Understanding Why Residents May Inaccurately Log Their Role in Operations: A Look at the 2013 In-Training Examination Survey

Robich, Michael P.; Flagg, Andrew; LaPar, Damien J.; Odell, David D.; Stein, William; Aftab, Muhammad; Berfield, Kathleen S.; Eilers, Amanda L.; Groth, Shawn S.; Lazar, John F.; Shah, Asad Ali; Smith, Danielle; Stephens, Elizabeth H.; Stock, Cameron; DeNino, Walter F.; Tchantchaleishvili, Vakhtang; Soltesz, Edward G.

doi:10.1016/j.athoracsur.2015.07.047

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…Limitations of this study include the inherent limitations of survey data; because survey definitions and survey questions were not validated, respondents may have interpreted questions differently. However, an important benefit of this survey is that it was anonymous, because it has been shown that resident operation logs, a tool commonly used to assess resident operative experiences, are inaccurate [3]. Another limitation is that the sample sizes of graduating I-6 and 4þ3 programs were small, limiting statistical comparisons.…”

Section: Commentmentioning

confidence: 99%

“…Another study showed 16% of residents never performed an off-pump coronary artery bypass grafting (CABG) procedure during residency, although 88% of them intended on doing so in practice [2]. Finally, it has been shown that 12% of residents inaccurately log operations to meet minimum operation requirements [3], further raising concerns about the development of operative autonomy.…”

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confidence: 99%

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Characterizing the Operative Experience of Cardiac Surgical Trainees: What Are Residents Really Doing in the Operating Room?

Shah

Aftab

Tchantchaleishvili

et al. 2016

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 99%

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confidence: 99%

Characterizing the Operative Experience of Cardiac Surgical Trainees: What Are Residents Really Doing in the Operating Room?

Shah

Aftab

Tchantchaleishvili

et al. 2016

The Annals of Thoracic Surgery

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“…As procedures became more complex and emergent, the proportion of the operation done by residents decreased. Wide variation in definitions of what constitutes "doing a case" make these data even more difficult to interpret [4].…”

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confidence: 99%

Resident Autonomy in the Operating Room: Expectations Versus Reality

Meyerson

Sternbach

Zwischenberger

et al. 2017

The Annals of Thoracic Surgery

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“…These factors may also contribute to decreased operative experience of surgical trainees, despite increased case volume requirements for board certification eligibility. As a result, a conscious misrepresentation of trainee role as "surgeon" in case logs despite failure to achieve the level of participation required for this classification has been reported among some trainees, which may signify insufficient training for independent practice (Robich et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

Robinson

Piekut

Hasman

et al. 2019

Anatomical Sciences Ed

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Simulation training has become increasingly relevant in the educational curriculum of surgical trainees. The types of simulation models used, goals of simulation training, and an objective assessment of its utility and effectiveness are highly variable. The role and effectiveness of cadaveric simulation in cardiothoracic surgical training has not been well established. The objective of this study was to evaluate the current medical literature available on the utility and the effectiveness of cadaveric simulation in cardiothoracic surgical residency training. A literature search was performed using PubMed, Cochrane Library, Embase, Scopus, and CINAHL from inception to February 2019. Of the 362 citations obtained, 23 articles were identified and retrieved for full review, yielding ten eligible articles that were included for analysis. One additional study was identified and included in the analysis. Extraction of data from the selected articles was performed using predetermined data fields, including study design, study participants, simulation task, performance metrics, and costs. Most of these studies were only descriptive of a cadaveric or perfused cadaveric simulation model that could be used to augment clinical operative training in cardiothoracic surgery. There is a paucity of evidence in the literature that specifically evaluates the utility and the efficacy of cadavers in cardiothoracic surgery training. Of the few studies that have been published in the literature, cadaveric simulation does seem to have a role in cardiothoracic surgery training beyond simply learning basic skills. Additional research in this area is needed. Anat Sci Educ 13: 406-418.

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Understanding Why Residents May Inaccurately Log Their Role in Operations: A Look at the 2013 In-Training Examination Survey

Abstract: Overall cardiothoracic surgery residents appear to be satisfied with their training. There were specific subsets of trainees in both traditional and Integrated programs that are misrepresenting their role on cases because they otherwise may not meet the requirements.

Cited by 16 publications

References 13 publications

Characterizing the Operative Experience of Cardiac Surgical Trainees: What Are Residents Really Doing in the Operating Room?

Characterizing the Operative Experience of Cardiac Surgical Trainees: What Are Residents Really Doing in the Operating Room?

Resident Autonomy in the Operating Room: Expectations Versus Reality

Cadaveric Simulation Training in Cardiothoracic Surgery: A Systematic Review

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