Journal of surgical education
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The Association of Program Directors in Surgery and the Division of Education of the American College of Surgeons developed and implemented a web-based system for end-of-rotation faculty assessment of ACGME core competencies of residents. This study assesses its reliability and validity across multiple programs. ⋯ Faculty ratings of core competencies are internally consistent. The pattern of statistically significant correlations between competency ratings and USMLE and ABSITE scores supports the postdictive and concurrent validity, respectively, of faculty perceptions of resident knowledge. The pattern of increased ratings as a function of PGY supports the construct validity of faculty ratings of resident core competencies.
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The operating room is a dynamic environment in which proper teamwork is essential. After piloting a simulation-based interdisciplinary operative team training program, we examined the impact of these sessions on the participants. ⋯ Implementing true interdisciplinary team training with a high-fidelity simulation can be accomplished effectively. Team training has the potential for facilitating positive behavioral changes in operating room personnel that are important for adaptive team function in a crisis situation.
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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.