Protected Educational Rotations: A Valuable Paradigm Shift in Surgical Internship

Tillou, Areti; Hiatt, Jonathan R.; Leonardi, Michael J.; Quach, Chi; Hines, Oscar J.

doi:10.1016/j.jsurg.2008.07.012

Cited by 10 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This reaffirms the importance of maximizing operative exposure among junior residents in order to offset frustration associated with the burden of nonoperative activities. 38,39 Tillou and coworkers 39 examined a protected educational rotation for 30 surgery interns involving 4 weeks in an outpatient surgery center under direct faculty supervision; trainees rated this rotation significantly better than the average of other rotations (p < 0.01), as well as the teaching by faculty, time spent in the operating room, and quality of operating room time (all p < 0.05). The attrition group more often believed that their operating skill was not level appropriate and that they were overwhelmed by job responsibilities.…”

Section: Discussionmentioning

confidence: 99%

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Sullivan

Yeo

Roman

et al. 2013

Journal of the American College of Surgeons

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Sullivan

Yeo

Roman

et al. 2013

Journal of the American College of Surgeons

View full text Add to dashboard Cite

“…For example, our participants felt similarly frustrated about educational time being overwhelmed by clinical duties. 31,32 Notably, an improvement in performance on formal examinations, including the ABSITE, has not been shown since duty-hour reform was initiated. 33 The importance of mentorship, as expressed by our participants, has been seen as necessary for both surgical training and even for the transition to surgical practice.…”

Section: "(My Wife Called To) Let Me Know That My Son Was In the Emermentioning

confidence: 99%

Attrition from surgical residency training: perspectives from those who left

Bongiovanni

Yeo

Sosa

et al. 2015

The American Journal of Surgery

View full text Add to dashboard Cite

“…These gaps in the proficiency of interns in performing basic bedside procedures, which we detected in our study, are consistent with the results of other studies [ 21 , 22 ]. This could be caused by inadequate training in medical schools, a lack of opportunities to conduct these procedures, and subpar supervision during internship rotations [ 23 ]. Good supervisors, efficient supervision, adequate experiential learning opportunities, a supportive environment, a strong support system (including hospital staff, management, and academic opportunities), personal traits, and a manageable workload are all factors that provide good internship training [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Interns' Perceived Level of Proficiency After General Surgery Rotation: A Cross-Sectional Study From Saudi Arabia

Elhilu,

Ghazwani,

Adawi

et al. 2024

Cureus

View full text Add to dashboard Cite

Background: The role of interns during general surgical rotation is crucial in shaping their future careers as surgeons. Surgical rotation offers a unique opportunity to gain valuable hands-on experience in fast-paced and challenging environments. However, interns often face significant challenges in obtaining the necessary practical training to develop proficiency in surgical techniques. This article aims to analyze some aspects of the accumulated competency of interns during their general surgery rotation, focusing on the range of skills and knowledge gained, in addition to the challenges faced. Subjects and methods: We conducted a cross-sectional study using an anonymous web-based self-assessment questionnaire. The target population of the study included all Jazan University medical interns enrolled in the academic year 2022-2023. Results: Most participants showed low-to-average levels of proficiency in monitoring clinical evolution and treatment plans, ranging from fundamental awareness (n = 17, 17.5%) to working knowledge (n = 51, 52.6%), with only three participants (3.1%) reporting an expert level of proficiency. The same pattern was observed in the documentation of patient records (range: 7.2%, n = 7 for fundamental awareness to 42.3%, n = 41 for working knowledge). However, a significant proportion saw themselves as either proficient (n = 23, 23.7%) or experts (n = 15, 15.5%) in this aspect. Regarding bedside procedures, such as venipuncture, proctoscopy, nasogastric tube insertion, and urethral catheterization, the participants showed different proficiency levels, with the lowest in proctoscopy, where 66 (68.0%) of the participants reported only fundamental awareness. The results also revealed low perceived proficiency in performing surgical skin incisions, wound suturing, knot tying, application of surgical skin clips, and abscess drainage, with the lowest proficiency observed in the excision of superficial lumps as more than half of the participants reported only fundamental awareness (n = 51, 52.6%). Conclusion: The results of this study indicate that documentation and monitoring of patient progress are the competencies mastered most by the majority of interns during their rotations in general surgery. However, the interns' overall level of proficiency in bedside procedures and basic surgical skills acquired during their rotation was low to average. Additionally, interns were dissatisfied with their training and the opportunities provided for them to actively engage in performing procedures in the operating room. This low proficiency is unrelated to pre-internship academic achievement, sex, or interest in future surgical careers. This suggests that efforts are needed to develop strategies to enhance interns' satisfaction and engagement, ultimately improving their overall experience during internships.

show abstract

Protected Educational Rotations: A Valuable Paradigm Shift in Surgical Internship

Cited by 10 publications

References 22 publications

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Surgical Residency and Attrition: Defining the Individual and Programmatic Factors Predictive of Trainee Losses

Attrition from surgical residency training: perspectives from those who left

Interns' Perceived Level of Proficiency After General Surgery Rotation: A Cross-Sectional Study From Saudi Arabia

Contact Info

Product

Resources

About