiansky, P. Veinot, M. Law","doi":"10.1016/j.jsurg.2023.11.007","DOIUrl":"https://doi.org/10.1016/j.jsurg.2023.11.007","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014520","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}
Eva Deveze, A. Traoré, Nicolas Ribault, D. Estoppey, Benoît Latelise, H. Fournier, N. Bigorre
INTRODUCTION In surgical learning, self-assessment allows the physician to identify and improve his strong and weak points. However, its scientific validity has yet to be demonstrated. The aim of this study was to analyze if there is a link between self-assessment accuracy and improvement in surgical skills. We make the hypothesis that an accurate self-assessment allows a greater improvement MATERIAL AND METHOD: We set up a retrospective cohort study at the tertiary University Hospital of Angers. Between 2019 and 2021, twenty-eight surgery residents took part into a microsurgery program and were included in the study. For two weeks, they performed anastomosis training on inert material and living anesthetized rats under microscope. Each resident was evaluated during the workshop by senior surgeons on 10 items: movement stability and fluidity, instrument manipulation, needles, dissection, clamp setting, vessel manipulation, suture, checking before clamp removal, checking after clamp removal, watertighness. Self-assessment was performed by the residents with the same grid, at the end of the workshop. Residents' and senior's evaluations were double-blind. We retrospectively analyzed the concordance between senior objective assessment and self-assessment, and the effect of an accurate self-assessment on technical improvement. RESULTS Data for twenty-five residents were analyzed, 14 were female (56%). The mean age was 29 years. Surgical specialties were orthopedics (44%), maxillofacial surgery (45.4%), neurosurgery (12%), gynecology (4%) and vascular surgery (4%). According to Cohen's kappa coefficient, 14 residents (56%) underestimated themselves, 7 (28%) were concordant with peer-assessment and 4 (16%) overestimated themselves. The concordance between self and peer assessment during sessions was positive for the most objective items, and negative for the most subjective items. Technical skills improvement in term of peer-assessment averages was positive for each item in each group, without statistical differences between groups. CONCLUSION We found that the ability to self-assess in a fast-track microsurgery module for surgery residents varied according to analyzed gestures. We demonstrated an improvement in term of self-assessment for objective items, and a decrease for subjective items. However, we didn't find any relation between improvement curve and the accuracy of self-assessment.
{"title":"Self-Assessment Versus Peer-Assessment in Microsurgery Learning: A Comparative Retrospective Study in a Surgery Residents Cohort.","authors":"Eva Deveze, A. Traoré, Nicolas Ribault, D. Estoppey, Benoît Latelise, H. Fournier, N. Bigorre","doi":"10.2139/ssrn.4170638","DOIUrl":"https://doi.org/10.2139/ssrn.4170638","url":null,"abstract":"INTRODUCTION\u0000In surgical learning, self-assessment allows the physician to identify and improve his strong and weak points. However, its scientific validity has yet to be demonstrated. The aim of this study was to analyze if there is a link between self-assessment accuracy and improvement in surgical skills. We make the hypothesis that an accurate self-assessment allows a greater improvement MATERIAL AND METHOD: We set up a retrospective cohort study at the tertiary University Hospital of Angers. Between 2019 and 2021, twenty-eight surgery residents took part into a microsurgery program and were included in the study. For two weeks, they performed anastomosis training on inert material and living anesthetized rats under microscope. Each resident was evaluated during the workshop by senior surgeons on 10 items: movement stability and fluidity, instrument manipulation, needles, dissection, clamp setting, vessel manipulation, suture, checking before clamp removal, checking after clamp removal, watertighness. Self-assessment was performed by the residents with the same grid, at the end of the workshop. Residents' and senior's evaluations were double-blind. We retrospectively analyzed the concordance between senior objective assessment and self-assessment, and the effect of an accurate self-assessment on technical improvement.