Surgical Trainee Performance and Alignment with Surgical Program Director Expectations

Kenneth L. Abbott; Andrew E. Krumm; Jesse K. Kelley; Daniel E. Kendrick; Michael J. Clark; Xilin Chen; Tanvi Gupta; Andrew T. Jones; Beatriz Ibaáñez Moreno; Gifty Kwakye; Nikki L.Bibler Zaidi; David B. Swanson; Richard H. Bell; Brian C. George

doi:10.1097/SLA.0000000000004990

Surgical Trainee Performance and Alignment with Surgical Program Director Expectations

Kenneth L. Abbott
, Andrew E. Krumm
, Jesse K. Kelley
, Daniel E. Kendrick
, Michael J. Clark
, Xilin Chen
, Tanvi Gupta
, Andrew T. Jones
, Beatriz Ibaáñez Moreno
, Gifty Kwakye
, Nikki L.Bibler Zaidi
, David B. Swanson
, Richard H. Bell
, Brian C. George

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

OBJECTIVE: To examine the alignment between graduating surgical trainee operative performance and a prior survey of surgical program director expectations.

BACKGROUND: Surgical trainee operative training is expected to prepare residents to independently perform clinically important surgical procedures.

METHODS: We conducted a cross-sectional observational study of US general surgery residents' rated operative performance for Core general surgery procedures. Residents' expected performance on those procedures at the time of graduation was compared to the current list of Core general surgery procedures ranked by their importance for clinical practice, as assessed via a previous national survey of general surgery program directors. We also examined the frequency of individual procedures logged by residents over the course of their training.

RESULTS: Operative performance ratings for 29,885 procedures performed by 1861 surgical residents in 54 general surgery programs were analyzed. For each Core general surgery procedure, adjusted mean probability of a graduating resident being deemed practice-ready ranged from 0.59 to 0.99 (mean 0.90, standard deviation 0.08). There was weak correlation between the readiness of trainees to independently perform a procedure at the time of graduation and that procedure's historical importance to clinical practice ( p = 0.22, 95% confidence interval 0.01-0.41, P = 0.06). Residents also continue to have limited opportunities to learn many procedures that are important for clinical practice.

CONCLUSION: The operative performance of graduating general surgery residents may not be well aligned with surgical program director expectations.

Original language	English (US)
Pages (from-to)	E1095-E1100
Journal	Annals of surgery
Volume	276
Issue number	6
DOIs	https://doi.org/10.1097/SLA.0000000000004990
State	Published - Dec 1 2022
Externally published	Yes

Bibliographical note

Funding Information:
This study was funded in part by a grant from the American Board of Surgery and Graduate Medical Education Innovations Grant from the University of Michigan Medical School. Development of the SIMPL app has been funded by the members of the Society for improving Medical Professional Learning (SiMPL, http://www.simpl.org).

Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 4 Quality Education

Keywords

general surgery
performance
procedure
resident
trainee
Clinical Competence
Internship and Residency
Cross-Sectional Studies
Humans
General Surgery/education
Education, Medical, Graduate
Motivation
Surveys and Questionnaires

PubMed: MeSH publication types

Observational Study
Journal Article
Research Support, Non-U.S. Gov't

Publisher link

10.1097/SLA.0000000000004990

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Cite this

Abbott, K. L., Krumm, A. E., Kelley, J. K., Kendrick, D. E., Clark, M. J., Chen, X., Gupta, T., Jones, A. T., Moreno, B. I., Kwakye, G., Zaidi, N. L. B., Swanson, D. B., Bell, R. H., & George, B. C. (2022). Surgical Trainee Performance and Alignment with Surgical Program Director Expectations. Annals of surgery, 276(6), E1095-E1100. https://doi.org/10.1097/SLA.0000000000004990

@article{2e7562b0f5654d389214e69f11b05a21,

title = "Surgical Trainee Performance and Alignment with Surgical Program Director Expectations",

abstract = "OBJECTIVE: To examine the alignment between graduating surgical trainee operative performance and a prior survey of surgical program director expectations.BACKGROUND: Surgical trainee operative training is expected to prepare residents to independently perform clinically important surgical procedures.METHODS: We conducted a cross-sectional observational study of US general surgery residents' rated operative performance for Core general surgery procedures. Residents' expected performance on those procedures at the time of graduation was compared to the current list of Core general surgery procedures ranked by their importance for clinical practice, as assessed via a previous national survey of general surgery program directors. We also examined the frequency of individual procedures logged by residents over the course of their training.RESULTS: Operative performance ratings for 29,885 procedures performed by 1861 surgical residents in 54 general surgery programs were analyzed. For each Core general surgery procedure, adjusted mean probability of a graduating resident being deemed practice-ready ranged from 0.59 to 0.99 (mean 0.90, standard deviation 0.08). There was weak correlation between the readiness of trainees to independently perform a procedure at the time of graduation and that procedure's historical importance to clinical practice ( p = 0.22, 95\% confidence interval 0.01-0.41, P = 0.06). Residents also continue to have limited opportunities to learn many procedures that are important for clinical practice.CONCLUSION: The operative performance of graduating general surgery residents may not be well aligned with surgical program director expectations.",

keywords = "general surgery, performance, procedure, resident, trainee, Clinical Competence, Internship and Residency, Cross-Sectional Studies, Humans, General Surgery/education, Education, Medical, Graduate, Motivation, Surveys and Questionnaires",

