Subjects -> MEDICAL SCIENCES (Total: 8642 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (218 journals)
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    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (234 journals)
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    - ENDOCRINOLOGY (150 journals)
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    - GASTROENTEROLOGY AND HEPATOLOGY (188 journals)
    - GERONTOLOGY AND GERIATRICS (138 journals)
    - HEMATOLOGY (157 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (174 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (99 journals)
    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2392 journals)
    - NURSES AND NURSING (364 journals)
    - OBSTETRICS AND GYNECOLOGY (207 journals)
    - ONCOLOGY (384 journals)
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    - SPORTS MEDICINE (81 journals)
    - SURGERY (406 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (155 journals)

MEDICAL SCIENCES (2392 journals)            First | 3 4 5 6 7 8 9 10 | Last

Showing 1201 - 1400 of 3562 Journals sorted alphabetically
Journal of Foot and Ankle Research     Open Access   (Followers: 5)
Journal of Forensic Science and Research     Open Access   (Followers: 2)
Journal of Gandaki Medical College-Nepal     Open Access  
Journal of Generic Medicines     Hybrid Journal   (Followers: 2)
Journal of Geographical Sciences     Hybrid Journal   (Followers: 1)
Journal of Global Antimicrobial Resistance     Hybrid Journal   (Followers: 3)
Journal of Hand Therapy     Hybrid Journal   (Followers: 18)
Journal of Head & Neck Physicians and Surgeons     Open Access   (Followers: 2)
Journal of Health & Medical Informatics     Open Access   (Followers: 61)
Journal of Health and Biological Sciences     Open Access   (Followers: 1)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 1)
Journal of Health Promotion and Behavior     Open Access  
Journal of Health Research and Reviews     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science Research     Open Access  
Journal of Health Sciences     Open Access   (Followers: 1)
Journal of health sciences     Open Access  
Journal of Health Sciences / Sağlık Bilimleri Dergisi     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Medicine     Open Access   (Followers: 2)
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Specialties     Open Access  
Journal of Health Studies     Open Access  
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 1)
Journal of Heavy Metal Toxicity and Diseases     Open Access  
Journal of Helminthology     Hybrid Journal   (Followers: 2)
Journal of Herbs Spices & Medicinal Plants     Hybrid Journal  
Journal of HIV for Clinical and Scientific Research     Open Access   (Followers: 2)
Journal of Hospital Medicine     Hybrid Journal   (Followers: 10)
Journal of Huazhong University of Science and Technology [Medical Sciences]     Hybrid Journal  
Journal of Human Hypertension     Hybrid Journal   (Followers: 3)
Journal of Human Rhythm     Open Access  
Journal of Human Transcriptome     Open Access  
Journal of Ideas in Health     Open Access  
Journal of Inflammation     Open Access   (Followers: 2)
Journal of Inflammation Research     Open Access  
Journal of Injury and Violence Research     Open Access   (Followers: 7)
Journal of Innovation in Health Informatics     Open Access   (Followers: 17)
Journal of Institute of Medicine     Open Access  
Journal of Insulin Resistance     Open Access   (Followers: 1)
Journal of Interactional Research in Communication Disorders     Hybrid Journal   (Followers: 5)
Journal of Interferon & Cytokine Research     Hybrid Journal   (Followers: 3)
Journal of International Medical Research     Open Access   (Followers: 4)
Journal of Interventional Medicine     Open Access   (Followers: 1)
Journal of Investigative Medicine     Hybrid Journal   (Followers: 3)
Journal of Islamabad Medical & Dental College     Open Access   (Followers: 1)
Journal of Istanbul Faculty of Medicine     Open Access  
Journal of Karnali Academy of Health Sciences     Open Access   (Followers: 1)
Journal of Kathmandu Medical College     Open Access   (Followers: 1)
Journal of King Abdulaziz University : Medical Sciences     Open Access   (Followers: 2)
Journal of Laboratory Medicine     Hybrid Journal   (Followers: 27)
Journal of Laryngology and Voice     Open Access   (Followers: 11)
Journal of Lasers in Medical Sciences     Open Access  
Journal of Law, Medicine & Ethics     Hybrid Journal   (Followers: 24)
Journal of Legal Medicine     Hybrid Journal   (Followers: 7)
Journal of Limb Lengthening & Reconstruction     Open Access  
Journal of Lumbini Medical College     Open Access   (Followers: 1)
Journal of Mahatma Gandhi Institute of Medical Sciences     Open Access  
Journal of Manipulative and Physiological Therapeutics     Hybrid Journal   (Followers: 6)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access   (Followers: 1)
Journal of Marine Medical Society     Open Access  
Journal of Materials Science : Materials in Medicine     Hybrid Journal   (Followers: 4)
Journal of Maternal and Child Health     Open Access  
Journal of Mechanics in Medicine and Biology     Hybrid Journal  
Journal of Medical and Biological Engineering     Hybrid Journal   (Followers: 4)
Journal of Medical and Biomedical Sciences     Open Access   (Followers: 2)
Journal of Medical Case Reports     Open Access   (Followers: 1)
Journal of Medical Cases     Open Access   (Followers: 6)
Journal of Medical Colleges of PLA     Full-text available via subscription  
Journal of Medical Disorders     Open Access  
Journal of Medical Economics     Hybrid Journal   (Followers: 8)
Journal of Medical Education and Curricular Development     Open Access   (Followers: 6)
Journal of Medical Ethics     Partially Free   (Followers: 25)
Journal of Medical Ethics and History of Medicine     Open Access   (Followers: 15)
Journal of Medical Humanities     Hybrid Journal   (Followers: 21)
Journal of Medical Hypotheses and Ideas     Open Access  
Journal of Medical Imaging and Health Informatics     Full-text available via subscription   (Followers: 1)
Journal of Medical Investigation and Practice     Open Access  
Journal of Medical Laboratory and Diagnosis     Open Access  
Journal of Medical Law and Ethics     Full-text available via subscription   (Followers: 15)
Journal of Medical Microbiology     Full-text available via subscription   (Followers: 6)
Journal of Medical Sciences     Open Access  
Journal of Medical Sciences     Open Access  
Journal of Medical Screening     Hybrid Journal   (Followers: 6)
Journal of Medical Signals and Sensors     Open Access   (Followers: 3)
Journal of Medical Society     Open Access  
Journal of Medical Systems     Hybrid Journal  
Journal of Medical Toxicology     Hybrid Journal   (Followers: 6)
Journal of Medical Ultrasound     Open Access   (Followers: 2)
Journal of Medicinal Botany     Open Access  
Journal of Medicinal Chemistry     Hybrid Journal   (Followers: 201)
Journal of Medicine     Open Access   (Followers: 1)
Journal of Medicine and Biomedical Research     Open Access   (Followers: 1)
Journal of Medicine and Philosophy     Hybrid Journal   (Followers: 8)
Journal of Medicine and the Person     Hybrid Journal  
Journal of Medicine in Scientific Research     Open Access  
Journal of Medicine in the Tropics     Open Access  
Journal of Medicine Research and Development     Open Access   (Followers: 3)
