Surgical residents who receive prior evaluations and formative feedback for common bile duct exploration (CBDE) demonstrate better operative performance and greater autonomy compared to residents without prior evaluations. Cases with prior evaluations had a higher proportion of practice-ready or exceptional performance ratings according to both residents and attending surgeons. They also had a higher proportion of passive help or supervision only autonomy ratings. The study highlights the importance of feedback in helping residents achieve autonomous, practice-ready performance for rare surgical procedures like CBDE.
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