The role of multiorgan procurement for abdominal transplant in general surgery resident education

Johanna Bayer, Carol Anne Moulton, Kimberley Monden, Robert M. Goldstein, Gregory J. McKenna, Giuliano Testa, Richard M. Ruiz, Tiffany L. Anthony, Nicholas Onaca, Goran B. Klintmalm, Peter T.W. Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Background: To assess the impact of participation of multiorgan procurement (MP) by general surgery (GS) residents on surgical knowledge and skills, a prospective cohort study of GS residents during transplant surgery rotation was performed. Methods: Before and after participation in MPs, assessment of knowledge was performed by written pre and post tests and surgical skills by modified Objective Structured Assessment of Technical Skill (OSATS) score. Thirty-nine residents performed 84 MPs. Results: Significant improvement was noted in the written test scores (63.3% vs 76.7%; P < 0.001). Better surgical score was associated with female gender (15.4 vs 13.3, P = <0.01), prior MP experience (16.2 vs 13.7, P = 0.03), and senior level resident (15.1 vs 13.0, P = 0.03). Supraceliac aortic dissection (P = 0.0017) and instrument handling (P = 0.041) improved with more MP operations. Conclusions: Participation in MP improves residents’ knowledge of abdominal anatomy and surgical technique.

Original languageEnglish (US)
Pages (from-to)331-336
Number of pages6
JournalAmerican journal of surgery
Volume216
Issue number2
DOIs
StatePublished - Aug 2018

Keywords

  • Abdominal transplant
  • Organ procurement
  • Resident education

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