The Resident-Run Minor Surgery Clinic: A Pilot Study to Safely Increase Operative Autonomy

Use of Entrustable Professional Activities in the Assessment of Surgical Resident Competency

“…Several researchers in medical and surgical education have determined that providing autonomy is essential to resident training. 7,[16][17][18] There are several challenges for surgical faculty, including regulatory hurdles imposed by institutions or by governments, patient safety concerns, public opinion and perceptions thereof, and a prevailing culture of despondency among faculty regarding resident work-hours limitations. 17, [19][20][21] Our findings suggest that another challenge to this autonomy issue is faculty perception of autonomy entrusted to residents.…”

Resident Autonomy

“…While this study did not measure the quality or rates of complications associated with a chief-run service, there was significant increase in positive survey results by the graduated chief residents who participated in the chief resident service and the autonomy that the service afforded them [85]. Wojcik et al [84] demonstrated that implementation of a resident-run minor surgery clinic safe in regards to 30-day post-procedure complications which persisted on multivariate analysis. Addition to demonstrating patient safety, residents evaluated the clinic experience in a very positive manner, increased operative autonomy being the biggest strength cited.…”

“…Despite the challenges (legal, regulatory, staffing) of establishing a chief resident run service or clinic in any specialty, recent studies by Jarman et al [44,83,84] demonstrated that this can be done safely and effectively in the realm of general surgery. Chief resident run services afford chief residents the opportunity to provide and hone perioperative decision making and hone operative skills on common general surgical procedures with appropriate supervision-most often in the "passive help" or "supervision" roles only as determined by the Zwisch scale.…”

The Utility and Efficiency of a Resident Hand Clinic for the Management of Acute Hand Trauma at the University of Alberta

“…These educational benefits were also found in other studies examining residentrun patient assessment clinics. 8,13,14 In addition to optimizing resident education, the resident hand trauma clinic model serves to decrease the burden on the emergency department. The high volume of hand trauma and the resources required to treat them have been studied in the United States, with an estimated 4.7 million emergency department visits for traumatic hand injuries in 2008.…”