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Surgeons record a limited portion of eligible cases due to barriers such as lack of perceived value, forgetfulness, legal concerns, and difficulty accessing equipment and videos. Touch Surgery Enterprise, a new recording solution, addresses these barriers and is highly recommended by respondents for adoption due…
Patients on long-term opioid therapy with Medicaid insurance had a higher likelihood of experiencing postoperative unplanned care encounters compared to those with private insurance after abdominopelvic surgery. The study, involving 1212 patients in Michigan, found a 4.5 percentage point higher probability of such encounters among…
French nationwide study evaluated 61,169 high-risk digestive cancer surgeries. Postoperative mortality rates varied across types, with liver and pancreas surgeries showing benefits from the new criteria. Higher volume thresholds could further decrease mortality risks. Centralization policies and improved clinical pathways may enhance patient access to…
Patients with preoperative opioid exposure experienced higher pain scores 30 days after surgery compared to opioid-naïve individuals. As opioid exposure increased, the probability of reporting moderate to severe pain also increased. Furthermore, clinical outcomes such as ED visits, readmissions, and reoperations within 30 days, as…
Entrustable Professional Activities (EPAs) in general surgery show moderate validity evidence and practical recommendations for implementation, providing a more accurate assessment of residents' competence compared to other methods. Challenges include obtaining faculty and resident buy-in for microassessments and feedback. EPAs represent a significant shift in…
Investigators analyzed data from 12,433 patients who underwent ambulatory cancer surgery and completed 110,936 surveys on symptom severity and interference. Pain severity was highest on postoperative days 1-3, but gradually improved, with moderate initial fatigue that rarely reached severe levels. Nausea was common, while vomiting…
Home call for acute care surgeons results in decreased sleep and increased burnout, with even non-active home calls contributing to sleep loss and burnout. Each additional call or return to the hospital during home call further exacerbates these negative effects. This study highlights the importance…
The study explores the barriers faced by Black medical students and residents in completing surgical residency in Canada. Lack of mentorship, representation, experiences with racism, and systemic racism were identified as key obstacles. Gender intersectionality further exacerbated these challenges. There is a pressing need for…
Non-technical skills such as communication, environmental factors, anticipation, and teamwork are crucial in robotic-assisted surgery. Team-related factors like ambient noise and poor design of the operating room can compromise patient safety. The review identified three novel assessment tools and emphasized the need for further research…
Health disparities in surgical settings are unjust and result in poor outcomes. Cultural competency training (CCT) for providers may address these disparities, but its cost-effectiveness is unclear. The effectiveness of CCT in improving health outcomes and whether it should be team-based are key considerations. Further…