Journal of Medicine, Physiology and Biophysics     Open Access   (Followers: 5)
Journal of Medicines Development Sciences     Open Access   (Followers: 1)
Journal of Metabolomics & Systems Biology     Open Access   (Followers: 1)
Journal of Mind and Medical Sciences     Open Access   (Followers: 1)
Journal of Molecular Medicine     Hybrid Journal   (Followers: 11)
Journal of Movement Disorders     Open Access   (Followers: 2)
Journal of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1)
Journal of Nanotechnology in Engineering and Medicine     Full-text available via subscription   (Followers: 6)
Journal of Nanotheranostics     Open Access   (Followers: 1)
Journal of Natural Medicines     Hybrid Journal  
Journal of Natural Science, Biology and Medicine     Open Access   (Followers: 3)
Journal of Nature and Science of Medicine     Open Access   (Followers: 4)
Journal of Negative and No Positive Results     Open Access  
Journal of Nepalgunj Medical College     Open Access  
Journal of Neurocritical Care     Open Access  
Journal of Neurodegenerative Diseases     Open Access   (Followers: 2)
Journal of Neurorestoratology     Open Access  
Journal of Neuroscience and Neurological Disorders     Open Access  
Journal of Nobel Medical College     Open Access  
Journal of Obesity and Bariatrics     Open Access   (Followers: 1)
Journal of Occupational Health     Open Access  
Journal of Occupational Therapy Education     Open Access   (Followers: 10)
Journal of Ocular Biology, Diseases, and Informatics     Hybrid Journal  
Journal of Oral Biology and Craniofacial Research     Full-text available via subscription  
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Orofacial Sciences     Open Access  
Journal of Otorhinolaryngology, Hearing and Balance Medicine     Open Access   (Followers: 1)
Journal of Ovarian Research     Open Access  
Journal of Ozone Therapy     Open Access  
Journal of Palliative Medicine     Hybrid Journal   (Followers: 47)
Journal of Paramedical Sciences & Rehabilitation     Open Access  
Journal of Parkinsonism and Restless Legs Syndrome     Open Access   (Followers: 2)
Journal of Parkinson’s Disease and Alzheimer’s Disease     Open Access   (Followers: 1)
Journal of Participatory Medicine     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Pathogens     Open Access   (Followers: 1)
Journal of Patient Experience     Open Access  
Journal of Patient Safety and Risk Management     Hybrid Journal   (Followers: 2)
Journal of Patient-Centered Research and Reviews     Open Access  
Journal of Patient-Reported Outcomes     Open Access  
Journal of Periodontal Research     Hybrid Journal  
Journal of Personalized Medicine     Open Access   (Followers: 3)
Journal of Pest Science     Hybrid Journal   (Followers: 1)
Journal of Pharmaceutical Policy and Practice     Open Access   (Followers: 4)
Journal of Physiobiochemical Metabolism     Hybrid Journal   (Followers: 2)
Journal of Physiology-Paris     Hybrid Journal   (Followers: 2)
Journal of Pioneering Medical Sciences     Open Access  
Journal of Postgraduate Medicine     Open Access  
Journal of Pregnancy     Open Access   (Followers: 4)
Journal of Prevention & Intervention Community     Hybrid Journal   (Followers: 6)
Journal of Preventive Medicine and Public Health     Open Access  
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Prosthodontic Research     Full-text available via subscription   (Followers: 1)
Journal of Prosthodontics     Hybrid Journal   (Followers: 2)
Journal of Receptor, Ligand and Channel Research     Open Access  
Journal of Regenerative Medicine     Partially Free   (Followers: 4)
Journal of Research in Medical Sciences     Open Access   (Followers: 2)
Journal of Science and Applications : Biomedicine     Open Access   (Followers: 1)
Journal of Science and Technology (Ghana)     Open Access   (Followers: 3)
Journal of Scientific Innovation in Medicine     Open Access  
Journal of Scientific Perspectives     Open Access   (Followers: 1)
Journal of Sensory Studies     Hybrid Journal   (Followers: 4)
Journal of Shaheed Suhrawardy Medical College     Open Access  
Journal of Shoulder and Elbow Arthroplasty     Open Access  
Journal of Sleep Disorders : Treatment & Care     Hybrid Journal   (Followers: 10)
Journal of South American Earth Sciences     Hybrid Journal   (Followers: 5)
Journal of Spinal Cord Medicine     Hybrid Journal   (Followers: 4)
Journal of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of Stem Cell Therapy and Transplantation     Open Access   (Followers: 1)
Journal of Stomal Therapy Australia     Full-text available via subscription  
Journal of Strength and Conditioning Research     Hybrid Journal   (Followers: 75)
Journal of Substance Use     Hybrid Journal   (Followers: 14)
Journal of Surgical Academia     Open Access   (Followers: 1)
Journal of Surgical and Clinical Research     Open Access  
Journal of Surgical Case Reports     Open Access  
Journal of Surgical Education     Full-text available via subscription   (Followers: 3)
Journal of Surgical Technique and Case Report     Open Access  
Journal of Systemic Therapies     Full-text available via subscription   (Followers: 3)
Journal of Taibah University Medical Sciences     Open Access  
Journal of Telemedicine and Telecare     Hybrid Journal   (Followers: 12)
Journal of The Academy of Clinical Microbiologists     Open Access  
Journal of the American Association for Laboratory Animal Science     Full-text available via subscription   (Followers: 7)
Journal of the American College of Certified Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American College of Clinical Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American Medical Directors Association     Hybrid Journal   (Followers: 5)
Journal of the American Medical Informatics Association : JAMIA     Hybrid Journal   (Followers: 35)
Journal of the American Podiatric Medical Association     Full-text available via subscription   (Followers: 7)
Journal of the Anatomical Society of India     Full-text available via subscription  
Journal of the Anus, Rectum and Colon     Open Access  
Journal of The Arab Society for Medical Research     Open Access  
Journal of the Australasian College of Nutritional and Environmental Medicine     Full-text available via subscription  
Journal of the Australasian Society of Aerospace Medicine     Open Access   (Followers: 1)
Journal of the Ceylon College of Physicians     Open Access  
Journal of the Chinese Medical Association     Open Access   (Followers: 2)
Journal of the College of Community Physicians of Sri Lanka     Open Access  
Journal of The Egyptian Public Health Association     Open Access   (Followers: 1)
Journal of the Formosan Medical Association     Open Access   (Followers: 2)
Journal of the Georgia Public Health Association     Open Access   (Followers: 3)
Journal of the Ghana Science Association     Full-text available via subscription   (Followers: 3)

  First | 3 4 5 6 7 8 9 10 | Last

Similar Journals
Journal Cover
Journal of Surgical Education
Journal Prestige (SJR): 0.976
Citation Impact (citeScore): 2
Number of Followers: 3  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1931-7204
Published by Elsevier Homepage  [3207 journals]
  • How We Do It: Modified Residency Programming and Adoption of Remote
           Didactic Curriculum During the COVID-19 Pandemic
    • Abstract: Publication date: Available online 28 May 2020Source: Journal of Surgical EducationAuthor(s): Samir Sabharwal, James R. Ficke, Dawn M. Laporte
       
