Presidential address: Engendering operative autonomy in surgical training

Put Me in the Game Coach! Resident Participation in High-risk Surgery in the Era of Big Data

“…9 A study that surveyed program directors demonstrated that many felt general surgery residents were not prepared to enter the workforce as independent surgeons following their five years of training. 10–11…”

The Future of Plastic Surgery Resident Education

“…14,39 Perhaps, but if the cognitive, procedural, and decision-making components of teaching are addressed in a briefing and appropriate feedback is given in debriefing, the actual operating room time is spent in supervision and active assistance, for a less accomplished resident, or more passive assistance, for a more capable resident. 40 The element of operating room teaching that perhaps does not receive the focus deserved is the intrinsic worth of coaching.…”

“…Innovative approaches to operative assessment will be integral to the implementation of the use of entrustable professional activities. 49,50 Educators in surgery have focused on the development of assessment tools of resident performance in the operating room 39 and, more recently, since the advent of the Accreditation Council for Graduate Medical Education milestones project, to determine the level of those resident operating room capabilities. Any number of instruments of objective assessment of technical proficiency have been described and are available 51,52 but have not attained wide application.…”

Surgical Education and Training: How Are They Likely to Change?

“…The PASS (procedural autonomy and supervision system) program or credentialing during residency clearly look like they are going to have a role in our future to allow residents more independence in decision making and assure patient safety. 9 We are going to see more simulation training. Although simulation laboratories are currently required for all surgical residencies, a robust simulation curriculum with teaching modules and assessment needs to be implemented.…”