10/9/2017

Readiness of US general surgery residents for independent practice.

Insufficient trainee supervision may lead to adverse events, but lack of autonomy may leave trainee physicians unprepared for independent practice. In this direct observation surgical education study, attending physicians rated readiness for independent practice and level of supervision for surgical trainees performing specific core procedures throughout the course of their training. At the end of training, 90% of trainees performed competently on average complexity patients, but this proportion dropped to less than 80% for the most complex cases. For about two-thirds of core procedures, surgical residents still had significant supervision in their last 6 months of training. The authors raise concerns about whether graduating residents have sufficient experience practicing independently to enter clinical practice. A previous PSNet perspective advocated for continued appropriate supervision to augment patient safety.

Link to original article: https://psnet.ahrq.gov/resources/resource/31440

 

7/20/2017
 
Tool Could Enhance Education ; Are Residents Less Competent or Just More Closely Scrutinized?
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7/24/2017 

Research from the Procedural Learning and Safety Collaborative's national trial has been published in the Annals of Surgery.

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5/4/2017

 

AT THE ASA ANNUAL MEETING

PHILADELPHIA – The question of how prepared general surgery residents are to operate independently after their training is longstanding, but clear definitions of competency and readiness have been elusive.

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