Resident education in 2011: Three key challenges on the road ahead

Erik G. Van Eaton, John L. Tarpley, Carmen C. Solorzano, Clifford S. Cho, Sharon M. Weber, Paula M. Termuhlen

Research output: Contribution to journalReview article

27 Citations (Scopus)

Abstract

Two important changes in the past decade have altered the landscape of graduate medical education (GME) in the U.S. The national restrictions on trainee duty hours mandated by the Accreditation Council for Graduate Medical Education (ACGME) were the most visible and generated much controversy. Equally important is the ACGME Outcome Project, which mandates competency-based training. Both of these changes have unique implications for surgery trainees, who traditionally spent long hours caring for patients in the hospital, and who must be assessed in 2 broad domains: their medical care of pre- and postoperative patients, and their technical skill with procedures in and out of the operating room. This article summarizes 3 key challenges that lie ahead for surgical educators. First, the changes in duty hours in the past 7 years are summarized, and the conversation about added restrictions planned for July 2011 is reviewed. Next, the current state of the assessment of competency among surgical trainees is reviewed, with an outline of the challenges that need to be overcome to achieve widespread, competency-based training in surgery. Finally, the article summarizes the problems caused by increased reliance on handoffs among trainees as they compensate for decreased time in the hospital, and suggests changes that need to be made to improve safety and efficiency, including how to use handoffs as part of our educational evaluation of residents.

Original languageEnglish (US)
Pages (from-to)465-473
Number of pages9
JournalSurgery
Volume149
Issue number4
DOIs
StatePublished - Apr 1 2011

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Graduate Medical Education
Accreditation
Education
Preoperative Care
Postoperative Care
Operating Rooms
Safety

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Van Eaton, E. G., Tarpley, J. L., Solorzano, C. C., Cho, C. S., Weber, S. M., & Termuhlen, P. M. (2011). Resident education in 2011: Three key challenges on the road ahead. Surgery, 149(4), 465-473. https://doi.org/10.1016/j.surg.2010.11.007

Resident education in 2011 : Three key challenges on the road ahead. / Van Eaton, Erik G.; Tarpley, John L.; Solorzano, Carmen C.; Cho, Clifford S.; Weber, Sharon M.; Termuhlen, Paula M.

In: Surgery, Vol. 149, No. 4, 01.04.2011, p. 465-473.

Research output: Contribution to journalReview article

Van Eaton, EG, Tarpley, JL, Solorzano, CC, Cho, CS, Weber, SM & Termuhlen, PM 2011, 'Resident education in 2011: Three key challenges on the road ahead', Surgery, vol. 149, no. 4, pp. 465-473. https://doi.org/10.1016/j.surg.2010.11.007
Van Eaton EG, Tarpley JL, Solorzano CC, Cho CS, Weber SM, Termuhlen PM. Resident education in 2011: Three key challenges on the road ahead. Surgery. 2011 Apr 1;149(4):465-473. https://doi.org/10.1016/j.surg.2010.11.007
Van Eaton, Erik G. ; Tarpley, John L. ; Solorzano, Carmen C. ; Cho, Clifford S. ; Weber, Sharon M. ; Termuhlen, Paula M. / Resident education in 2011 : Three key challenges on the road ahead. In: Surgery. 2011 ; Vol. 149, No. 4. pp. 465-473.
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