author = "Abbott, \{Kenneth L.\} and Krumm, \{Andrew E.\} and Kelley, \{Jesse K.\} and Kendrick, \{Daniel E.\} and Clark, \{Michael J.\} and Xilin Chen and Tanvi Gupta and Jones, \{Andrew T.\} and Moreno, \{Beatriz Iba{\'a}{\~n}ez\} and Gifty Kwakye and Zaidi, \{Nikki L.Bibler\} and Swanson, \{David B.\} and Bell, \{Richard H.\} and George, \{Brian C.\}",

note = "Funding Information: This study was funded in part by a grant from the American Board of Surgery and Graduate Medical Education Innovations Grant from the University of Michigan Medical School. Development of the SIMPL app has been funded by the members of the Society for improving Medical Professional Learning (SiMPL, http://www.simpl.org). Publisher Copyright: {\textcopyright} 2022 Lippincott Williams and Wilkins. All rights reserved.",

year = "2022",

month = dec,

day = "1",

doi = "10.1097/SLA.0000000000004990",

language = "English (US)",

volume = "276",

pages = "E1095--E1100",

journal = "Annals of surgery",

issn = "0003-4932",

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TY - JOUR

T1 - Surgical Trainee Performance and Alignment with Surgical Program Director Expectations

AU - Abbott, Kenneth L.

AU - Krumm, Andrew E.

AU - Kelley, Jesse K.

AU - Kendrick, Daniel E.

AU - Clark, Michael J.

AU - Chen, Xilin

AU - Gupta, Tanvi

AU - Jones, Andrew T.

AU - Moreno, Beatriz Ibaáñez

AU - Kwakye, Gifty

AU - Zaidi, Nikki L.Bibler

AU - Swanson, David B.

AU - Bell, Richard H.

AU - George, Brian C.

N1 - Funding Information: This study was funded in part by a grant from the American Board of Surgery and Graduate Medical Education Innovations Grant from the University of Michigan Medical School. Development of the SIMPL app has been funded by the members of the Society for improving Medical Professional Learning (SiMPL, http://www.simpl.org). Publisher Copyright: © 2022 Lippincott Williams and Wilkins. All rights reserved.

PY - 2022/12/1

Y1 - 2022/12/1

N2 - OBJECTIVE: To examine the alignment between graduating surgical trainee operative performance and a prior survey of surgical program director expectations.BACKGROUND: Surgical trainee operative training is expected to prepare residents to independently perform clinically important surgical procedures.METHODS: We conducted a cross-sectional observational study of US general surgery residents' rated operative performance for Core general surgery procedures. Residents' expected performance on those procedures at the time of graduation was compared to the current list of Core general surgery procedures ranked by their importance for clinical practice, as assessed via a previous national survey of general surgery program directors. We also examined the frequency of individual procedures logged by residents over the course of their training.RESULTS: Operative performance ratings for 29,885 procedures performed by 1861 surgical residents in 54 general surgery programs were analyzed. For each Core general surgery procedure, adjusted mean probability of a graduating resident being deemed practice-ready ranged from 0.59 to 0.99 (mean 0.90, standard deviation 0.08). There was weak correlation between the readiness of trainees to independently perform a procedure at the time of graduation and that procedure's historical importance to clinical practice ( p = 0.22, 95% confidence interval 0.01-0.41, P = 0.06). Residents also continue to have limited opportunities to learn many procedures that are important for clinical practice.CONCLUSION: The operative performance of graduating general surgery residents may not be well aligned with surgical program director expectations.

AB - OBJECTIVE: To examine the alignment between graduating surgical trainee operative performance and a prior survey of surgical program director expectations.BACKGROUND: Surgical trainee operative training is expected to prepare residents to independently perform clinically important surgical procedures.METHODS: We conducted a cross-sectional observational study of US general surgery residents' rated operative performance for Core general surgery procedures. Residents' expected performance on those procedures at the time of graduation was compared to the current list of Core general surgery procedures ranked by their importance for clinical practice, as assessed via a previous national survey of general surgery program directors. We also examined the frequency of individual procedures logged by residents over the course of their training.RESULTS: Operative performance ratings for 29,885 procedures performed by 1861 surgical residents in 54 general surgery programs were analyzed. For each Core general surgery procedure, adjusted mean probability of a graduating resident being deemed practice-ready ranged from 0.59 to 0.99 (mean 0.90, standard deviation 0.08). There was weak correlation between the readiness of trainees to independently perform a procedure at the time of graduation and that procedure's historical importance to clinical practice ( p = 0.22, 95% confidence interval 0.01-0.41, P = 0.06). Residents also continue to have limited opportunities to learn many procedures that are important for clinical practice.CONCLUSION: The operative performance of graduating general surgery residents may not be well aligned with surgical program director expectations.

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KW - performance

KW - procedure

KW - resident

KW - trainee

KW - Clinical Competence

KW - Internship and Residency

KW - Cross-Sectional Studies

KW - Humans

KW - General Surgery/education

KW - Education, Medical, Graduate

KW - Motivation

KW - Surveys and Questionnaires

UR - https://www.scopus.com/pages/publications/85122325570

UR - https://www.scopus.com/pages/publications/85122325570#tab=citedBy

U2 - 10.1097/SLA.0000000000004990

DO - 10.1097/SLA.0000000000004990

M3 - Article

C2 - 34132692

AN - SCOPUS:85122325570

SN - 0003-4932

VL - 276

SP - E1095-E1100

JO - Annals of surgery

JF - Annals of surgery

IS - 6

ER -

Surgical Trainee Performance and Alignment with Surgical Program Director Expectations

Abstract

Bibliographical note

UN SDGs

Keywords

PubMed: MeSH publication types

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