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UK surgical training currently faces the challenge of expanding surgical skills in a context of reduced training opportunities. Video-review in theatre offers the potential to gain more from each learning opportunity and to enhance feedback.

This was a designed-based study to test the feasibility of using synchronized video-review as a reflective tool to enhance surgical training and to gain a deeper understanding of intraoperative feedback.

Ten supervised laparoscopic cholecystectomy operations were video-recorded using a synchronized split screen, to show trainees’ actions, instrument manipulation, and interactions with other theatre staff. This was followed up by joint review of the operation-recording by both the trainee and supervisor. Video-review sessions were audio-recorded along with the consultant and Specialist Registrar interviews after the review session. Audio recordings were thematically analyzed. Supervisors completed the Procedure-Based Assessment forms, twice post operation and post viions of current verbal feedback practice, using Procedure-Based Assessment forms, with regard to enhancing technical and nontechnical skills due to denial and memory fading.

This study established the feasibility of using synchronized video-review as a reflection-on-action tool to potentially enhance surgical training by improving feedback. It identified trainees’ difficulty in processing intraoperative feedback due to mental overload from the operation. It showed the limitations of current verbal feedback practice, using Procedure-Based Assessment forms, with regard to enhancing technical and nontechnical skills due to denial and memory fading.

Over one third of general surgery residents interrupt their clinical training to pursue dedicated research time (DRT), which has financial implications for programs and residents. Studies have examined the impact of DRT on academic outcomes, but little is known about why residents pursue DRT. Therefore, this study aimed to examine resident motivations regarding DRT in order to gain an understanding of resident goals and challenges surrounding this phase of training.

Surgical residents currently participating in DRT and residents considering completing DRT were recruited to participate. Members of the research team at each institution conducted interviews and focus groups, which were recorded and transcribed. Data was analyzed using the qualitative method of open and focused coding. Identified themes guided the development of a conceptual framework.

Interviews and focus groups were held at three geographically diverse US academic health centers.

Twenty-one surgery residents participated.

Reasons for tors alike.

General surgery residents’ motivations to pursue DRT are multifactorial. Professional development is a pervasive motivation and includes learning skills that can be applied to future research. Current DRT programs may be inadequate in supporting residents to achieve this goal. These results can be used to inform programmatic efforts to optimize DRT for residents and mentors alike.

A chief resident service (CRS) provides a unique environment to assess competence throughout all aspects of patient care. The American College of Surgeons National Surgical Quality Improvement Program and Quality in Training Initiative databases are utilized to assess patient outcomes by individual residents with institutional and national comparisons. We hypothesized that residents on the CRS would have equivalent patient care outcomes to peers not on CRS and to chief residents nationally.

An institutional National Surgical Quality Improvement Program database was queried from 2014 to 2019 for operations performed on the CRS. Thirty-day complications were compared between CRS and non-CRS postgraduate year (PGY)-5 residents. Quality in Training Initiative reports were used to compare residents on CRS to national PGY-5 residents. Statistical analysis included chi-square tests, and multivariate logistic regression.

Independent academic medical center.

Chief general surgery residents.

A total of 1031 c PGY-5 residents nationally.

Patient care outcomes provided by PGY-5 residents on a CRS are comparable to those on non-CRS rotations and to PGY-5 residents nationally.

The purpose of this study is to identify perceptions of academic surgeons regarding academic productivity and assess its relationship to clinical productivity. We hypothesized that these perceptions would vary based on respondent characteristics including clinical activity and leadership roles.

This retrospective, survey-based study was performed from August 26, 2019 to September 26, 2019.

The setting was academic surgical departments across the US.

The survey instrument was administered to faculty members of the Association of Program Directors in Surgery. A total of 105 academic surgeons responded.

Most respondents were Program Directors (59%) of general surgery programs. Of the participants, 30% identified as Professor, 36% as Associate Professor, and 15% as Assistant Professor. Respondents agreed that multiple academic pursuits or factors should count towards academic productivity including the following (in descending order) completing a first-authored manuscript (98.8%), completing a senior-authored manuscript (97.7%), chairing a national committee (94.1%), serving on a national committee (88.2%), completing a second-authored manuscript (88.0%), completing a first lecture (83.7%), completing a middle-authored manuscript (71.8%), completing a lecture (whether or not repeated) (70.9%), impact factor of journal (60.7%), and attendance at grand rounds (57.0%). Perspectives did not vary significantly based on surgeon demographics, clinical setting, or leadership role (p > 0.05).

