This study establishes prioritized lists of operative procedures for simulation-based assessments in general surgery training, essential for competency-based programs. Through a Delphi consensus study, 21 and 16 procedures were identified as suitable for assessments at key training stages, aiding in trainee progression and end-of-training certification. This approach provides a structured method for content generation, enhancing […]

Older adults undergoing major elective surgery experience significant challenges with postoperative symptoms affecting their valued activities and well-being. Participants felt unprepared for the intensity and duration of symptoms, highlighting the need for support and education. Postoperative pain, gastrointestinal discomfort, and anxiety/stress were prominent issues. Assessing and addressing symptom burden could enhance quality of life and […]

Factors such as information-sharing practices, planning, and strong leadership support were associated with successful implementation of enhanced recovery pathways in hospitals. However, barriers such as pathway complexity and infrastructure posed challenges. Clinicians’ positive beliefs and knowledge about pathways were key to achieving greater adherence to process measures over time. Journal Article by Yuan CT, Wu […]

A survey of 6956 US surgical residents found that 66.8% reported meaningful mentorship, with non-white or hispanic residents less likely to report it. Senior residents were more likely to have meaningful mentorship. Residents with meaningful mentorship had higher rates of operative autonomy and lower rates of burnout, thoughts of attrition, and suicidality compared to those […]

Among over 1 million patients with gastrointestinal cancer, only a small percentage were enrolled in clinical trials, with significantly lower enrollment rates among patients treated at minority-serving hospitals and black individuals. The odds of enrollment in a clinical trial were much lower for patients at minority-serving hospitals compared to non-minority-serving hospitals, and even after controlling […]

Program factors such as residency length, resident class size, number of total physician faculty, average hours of didactics per week, and the percentage of residents graduating from US MD programs are associated with improved American Board of Surgery examination pass rates. Older programs, as well as those located in the West and Midwest, tend to […]

Pathologic factors, including T, N, and M stages, were found to be associated with a higher risk of 30-day postoperative venous thromboembolism after gastrointestinal cancer surgery. Specifically, T stage was associated with VTE in colorectal, pancreatic, and primary hepatic cancers, while N stage was linked to VTE in colorectal and pancreatic cancers. Acknowledging these associations […]

A survey of 121 healthcare professionals in 36 countries revealed that access to education, training, networking, and mentorship are key limiting factors for young clinical investigators in oncology. Participants under 40 years of age and from European countries were more involved in clinical trials, mainly funded by industry grants. Half of the respondents devote personal […]

After the American Society of Anesthesiologists recommended against routine preoperative laboratory testing for low-risk patients, there was a significant decrease in testing rates. In low-risk patients, the percentage of those receiving tests dropped by 6.9% post-guidelines implementation, while higher-risk patients saw only a 1.1% reduction. Lack of testing in low-risk patients did not result in […]