  • What Are the Perceptions of General Surgical Trainees of Vascular Surgical
           Teaching Received During Their Higher Specialty Training Years in the
           UK'
    • Abstract: Publication date: Available online 25 May 2020Source: Journal of Surgical EducationAuthor(s): Radhika Merh, Rebecca Selman
       
  • Evidenced-Based Practice Among Trainees: A Survey on Facial Trauma Wound
           Management
    • Abstract: Publication date: Available online 25 May 2020Source: Journal of Surgical EducationAuthor(s): Jeff Choi, Abd Al-Rahman Traboulsi, Tyler S. Okland, Victor Sadauskas, David Perrault, David A. Spain, H. Peter Lorenz, Thomas G. Weiser
       
  • Patient Perception of Medical Student Professionalism: Does Attire
           Matter'
    • Abstract: Publication date: Available online 24 May 2020Source: Journal of Surgical EducationAuthor(s): Aabra Ahmed, Sharjeel Israr, Kristina M. Chapple, Jordan A. Weinberg, Pamela W. Goslar, Joel Hayden, Ronald A. Gagliano, Thomas L. Gillespie
       
  • Resident Participation as Co-Surgeon Does Not Adversely Impact Patient
           Outcomes in Pancreatic Surgery
    • Abstract: Publication date: Available online 23 May 2020Source: Journal of Surgical EducationAuthor(s): Shelley A. Gabel, Zachary D. Morrison, Rohit Sharma, Jessica A. Wernberg
       
  • The Usefulness of Procedure-Based Assessments in Postgraduate Surgical
           Training Within the Intercollegiate Surgical Curriculum Programme; A
           Scoping Review
    • Abstract: Publication date: Available online 22 May 2020Source: Journal of Surgical EducationAuthor(s): Alistair Mayne, Lynn Wilson, Neil Kennedy
       
  • Medical Students Can Learn Surgery Effectively in a Rural Longitudinal
           Integrated Clerkship
    • Abstract: Publication date: Available online 22 May 2020Source: Journal of Surgical EducationAuthor(s): Douglas Stupart, Jessica Beattie, Mary Lawson, David Watters, Lara Fuller
       
  • Supplementary Regional Anatomy Teaching by Surgeons Enhances Medical
           Students Mastery of Anatomical Knowledge and Positively Impacts Their
           Choice of Future Career
    • Abstract: Publication date: Available online 21 May 2020Source: Journal of Surgical EducationAuthor(s): Ji-feng Zhang, Prince Last Mudenda Zilundu, Lihua Zhou, Guo-qing Guo
       
  • Using Self-Reported Measures of Confidence and Anxiety to Determine the
           Efficacy of the Surgical Exploration And Discovery (SEAD) Program in
           Reducing Anxiety and Increasing Confidence in Performing Procedural Skills
           
    • Abstract: Publication date: Available online 20 May 2020Source: Journal of Surgical EducationAuthor(s): Marisa Market, Frank Battaglia, Emilie Langlois, John Shin, Christine Seabrook, Tim Brandys
       
  • The Effect of Surgical Trainee Education on Opioid Prescribing: An
           International Evaluation
    • Abstract: Publication date: Available online 20 May 2020Source: Journal of Surgical EducationAuthor(s): Jake G. Prigoff, Ashley L. Titan, Adam C. Fields, Chaya Shwaartz, Nelya Melnitchouk, Ronald Bleday, Mary T. Hawn, Lisa Wiechmann
       
  • How Has COVID-19 Affected the Costs of the Surgical Fellowship Interview
           Process'
    • Abstract: Publication date: Available online 20 May 2020Source: Journal of Surgical EducationAuthor(s): Jennifer Tseng
       
  • Can We Coach Resilience' An Evaluation of Professional Resilience
           Coaching as a Well-Being Initiative for Surgical Interns
    • Abstract: Publication date: Available online 20 May 2020Source: Journal of Surgical EducationAuthor(s): Yun Song, Robert A. Swendiman, Adrienne B. Shannon, Samuel Torres-Landa, Faisal N. Khan, Noel N. Williams, Kristoffel R. Dumon, Ari D. Brooks, Ronald P. DeMatteo, Cary B. Aarons
       
  • Preparing for Surgery Observerships During Medical School: A
           Cross-Sectional Study
    • Abstract: Publication date: Available online 18 May 2020Source: Journal of Surgical EducationAuthor(s): Arielle R. Brickman, Vincent Wu, Boris Zevin
       
  • Three Dimensionally Printed Interactive Training Model for Kidney
           Transplantation
    • Abstract: Publication date: Available online 11 May 2020Source: Journal of Surgical EducationAuthor(s): Jake Claflin, Seth A. Waits
       
  • How We Do It: Creation of a Workforce Development-Focused Track at a
           Surgical Hackathon
    • Abstract: Publication date: Available online 11 May 2020Source: Journal of Surgical EducationAuthor(s): Nensi M. Ruzgar, Chaarushi Ahuja, Kristin E. Yu, Aminah Sallam, Ronnie Rosenthal, Brigid Killelea
       
  • The Effect of Global Surgery Fellowship for Tertiary Hospital
           Professionals from Myanmar: Current Issues and Future Challenges
    • Abstract: Publication date: Available online 7 May 2020Source: Journal of Surgical EducationAuthor(s): Kyae Hyung Kim, Hyun-Young Kim, Yong Jin Kwon, Tin Tin Mar, Aye Aye, Ho Young Hwang, Kyung Hwan Kim, Young Jae Im, Kwang-Woong Lee, Jung-Eun Cheon, Seung-Hee Lee
       
  • Surgical Trainee Experience with Open Cholecystectomy and the
           Dunning-Kruger Effect
    • Abstract: Publication date: Available online 1 May 2020Source: Journal of Surgical EducationAuthor(s): Ola Ahmed, Thomas Noel Walsh
       
  • The Times, They Are A-Changing: Women Entering Academic Orthopedics Today
           Are Choosing Nonpediatric Fellowships at a Growing Rate
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Walter Klyce, Derek T. Nhan, Alexandra M. Dunham, Mostafa H. EL Dafrawy, Claire Shannon, Dawn M. LaPorte
       
  • A Bibliometric Analysis of Research Productivity During Residency for 125
           Hand Surgery Fellows
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Nicholas Siegel, Joseph Lopez, Annie Cho, Scott D. Lifchez
       
  • Efficacy of a Novel Cholangiogram Simulator for Training Laparoscopic
           Intraoperative Cholangiography
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Tyler J. Sbrocchi, William D. Watson, Oscar Ruiz, Ngan Nguyen
       
  • How Does Cadaveric Simulation Influence Learning in Orthopedic
           Residents'
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Hannah K. James, Giles T.R. Pattison, Damian R. Griffin, Joanne D. Fisher
       
  • ACOG Simulation Working Group: A Needs Assessment of Simulation Training
           in OB/GYN Residencies and Recommendations for Future Research
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Christopher C. DeStephano, Joshua F. Nitsche, Michael G. Heckman, Erika Banks, Hye-Chun Hur
       