\u0000\u0000\u0000RESULTS\u0000Data for twenty-five residents were analyzed, 14 were female (56%). The mean age was 29 years. Surgical specialties were orthopedics (44%), maxillofacial surgery (45.4%), neurosurgery (12%), gynecology (4%) and vascular surgery (4%). According to Cohen's kappa coefficient, 14 residents (56%) underestimated themselves, 7 (28%) were concordant with peer-assessment and 4 (16%) overestimated themselves. The concordance between self and peer assessment during sessions was positive for the most objective items, and negative for the most subjective items. Technical skills improvement in term of peer-assessment averages was positive for each item in each group, without statistical differences between groups.\u0000\u0000\u0000CONCLUSION\u0000We found that the ability to self-assess in a fast-track microsurgery module for surgery residents varied according to analyzed gestures. We demonstrated an improvement in term of self-assessment for objective items, and a decrease for subjective items. However, we didn't find any relation between improvement curve and the accuracy of self-assessment.","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45978712","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 : 2021-11-01DOI: 10.1016/j.jamcollsurg.2021.07.472
Sarah Lund, Jonathan D. D’Angelo, Anne-Lise D. D’Angelo, Stephanie F. Heller, John Stulak, Mariela Rivera
{"title":"New Heuristics to Stratify Applicants: Predictors of General Surgery Residency Applicant Step 1 Scores.","authors":"Sarah Lund, Jonathan D. D’Angelo, Anne-Lise D. D’Angelo, Stephanie F. Heller, John Stulak, Mariela Rivera","doi":"10.1016/j.jamcollsurg.2021.07.472","DOIUrl":"https://doi.org/10.1016/j.jamcollsurg.2021.07.472","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47196197","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 : 2020-10-01DOI: 10.1016/J.JAMCOLLSURG.2020.07.392
Julia D. Nedimyer, Atsusi Hirumi, J. Cendan
{"title":"Rigorous Curricular Innovation: Development, Integration, and Evaluation of Anatomic Clinical Correlations Module.","authors":"Julia D. Nedimyer, Atsusi Hirumi, J. Cendan","doi":"10.1016/J.JAMCOLLSURG.2020.07.392","DOIUrl":"https://doi.org/10.1016/J.JAMCOLLSURG.2020.07.392","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.JAMCOLLSURG.2020.07.392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41426779","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 : 2019-10-01DOI: 10.1016/j.jamcollsurg.2019.08.555
A. F. Bryan, Darren S. Bryan, J. Matthews, K. Roggin
{"title":"Toward Autonomy and Conditional Independence: A Standardized Script Improves Patient Acceptance of Surgical Trainee Roles.","authors":"A. F. Bryan, Darren S. Bryan, J. Matthews, K. Roggin","doi":"10.1016/j.jamcollsurg.2019.08.555","DOIUrl":"https://doi.org/10.1016/j.jamcollsurg.2019.08.555","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jamcollsurg.2019.08.555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49624607","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 : 2018-10-01DOI: 10.1016/J.JAMCOLLSURG.2018.07.493
Aabra Ahmed, Sharjeel Israr, K. Chapple, J. Weinberg, P. Goslar, Joel Hayden, R. Gagliano, Thomas L. Gillespie
{"title":"Patient Perception of Medical Student Professionalism: Does Attire Matter?","authors":"Aabra Ahmed, Sharjeel Israr, K. Chapple, J. Weinberg, P. Goslar, Joel Hayden, R. Gagliano, Thomas L. Gillespie","doi":"10.1016/J.JAMCOLLSURG.2018.07.493","DOIUrl":"https://doi.org/10.1016/J.JAMCOLLSURG.2018.07.493","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.JAMCOLLSURG.2018.07.493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42403995","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 : 2017-10-01DOI: 10.1016/J.JAMCOLLSURG.2017.07.386
E. C. Sturm, J. Mellinger, Jeanne L. Koehler, Jarrod C H Wall
{"title":"An Appreciative Inquiry Approach to the Core Competencies: Taking it From Theory to Practice.","authors":"E. C. Sturm, J. Mellinger, Jeanne L. Koehler, Jarrod C H Wall","doi":"10.1016/J.JAMCOLLSURG.2017.07.386","DOIUrl":"https://doi.org/10.1016/J.JAMCOLLSURG.2017.07.386","url":null,"abstract":"","PeriodicalId":94109,"journal":{"name":"Journal of surgical education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.JAMCOLLSURG.2017.07.386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42190716","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}
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