Perceptions regarding what constitutes academic productivity and merit a reduction in clinical expectation are remarkably similar across multiple surgeon characteristics including demographics, academic title, leadership role, and practice environment.

Perceptions regarding what constitutes academic productivity and merit a reduction in clinical expectation are remarkably similar across multiple surgeon characteristics including demographics, academic title, leadership role, and practice environment.

Describe the early impact of the COVID-19 pandemic on general surgery residency training nationwide.

A 31-question electronic survey was distributed to general surgery program directors. Qualitative data underwent iterative coding analysis. Quantitative data were evaluated with summary statistics and bivariate analyses.

Eighty-four residency programs (33.6% response rate) with representation across US geographic regions, program affiliations, and sizes.

Widespread changes were observed in the surgical training environment. One hundred percent of programs reduced the number of residents on rounds and 95.2% reduced the size of their in-hospital resident workforce; on average, daytime staffing decreased by nearly half. With telehealth clinics (90.5%) and remote inpatient consults (26.2%), both clinical care and resident didactics (86.9%) were increasingly virtual, with similar impact across all program demographics. Conversely, availability of some wellness initiatives was significantly higher among univgrams may be cause for action.

Humanism in surgery is an emerging priority in surgical education. Its emphasis on the patient experience is a key component of the therapeutic relationship between surgeons and their patients. However, the documented high rates of compassion fatigue and burnout among surgical trainees and staff can serve as a barrier in delivering care with empathy and compassion. As such, this systematic review seeks to characterize the outcomes regarding interventions that aim to broadly improve humanism within surgery.

A systematic search of 4 electronic databases (EMBASE, MEDLINE, PsycINFO, and Cochrane CENTRAL) was conducted through an independent double selection and extraction process from database inception to March 20, 2020. The inclusion criteria consisted of interventional studies aiming to improve humanism in surgery at all levels of training. A qualitative synthesis and thematic analysis were performed.

A total of 19 studies (1 RCT, 14 prospective cohort, and 4 cross-sectional studies), with 20 interventio surgery.

Interactive workshops around the principles of empathetic communication with patient simulations and small group learning were effective at improving empathy in surgical trainees. Akt inhibitor Furthermore, mindfulness-based training and the provision of physical resources to support trainee well-being consistently improved rates of burnout among surgical trainees. Overall, further investigation is necessary to better understand methods of improving empathy in surgery.

Colon and Rectal Surgery has established itself as a highly competitive specialty over recent years, with demand for residency positions growing and becoming increasingly difficult to obtain each year. However, limited information exists as to which characteristics make for a successful colorectal surgery applicant. This study aims to identify which academic benchmarks and applicant characteristics impact successful matriculation into Colon and Rectal Surgery residency.

Each Colon and Rectal Surgery residency program was sent a web-based survey comprised of 28 questions. Questions were designed to assess which factors were considered when evaluating an applicant prior to offering an interview and during rank determination.

The study was conducted as an anonymous web-based survey.

Each Colon and Rectal Surgery residency program in the United States accredited by the Accreditation Council for Graduate Medical Education (N = 63) was included in the study. Forty-four of 63 programs completed the survey fo are most importantly assessed during an interview.

There are a few studies showing how nutritional parameters are affected according to dementia subtypes. The aim of this study was to compare the parameters characterizing nutritional status and micronutrient levels according to different dementia subtypes.

Cross-sectional study.

Four hundred forty outpatients aged 65years or older.

Newly diagnosed patients with dementia, who underwent comprehensive geriatric assessment (CGA), were retrospectively evaluated. The data on CGA including nutritional status (body mass index), Mini-Nutritional Assessment-Short Form, albumin, and micronutrients (vitamin B12, folate, and vitamin D) were recorded.

Of the 396 patients, 195 were diagnosed with Alzheimer type dementia, 70 dementia with Lewy body (DLB), 25 with vascular dementia (VaD), 51 with frontotemporal dementia (FTD), and 55 with normal pressure hydrocephalus. The mean age of the study group was 76.87±8.15years. The prevalence of malnutrition and the risk of malnutrition were 17.17% and 43.18% in patients, is less.

and Implication There is a close relationship between dementia and malnutrition. Clinical approaches to minimize malnutrition in persons with dementia should include regular screening for malnutrition and its risk factors, avoidance of dietary restrictions, and support of persons at risk for malnutrition with oral nutritional supplements. Moreover, the influence of nutritional status varies in different types of dementia. Nutritional status may be worse in DLB and VaD compared with other types of dementia, whereas nutritional status in FTD is less.