  • Video Coaching Improving Contemporary Technical and Nontechnical Ability
           in Laparoscopic Education
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Chien-Hung Liao, Chun-Hsiang Ooyang, Chih-Chi Chen, Chien-An Liao, Chi-Tung Cheng, Ming-Ju Hsieh, Chi-Hsun Hsieh, Chun-Yi Tsai, Ta-Sen Yeh, Chun-Nan Yeh, Chih-Yuan Fu
       
  • Tremor Assessment during Virtual Reality Brain Tumor Resection
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Samaneh Siyar, Hamed Azarnoush, Saeid Rashidi, Rolando F. Del Maestro
       
  • Assessing the Correlation Between a Surgeon's Ability to Draw a Procedure
           and Ability to Perform the Procedure
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Robert A. Weber, Stacy Wong, Samantha J. Allen, Douglas S. Fornfeist
       
  • Implementing and Evaluating a Multihospital Standardized Opioid Curriculum
           for Surgical Providers
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Kortney A. Robinson, Michaela Carroll, Stephanie B. Ward, Samia Osman, Karan R. Chhabra, Nkiruka Arinze, Alind Almedi, Haytham Kaafarani, Douglas S. Smink, Tara S. Kent, Musa M. Aner, Gabriel Brat
       
  • Decreasing Postoperative Opioid Prescribing through Education
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Lynn Nguyen, Stacey Bowlds, Christina Munford, Krista Miller, Timothy Finnegan, Eric Clayton, Murali Ranjani Behara, Christopher Senkowski
       
  • Comparison of Ugandan and North American Pediatric Surgery Fellows’
           Operative Experience: Opportunities for Global Training Exchange
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Christopher R. Reed, Sarah J. Commander, John Sekabira, Phyllis Kisa, Nasser Kakembo, Anne Wesonga, Monica Langer, Gustavo A. Villanova, Doruk Ozgediz, Tamara N. Fitzgerald
       
  • Rural General Surgery Experience as a Valuable Adjunct to an Academic
           Based General Surgery Residency
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Scarlett Hao, Helen M. Johnson, Adam Celio, Lauren Frye, Lilly Bayouth, Jeremy Joseph, Danielle S. Walsh
       
  • Surgery Residents’ Experiences With Seriously-Ill and Dying Patients: An
           Opportunity to Improve Palliative and End-of-Life Care
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Pasithorn A. Suwanabol, C. Ann Vitous, Chithra R. Perumalswami, Sylvia H. Li, Nicholas Raja, Brendan R. Dillon, Christina W. Lee, Jane Forman, Maria J. Silveira
       
  • Enhancing Operative Feedback: A Descriptive Trajectory for Surgical
           Development in Otolaryngology
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Nina W. Zhao, Patricia S. O'Sullivan, Emily Huang
       
  • The Association Between Newly Accredited Orthopedic Residency Programs and
           Teaching Hospital Complication Rates in Lower Extremity Total Joint
           Arthroplasty
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Kevin Pirruccio, Samir Mehta, Neil P. Sheth
       
  • The Robotic Surgery Learning Experience Through the Eyes of the Medical
           Student: What Do They See'
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Rana M. Higgins, Patricia O'Sullivan
       
  • A Tale of Two Campuses' An Analysis of Two Affiliated Medical School
           Campuses With Different Match Rates in General Surgery
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): R. Joseph Sliter, Jared Reyes, Stephen D. Helmer, Marilee F. McBoyle
       
  • General Surgery Residents’ Perception of Feedback: We Can Do Better
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Aakanksha Gupta, Cassandra V. Villegas, Anthony C. Watkins, Christopher Foglia, James Rucinski, Robert J. Winchell, Philip S. Barie, Mayur Narayan
       
  • Entrustable Professional Activities: Do General Surgery Residents Trust
           Them'
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Aakanksha Gupta, Anthony C. Watkins, Thomas J. Fahey, Philip S. Barie, Mayur Narayan
       
  • Are We Making an Impact' A Qualitative Program Assessment of the
           Resident Leadership, Well-being, and Resiliency Program for General
           Surgery Residents
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Elinora T. Price, Catherine R. Coverley, Amanda K. Arrington, Valentine N. Nfonsam, Lilah Morris-Wiseman, Taylor S. Riall
       
  • Application of Advanced Bioinformatics to Understand and Predict Burnout
           Among Surgical Trainees
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Vadim Kurbatov, Matthew Shaughnessy, Vanessa Baratta, Danielle R. Heller, Mollie Freedman-Weiss, Benjamin J. Resio, Matt Fleming, Peter S. Yoo
       
  • Performance Coaching for Practicing Surgeons Enhancing Clinical
           Performance, Well-Being, and Trainee Experience
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Jason C. Pradarelli, Steven Yule, Douglas S. Smink
       
  • Addressing Gender-Related Implicit Bias in Surgical Resident Physician
           Education: A Set of Guidelines
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Margaret E. Hemphill, Zoe Maher, Howard M. Ross
       
  • Table of Contents & Bacode
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s):
       
  • Characterization and Fate of Unpublished Research Articles Reported by
           Orthopedic Surgery Residency Applicants
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Nicholas J. Lemme, Neill Y. Li, John Twomey-Kozak, Steven F. DeFroda, Zachary Silber, Alan H. Daniels, Craig P. Eberson
       
  • Expanding the Orthopaedic Pipeline: The B.O.N.E.S. Initiative
    • Abstract: Publication date: May–June 2020Source: Journal of Surgical Education, Volume 77, Issue 3Author(s): Brandon E. Earp, Tamara D. Rozental
       
  • Is There Variability in Scoring of Student Surgical OSCE Performance Based
           on Examiner Experience and Expertise'
    • Abstract: Publication date: Available online 23 April 2020Source: Journal of Surgical EducationAuthor(s): Claire L. Donohoe, Frank Reilly, Suzanne Donnelly, Ronan A. Cahill
       
  • Using Fully-Immersive Simulation Training with Structured Debrief to
           Improve Nontechnical Skills in Emergency Endovascular Surgery
    • Abstract: Publication date: Available online 18 April 2020Source: Journal of Surgical EducationAuthor(s): Anoopama Ramjeeawon, Anna E. Sharrock, Abigail Morbi, Guy Martin, Celia Riga, Colin Bicknell
       
  • Addressing General Surgery residents’ concerns in the early phase of
           the COVID-19 pandemic.
    • Abstract: Publication date: Available online 17 April 2020Source: Journal of Surgical EducationAuthor(s): Katherine He, Allan Stolarski, Edward Whang, Gentian Kristo
       
  • A Systematic Review of Educational Mobile-Applications (Apps) for Surgery
           Residents: Simulation and Beyond
    • Abstract: Publication date: Available online 16 April 2020Source: Journal of Surgical EducationAuthor(s): Karen J. Dickinson, Barbara L. Bass
       
  • Surgery Resident Time Consumed by the Electronic Health Record
    • Abstract: Publication date: Available online 16 April 2020Source: Journal of Surgical EducationAuthor(s): Sean R. Maloney, Sabrina Peterson, Angela M. Kao, William C. Sherrill, John M. Green, Gaurav Sachdev
       
