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Trainees perceived remediation as harrowing and isolating, with long-lasting emotional effects. They reported a lack of clarity on underperformance and subjective goals, and viewed remediation as a superficial 'performance' exercise. The study highlights the need for better emotional support and improved remediation plans to address…
Researchers developed and validated an instrument to measure belonging in surgery among residents. The final instrument with 11 items showed a high internal consistency (Cronbach’s alpha = 0.90). Belonging in surgery was associated with race, graduating with one’s original intern cohort, and inversely correlated with…
Prevalent issues among European hospital physicians and nurses include burnout, job dissatisfaction, and concerns about patient safety. Better work environments and staffing correlate with lower rates of adverse health indicators and improved quality of care. Interventions prioritized by clinicians for well-being include improving nurse staffing…
This scoping review aimed to determine the terminology used to describe major abdominal surgical procedures. Content analysis of 312 included articles revealed 4 main categories, with operation-related factors being predominant. Gastrointestinal resection was the most frequently coded reference. Based on these findings, major abdominal surgery…
Effective intraoperative teaching in surgery is crucial for resident education. A scoping review of 66 studies reveals the BID model (Briefing, Intraoperative Teaching, and Debriefing) as a foundational framework for organizing teaching interactions. Preoperative briefing, intraoperative teaching, and postoperative debriefing enhance learning experiences, with emphasis…
An effective measurement tool, the Retained Surgical Items Risk Assessment Scale, was developed and validated to assess risk factors for retained surgical items in operating rooms. It showed high content validity, internal consistency, and accuracy in identifying high-risk patients. The scale's cut-off point, specificity, and…
Adherence to opioid prescribing guidelines in a hospital setting was higher for total morphine milligram equivalents (mme) prescribed compared to number of days prescribed. Surgeons showed higher adherence for severe predicted pain cases in both mme and days prescribed. Attending physicians had higher adherence rates…
Results of an international survey show substantial variability in European hpb surgery fellowship programs, highlighting the need for a more standardized clinical curriculum. Fellowships typically last one or two years, with funding provided in 70% of cases. Fellows commonly perform pancreatic and liver resections as…
Professional judgment about the value of surgery varies among US surgeons, according to a national survey. Researchers found that for 19 out of 30 exemplar cases, there was consensus on the value of surgery, with a range of 63% to 99% agreement. Exposure to peer…
Researchers conducted a needs assessment in African surgical education, revealing a critical need for comprehensive surgical training in low-middle-income countries (LMICs). The survey of program directors identified high priority skills such as intracorporeal suturing, laparoscopic camera driving, and medial visceral rotation. Interviews highlighted a desire…
