Journal of surgical education
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Although penetrating gluteal injuries rarely are life-threatening, the risk for concomitant injury to regional anatomic structures warrants additional evaluation. We analyzed factors affecting the management and outcomes of these injuries. ⋯ Penetrating gluteal injuries are associated with significant damage to local structures. Gunshot wounds carry a higher risk of injury to the rectum and stoma placement, whereas blast injuries are associated with less local injury and more multisystem trauma.
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To demonstrate that a surgery "educational" chief resident can develop a resident-centered, evidence-based, surgical basic/clinical science curriculum that will improve American Board of Surgery In-Training Examination (ABSITE) scores. ⋯ An educational chief resident designed surgical curriculum, including weekly reading assignments, weekly ABSITE-styled questions, monthly chief resident problem-based conferences, and an ABSITE remediation course, may augment a basic/clinical science lecture series and may improve ABSITE performance.
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The purpose of this article is to describe our experience with the incorporation of a proficiency-based laparoscopic skills curriculum in a busy surgical training program that aims to improve the technical proficiency of residents. The curriculum has a cognitive component and a manual skills component and is adjusted to resident training level. It is based on the Fundamentals of Laparoscopic Surgery program and includes basic laparoscopic virtual-reality tasks of the Lap Mentor simulator (Simbionix USA Corp., Cleveland, Ohio). ⋯ Our curriculum has been implemented for several months. Our experience so far suggests that it is imperative to have dedicated supervising personnel and dedicated training time in the busy week of the surgical resident to ensure attendance. Our next step is to incorporate the 20 modules of the new Association of Program Directors in Surgery (ADPS)/American College of Surgeons (ACS) national skills curriculum into our skills training program, to expand its cognitive component by incorporating additional procedural videos, and to adapt scenario-based training on trauma and critical care on human patient simulators.
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To design and implement a multidisciplinary systems-based practice learning experience that is focused on improving and standardizing the preoperative quality of care for general surgical patients. ⋯ Our multidisciplinary systems-based practice learning experience focused on improving and standardizing the preoperative quality of care for patients, and general surgery residents were pivotal participants in that process. This exercise had a positive impact on our general surgery residency education program and proved to be a valuable model of systems-based practice competency.
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Selection of surgical residents is accomplished by processes unique to each institution based on anecdotal observations, self-evident truisms, and programmatic objectives. By closely examining how surgical residents are selected, we sought to determine whether this process accurately predicted exceptional clinical performance of matriculated residents. ⋯ Compared with a previous 10-point composite scoring system, faculty evaluations of personal characteristics and letters of reference were likely to predict subsequent resident clinical performance. USMLE scores and academic grade performance were predictive of subsequent formalized testing such as ABSITE, but they were poorly predictive of resident clinical performance. The resident selection process can be streamlined.