  • Personal Statements in General Surgery: An Unrecognized Role in the
           Ranking Process
    • Abstract: Publication date: Available online 15 April 2020Source: Journal of Surgical EducationAuthor(s): Robert Naples, Judith C. French, Jeremy M. Lipman, Ajita S. Prabhu, Alexandra Aiello, Sharon K. Park
       
  • Virtual Interviews in the Era of COVID-19: A Primer for Applicants
    • Abstract: Publication date: Available online 9 April 2020Source: Journal of Surgical EducationAuthor(s): Ruth Ellen Jones, Kareem R. Abdelfattah
       
  • 3D Printing Technology Improves Medical Interns' Understanding of Anatomy
           of Gastrocolic Trunk
    • Abstract: Publication date: Available online 6 April 2020Source: Journal of Surgical EducationAuthor(s): Yigang Chen, Chunxiang Qian, Ruizhi Shen, Danping Wu, Linjie Bian, Huiheng Qu, Xinqi Fan, Zhequn Liu, Yang Li, Jiazeng Xia
       
  • Mentorship of Surgical Interns: Are We Failing to Meet Their Needs'
    • Abstract: Publication date: Available online 6 April 2020Source: Journal of Surgical EducationAuthor(s): Allan Stolarski, Sarah Carlson, Brad Oriel, Patrick O'Neal, Edward Whang, Gentian Kristo
       
  • Using Technology to Maintain the Education of Residents During the
           COVID-19 Pandemic
    • Abstract: Publication date: Available online 3 April 2020Source: Journal of Surgical EducationAuthor(s): Robert Connor Chick, Guy Travis Clifton, Kaitlin M. Peace, Brandon W. Propper, Diane F. Hale, Adnan A. Alseidi, Timothy J. Vreeland
       
  • Educational Program Rankings Are Independently Associated With
           Residents’ Academic Career Trajectory in Neurological Surgery
    • Abstract: Publication date: Available online 1 April 2020Source: Journal of Surgical EducationAuthor(s): Adham M. Khalafallah, Adrian E. Jimenez, Marcus Daniels, Ali Bydon, Alan R. Cohen, Rafael J. Tamargo, Timothy Witham, Judy Huang, Henry Brem, Debraj Mukherjee
       
  • Surgical Inpatient's Attitudes Toward Resident Participation: All About
           Expectations
    • Abstract: Publication date: Available online 1 April 2020Source: Journal of Surgical EducationAuthor(s): Katherine G. Beale, Jason W. Kempenich, Ross E. Willis, Mohammed J. Al Fayyadh, Charles C. Reed, Carmen Paccione, Peter A. Ebeling, Haisar E. Dao Campi, Daniel L. Dent
       
  • Implementation of a High-Value Care Curriculum for General Surgery
           Residents
    • Abstract: Publication date: Available online 31 March 2020Source: Journal of Surgical EducationAuthor(s): Jeffry Nahmias, Brian Smith, Areg Grigorian, Stephanie Watson, Tania Saba, William Duong, Deena McRae, Ninh Nguyen, Matthew Dolich
       
  • Skills in Open Surgery do not Predict Arthroscopic Skills in Medical
           Students
    • Abstract: Publication date: Available online 20 March 2020Source: Journal of Surgical EducationAuthor(s): Dennis Liem, Ariana Plasger, Georg Gosheger, Carolin Rickert, Nicolas Dedy, Dominik Schorn, Gregor Hauschild
       
  • Concordance Between Expert and Nonexpert Ratings of Condensed Video-Based
           Trainee Operative Performance Assessment
    • Abstract: Publication date: Available online 20 March 2020Source: Journal of Surgical EducationAuthor(s): Rebecca E. Scully, Shanley B. Deal, Michael J. Clark, Katherine Yang, Greg Wnuk, Douglas S. Smink, Jonathan P. Fryer, Jordan D. Bohnen, Ezra N. Teitelbaum, Shari L. Meyerson, Andreas H. Meier, Paul G. Gauger, Rishindra M. Reddy, Daniel E. Kendrick, Michael Stern, David T. Hughes, Jeffrey G. Chipman, Jitesh A. Patel, Adnan Alseidi, Brian C. George
       
  • Toward Autonomy and Conditional Independence: A Standardized Script
           Improves Patient Acceptance of Surgical Trainee Roles
    • Abstract: Publication date: Available online 19 March 2020Source: Journal of Surgical EducationAuthor(s): Ava Ferguson Bryan, Darren S. Bryan, Jeffrey B. Matthews, Kevin K. Roggin
       
  • Making the Jump: A Qualitative Analysis on the Transition From Bedside
           Assistant to Console Surgeon in Robotic Surgery Training
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Beiqun Zhao, Hannah M. Hollandsworth, Arielle M. Lee, Jenny Lam, Nicole E. Lopez, Benjamin Abbadessa, Samuel Eisenstein, Bard C. Cosman, Sonia L. Ramamoorthy, Lisa A. Parry
       
  • Developing a Novel Scoring System to Objectively Track Orthopaedic
           Resident Educational Performance and Progression
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Chad A. Krueger, Jessica C. Rivera, Preetinder S. Bhullar, Patrick M. Osborn
       
  • Targeted Intervention to Increase Awareness of Opioid Overprescribing
           Significantly Reduces Narcotic Prescribing Within an Academic Orthopaedic
           Practice
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Connor King, John Curran, Shwetha Devanagondi, Tessa Balach, Megan Conti Mica
       
  • A Randomized Cross-Over Trial Focused on Breast Core Needle Biopsy Skill
           Acquisition and Safety Using High Fidelity Versus Low Fidelity Simulation
           Models in Rwanda
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Shilpa S. Murthy, Faustin Ntirenganya, John W. Scott, Allen Ingabire, David Rosman, Sughra Raza, Susan Troyan, Gary Dunnington, Gally Reznor, Stu Lipitz, Georges Ntakiyiruta, Robert Riviello
       
  • Women Continue to Be Underrepresented in Surgery: A Study of AMA and ACGME
           Data from 2000 to 2016
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Kevin M. Klifto, Rachael M. Payne, Charalampos Siotos, Scott D. Lifchez, Damon S. Cooney, Kristen P. Broderick, Oluseyi Aliu, Michele A. Manahan, Gedge D. Rosson, Carisa M. Cooney
       
  • Systematic Review of Virtual Haptics in Surgical Simulation: A Valid
           Educational Tool'
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Karan Rangarajan, Heather Davis, Philip H. Pucher
       
  • Exploring Medical Students’ Perceptions of Organ Procurement: Need for a
           Formalized Medical Student Curriculum
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Leah K. Winer, Matthew P. Vivero, Brendan F. Scully, Alexander R. Cortez, Al-Faraaz Kassam, Roman Nowygrod, Adam D. Griesemer, Jean C. Emond, Ralph C. Quillin
       
  • The Teacher-Learner Contract (TLC): An Objectives-Based Checklist for
           Surgical Shadowing
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Huai-Hsuan Clare Chiu, Tianshu Angela Ji, Karan D'Souza, Dan Cojocaru, Garth Warnock, Geoffrey Blair
       
  • How Does a New General Surgery Residency Program's Junior Residents Impact
           Hospital Efficiency and Productivity'
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Udai S. Sibia, Justin J. Turcotte, John R. Klune, Cristina B. Feather
       
  • Resident Education in End-of-Life Communication and Management: Assessing
           Comfort Level to Enhance Competence and Confidence
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Amanda W. Harrington, Kristin D. Oliveira, Felix Y. Lui, Linda L. Maerz
       
  • What Do Former Residents Say About Their Nondesignated Preliminary
           Year' A Survey of Prelims’ Experiences in a General Surgery
           Residency Program
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Aashish Rajesh, Malke Asaad, Abhishek Chandra, Mariela Rivera, John M. Stulak, Stephanie F. Heller, David R. Farley
       
  • Mid-Year Medical Knowledge Milestones and ABSITE Scores in First-Year
           Surgery Residents
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Sebastiano Cassaro, Benjamin T. Jarman, Amit R.T. Joshi, Sidra Goldman-Mellor, William W. Hope, Samir Johna, Theodor Kaufman, Kevin J. Grannan, Association of Program Directors in Surgery Independent Surgery Programs Collaborative
       
  • Does Geographical Bias Impact the Match for General Surgery Residents'
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Vikrom K. Dhar, Dennis J. Hanseman, Gilda Young, Deborah Browne, Amy T. Makley, Jeffrey J. Sussman, Michael D. Goodman
       
  • Standardized Patients Versus Peer Role Play—Exploring the Experience,
           Efficacy, and Cost-Effectiveness in Residency Training Module for Breaking
           Bad News
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Ambika Paramasivan, Deborah Khoo
       
  • Now Arriving: Surgical Trainees From Generation Z
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Paul J. SchenartsOBJECTIVETo provide an overview of the Generation Z, compare and contrast Generation Z with previous generations, and present information on how to best educate members of Generation Z.DESIGNLiterature review.SETTINGNot applicable.PARTICIPANTSNot applicable.RESULTSHistorical events and societal trends as well as changes in parenting style has resulted in unique characteristics for Generation Z. The most significant influence on this generation has been the wide-spread use of the smart phone. While this device has great educational potential, it also presents a real risk with digital foot prints influencing residency selection and evolution of mental health problems.CONCLUSIONSThe characteristics of Generation Z such accountability, emphasis on achievement and dedication to long-term goals makes them different from previous generations.
       
  • Undergraduate, Nonmedical Students can Pass the FLS Manual Skills Exam
           With Minimal Practice
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Matthew C. Bobel, Sarah E. Kemp, Wyatt A. Wagner, Archana Ramaswamy, Jeffrey G. ChipmanObjectivesThe primary objective of this study is to investigate whether undergraduate, nonmedical students could pass the FLS Manual Skills Exam with minimal practice. The secondary objective is to examine ACGME case log data from graduating chief residents over the past 18 years to examine how laparoscopic experience has evolved over that time period.DesignUndergraduate, nonmedical students received training and unlimited practice time before being tested on each task of the FLS Manual Skills Exam. Each task was timed and scored using the MISTELS system. ACGME case log data from graduating chief residents over the past 18 years was obtained.SettingThe setting is SimPortal, the simulation center associated with the University of Minnesota Medical School.ParticipantsThe participants are 25 undergraduate, nonmedical students from the University of Minnesota. Participants were recruited on campus.ResultsTwenty-three out of 25 (92%) undergraduate, nonmedical students successfully completed one attempt for each task of the FLS Manual Skills Exam and 21 out of 25 (84%) completed both attempts. The average total practice time was 39 minutes. Over the past 18 years, the average number of laparoscopic cases completed by a graduating chief increased from 142 to 275 cases (93% increase). Additionally, the average number of cases of the top 5 most common laparoscopic operations increased from 25% to over 400%.ConclusionsUndergraduate, nonmedical students can pass the FLS Manual Skills Exam with minimal practice. Additionally, general surgery residents and medical students continue to gain more laparoscopic experience throughout medical training as laparoscopic surgery is utilized for more operations. The FLS Manual Skills Exam should be re-examined to determine its utility as a high-stakes exam.
       
  • The Surgical Hazardous Attitudes Reflection Profile (SHARP) Instrument
           – A Prototype Study
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Kirsten F.A.A. Dabekaussen, Renée A. Scheepers, Erik Heineman, Kiki M.J.M.H. LombartsOBJECTIVEThere is growing recognition that surgeons’ non-technical skills are crucial in guaranteeing optimal quality and safety of patient care. However, insight in relevant attitudes underlying these behavioral skills is lacking. Hazardous attitudes potentially cause risky behavior, which can result in medical errors and adverse events. A questionnaire offering surgeons insight in their attitudinal profile is still missing and would be instrumental in risk reduction. Therefore, the aim of this study is to develop a prototype of a reliable and valid instrument to measure hazardous attitudes among surgeons.DESIGNTo measure hazardous attitudes, a prototype of the Surgical Hazardous Attitudes Reflection Profile (SHARP) tool was designed using a mixed methods approach, consisting of (1) 2 focus group discussions, (2) a modified Delphi analysis, and (3) a survey followed by (4) statistical analysis of the psychometric properties. Statistical analysis included exploratory factor analysis with varimax rotation, calculation of internal consistency reliability coefficients, and interscale correlations.SETTINGFourteen hospitals across the Netherlands were recruited to guarantee demographic variety and the inclusion of academic, tertiary, and general hospitals.PARTICIPANTSNineteen experts participated in the 2 focus groups, and 19 in the modified Delphi study. In total, 302 surgeons (54.1%) completed the SHARP.RESULTSIn total, 302 surgeons (54.1%) completed the SHARP. Exploratory factor analysis resulted in 6 subscales measuring attitude towards (1) authority (α = 0.78), (2) self-performance (α = 0.69), (3) performance feedback (α = 0.61), (4) own fitness to perform (α = 0.54), (5) uncertainty (α = 0.51), and (6) planned procedures (α = 0.48).CONCLUSIONSThis study resulted in a prototype instrument identifying 6 potential hazardous attitudes in surgeons. Attitudes towards “authority” and “self-performance” can now be validly and reliably measured. Further research is required to optimize the prototype version of the instrument and could usefully explore the plausible relations between hazardous attitudes and clinical outcomes.
       
  • An Appreciative Inquiry Approach to the Core Competencies: Taking it From
           Theory to Practice
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Emily C. Sturm, John D. Mellinger, Jeanne L. Koehler, Jarrod C.H. WallObjectiveTo operationalize the surgical core competencies by using a qualitative inquiry strategy to explore how surgical competence is behaviorally demonstrated by faculty.DesignCategorical general and vascular surgery residents completed a survey soliciting opinions regarding which faculty were deemed most representative of each core competency. The surveys served as a theoretical sample, as surgeons selected were then interviewed, and interviews transcribed. A qualitative research approach using grounded theory coding methods was used for transcript analysis. Iterative coding was performed, and emergent themes were then extracted from transcript analysis.SettingSouthern Illinois University School of Medicine, Department of Surgery in Springfield, IL, a tertiary academic center.ParticipantsFourteen of 19 residents completed the survey (74% response rate). Two surgeons were selected for each competency. A total of 7 interviews were performed, with 4 surgeons being chosen for 2 competencies.ResultsEmergent themes revealed that competent surgeons shared qualities that drove their development and execution of each competency. These qualities included self-awareness, a selfless character, responsibility and ownership, context awareness, reliance on relationships and community, and a pattern of habit formation and discipline. Additionally, the competencies were noted to be pursued in an interrelated and interdependent fashion.ConclusionsSurgeons deemed competent in any core domain shared common qualities. Further study exploring how each of these is identified, developed and taught is warranted. The competencies are an inter-related matrix whose development and execution correlates with foundational personal disciplines.
       
  • A Ward-Round Non-Technical Skills for Surgery (WANTSS) Taxonomy
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Schuur Klaas, Murray Kara, Maran Nikki, Flin Rhona, Paterson-Brown SimonBACKGROUNDAround half of surgical adverse events occur outside the operating room. However the majority of nontechnical skills (NTS) training programs have been developed for the intraoperative environment. Ward rounds are a crucial part of extraoperative care and to date no specific NTS training manual has been developed targeting emergency general surgical ward rounds.AIMTo develop a NTS taxonomy for emergency general surgical ward rounds that can be used to improve surgical team members’ NTS and improve outcomes.METHODSA literature review of existing NTS taxonomies was conducted, followed by semistructured interviews and observational data collection, to determine good and poor surgical ward-round behaviors. These behaviors were reviewed by a panel of subject matter experts and categorized into a taxonomy, using the Non-Technical Skills for Surgeons taxonomy framework as a guide.RESULTSThe Ward-round Non-Technical Skills for Surgery taxonomy includes examples of good and poor ward–round-specific behaviors, grouped into elements and categories. The taxonomy can be used as both a training and teaching manual for the surgical team.CONCLUSIONWard rounds are a crucial part of extraoperative surgical care. The Ward-round Non-Technical Skills for Surgery taxonomy provides surgical teams with a manual to help them improve their ward-round NTS.
       
  • Self-Assessment of Surgical Skills: A Systematic Review
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Sandeep K. Nayar, Liam Musto, Gautom Baruah, Roland Fernandes, Rasiah BharathanOBJECTIVESelf-assessment is fundamental in surgical training to enhance learning in the absence of trainer feedback. The primary objective of this review was to assess the factors that influence accuracy of self-assessment at technical skills across all surgical specialties. The secondary objective was to assess whether there are any innate factors or attributes to predict those that will carry out effective self-assessment.DESIGNA systematic review was carried out in accordance with PRISMA guidelines. A search strategy encompassing MEDLINE, EMBASE, ERIC, WHO, and the Cochrane database was conducted to identify studies investigating self-assessment at any surgical task. Quality was assessed using the Newcastle-Ottawa scale. A summary table was created to describe specialty, participants, task, setting, assessment tool, and correlation coefficient between self and expert assessment. The review protocol was registered in PROSPERO.RESULTSOf 24,638 citations, 40 met inclusion criteria. In total 1753 participants performed 68 procedures. Twenty-six studies investigated skills in general surgery with the remaining 14 in various other surgical specialties. Accuracy of self-assessment is superior in those with greater experience and age, and with use of retrospective video playback. Accuracy tends to be reflected by overestimation of performance. Stressful environments reduce accuracy. There is limited evidence in the literature regarding predicting traits for those who will carry out accurate self-assessment.CONCLUSIONSThe ability to perform accurate self-assessment is an important skill in surgical training, with accuracy being influenced by a multitude of factors. The use of self-assessment from retrospective video playback may be of benefit in surgical training curricula to enhance learning of technical skills. Further studies are required to define predictors of good self-assessment, which will strengthen recruitment and mentoring to assist trainee learning.
       
  • Acute Care Surgery Education in US Medical Schools: A Systematic Review of
           the Current Literature and Report of a Medical Student Experience
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Audrey L. Chai, Kazuhide Matsushima, Maura E. Sullivan, Kenji Inaba, Demetrios DemetriadesOBJECTIVEThere is currently little known about acute care surgery (ACS) education in US medical schools. The purpose of this paper was to systematically review the state of the literature describing ACS training at the medical school level and introduce an ACS education model provided to medical students at our institution.DESIGNWe conducted a comprehensive literature review using the PubMed database to identify all articles related to ACS (trauma surgery, emergency general surgery, and surgical critical care) and undergraduate medical education.PARTICIPANTSA total of 376 articles were captured with our search strategy. The articles were reviewed for eligibility by 2 separate reviewers.RESULTSWe identified 3 relevant articles for our literature review. All studies were performed at level 1 trauma centers. The duration of ACS rotations ranges from 1 to 4 weeks with variable night call schedules. While several curricular changes have improved student perceptions on ACS education, none of the studies have thoroughly evaluated the impact on students’ readiness or career choices for their postgraduate training.CONCLUSIONSThe current lack of information on ACS education in medical school has left us with a need to better understand this area in order to improve students’ experience and exposure to the specialty. Future efforts should be placed on addressing current issues in ACS education and evaluating its impact on career choice of medical students.
       
  • Resident Involvement in Plastic Surgery: Divergence of Patient
           Expectations and Experiences with Surgeon's Attitudes and Actions
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Erin Brown, Joline Choi, Tesnim SairiBACKGROUNDAs surgical educators, we need to balance the training of our future colleagues against the best possible outcomes and expectations of our patients. Although the legal and ethical standards for disclosure regarding trainee involvement in delivery of surgical care are well established, it is unclear if patient experiences reflect current principles of medical ethics. The attitudes and behavior of surgeons regarding informed consent and patient expectations about resident involvement also remain uncertain.METHODSOne hundred and five patients surveyed within 6 weeks following their surgery to assess their experiences and expectations regarding resident involvement in their surgery. Three hundred and eight-three members of the Canadian Society for Plastic Surgery received online surveys concerning their attitudes and behaviors regarding the involvement of residents and fellows in trauma, elective, and cosmetic surgery.RESULTSOnly half of patients were informed that residents may be involved in their surgery and only half were aware if it occurred. This is consistent with the finding that only half of surgeons indicate that specifically requesting consent for trainee involvement during surgery is required for residents to assist or operate. If specifically asked, most patients would agree to have a resident assist in their surgery, but the majority would not agree to have the resident perform the surgery. This is contrary to the finding that more than two-thirds of surgeons report willingness for the trainee to operate independently, with supervision, on trauma or elective patients. Two-thirds of patients felt it was essential that they specifically be asked for permission regarding resident involvement and that this question should be posed by the primary surgeon. Interestingly, only half of surgeons report that patients can decline trainee involvement in their trauma or elective surgery, but the majority of surgeons reported that cosmetic surgery patients could decline resident involvement. Patients also indicated that they would be upset if they subsequently found out that residents assisted or performed their surgery without their specific consent.CONCLUSIONSCanadian plastic surgeons indicate a clear commitment to intraoperative surgical training of residents and fellows, although this willingness declines precipitously when it involves cosmetic surgery patients. Unfortunately, the reported attitudes and behaviors of the surgeons are not consistent with the expectations of their patients, or the legal and ethical demands regarding informed consent.
       
  • Great Expectations' Future Competency Requirements Among Candidates
           Entering Surgery Training
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Aimee K. Gardner, Katelyn J. Cavanaugh, Ross E. Willis, Daniel Dent, Henry Reinhart, Mark Williams, Michael S. Truitt, Bradford G. Scott, Brian J. DunkinINTRODUCTIONWe describe a multimethod, multi-institutional approach documenting future competencies required for entry into surgery training.METHODSFive residency programs involved in a statewide collaborative each provided 12 to 15 subject matter experts (SMEs) to participate. These SMEs participated in a 1-hour semistructured interview with organizational psychologists to discuss program culture and expectations, and rated the importance of 20 core competencies derived from the literature for candidates entering general surgery training within the next 3 to 5 years (1 = importance decreases significantly; 3 = importance stays the same; 5 = importance increases significantly).RESULTSSeventy-three SMEs across 5 programs were interviewed (77% faculty; 23% resident). All competencies were rated to be more important in the next 3 to 5 years, with team orientation (3.87 ± 0.81), communication (3.82 ± 0.79), team leadership (3.81 ± 0.82), feedback receptivity (3.79 ± 0.76), and professionalism (3.76 ± 0.89) rated most highly.CONCLUSIONSThese findings suggest that the competencies desired and required among future surgery residents are likely to change in the near future.Graphical abstractImage, graphical abstract
       
  • The Life After Surgical Residency (LASR) Curriculum for Surgical
           Residents: Addressing the Nonclinical Barriers to Preparedness for
           Independent Practice
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Lauren V. Huckaby, Anthony R. Cyr, Kenneth Lee, Jennifer G. SteimanObjectiveExtrinsic burdens, including new personal and professional responsibilities, may distract from early career success. We sought to assess resident preparedness in nonclinical topics and to utilize this data to design a curriculum to address these content areas.DesignAll residents were surveyed to ascertain their self-reported preparedness on a variety of nonclinical topics (teaching, finances, contract negotiation, real estate, etc.). Using our survey results, a monthly curriculum was designed and implemented for senior residents based on these knowledge gaps.SettingUniversity-based general surgery residency program.ParticipantsAll general surgery residents.ResultsResidents reported low levels of preparedness on the topics of contract negotiation and practice management and high levels of preparedness on the topics of teaching and money management. Following curriculum implementation, statistically significant improvement was noted in the topics of contract negotiation and academic pursuits.ConclusionsResidents report low levels of preparedness in many nonclinical topics that may represent potentially modifiable stressors that can impact career success. Implementation of a directed curriculum improves sense of preparedness and may promote wellness among surgical trainees.
       
  • Return to the Real World: A Novel Program to Improve Resident Readiness
           for the Transplant Surgery Rotation
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s): Al-Faraaz Kassam, Alexander R. Cortez, Tayyab S. Diwan, Amanda Bailey, Ahmad Mirza, Jeffrey J. Sussman, Amy T. Makley, Ralph Cutler QuillinObjectiveWe describe a novel didactic program to prepare mid-level residents for the operative complexities of the transplant surgery rotation.DesignA faculty led dry and wet lab experience was held for all residents returning to clinical rotations from a 2-year research experience. Residents were provided instructional video prior to the dry lab and instructed through both labs by transplant faculty and fellows. The culmination of the program entailed a porcine renal autotransplantation.SettingThe University of Cincinnati, Department of Surgery, Cincinnati, OH.ParticipantsIncoming third year general surgery residents returning to clinical rotations from a 2-year research experience.ResultsThis lab was well received by residents and faculty and increased confidence in residents.ConclusionsThis program increased confidence in complex operations seen on the transplant surgery rotation and can be replicated in a cost-effective manner.
       
  • Table of Contents & Bacode
    • Abstract: Publication date: March–April 2020Source: Journal of Surgical Education, Volume 77, Issue 2Author(s):
       
  • Impact of 3D Printed Calcaneal Models on Fracture Understanding and
           Confidence in Orthopedic Surgery Residents
    • Abstract: Publication date: Available online 6 February 2020Source: Journal of Surgical EducationAuthor(s): Spencer Jason Montgomery, Sahil Singh Kooner, Taryn Elaine Ludwig, Prism Steorra SchneiderObjectiveTo determine if three-dimensionally printed (3Dp) fracture models can improve orthopedic trainee education.DesignA prospective comparison study of orthopedic trainees and attending surgeons was performed, where a range of calcaneal fractures were used for creating anonymized 3Dp models. Study participants rotated through workstations viewing computed tomography images and either a digital 3D volume rendering or 3Dp model of the fractured calcaneus. Diagnosis, time for evaluation, confidence of fracture understanding, perceived model accuracy, and proposed treatment were compared using a standardized questionnaire.ParticipantsSixteen resident trainees and 5 attending surgeons participated in this study. Attending surgeons were required to have fellowship training in trauma or foot and ankle surgery and manage calcaneal fractures as part of their current practice.ResultsJunior residents had the slowest time of assessment (mean = 121 ± 54 seconds) and lowest percentage of correct diagnoses (69%), although these findings did not reach significance compared to the other residency years. Residents displayed higher levels of confidence in fracture understanding with increasing residency year of training (p < 0.0001), and this confidence was greater for cases that included a 3Dp model (p < 0.03). Perceived accuracy of cases with 3Dp models was significantly higher than cases without 3Dp models (7.0 vs 5.5 p < 0.001).ConclusionsThis study found that 3Dp models increase the perceived accuracy of fracture assessment, though no statistically significant improvement in diagnostic accuracy was observed. The 3Dp models did improve trainee confidence, although this effect diminished with increasing residency year. In orthopedic residency training programs, 3Dp models of complex fractures can be a valuable educational tool, especially for junior trainees.
       
  • Eight Years of Scottish Surgical Boot Camps: How We Do It Now
    • Abstract: Publication date: Available online 27 December 2019Source: Journal of Surgical EducationAuthor(s): Kenneth G Walker, Vivienne I Blackhall, Morag E Hogg, Angus JM WatsonBackgroundScottish Surgical Boot Camps are the induction course for new start Core Surgical Trainees (Residents) in Scotland. The aim is to capitalise on trainees’ receptiveness at a time of transition, and to give them a safe and “flying start.”At their inception, these were the first such courses in the UK to integrate technical and non-technical skills training. As well as knowledge and skills, trainees have learned norms and expectations of a community of professional practice.MethodsOver 9 consecutive years of delivery and quality improvement, faculty have learned much about the safe use of simulation, as an adjuvant training modality for a range of competences required in the operating room, the clinic/office, the wards and other clinical domains.ConclusionIn this paper we describe the development and content of the course, discuss the importance of the whole “activity system,” and present some evaluation data. We give tips for success, such as using simulations of escalating complexity, and the power of seemingly incidental Learning Outcomes.
       
  • Practical Bioethics for the Humanitarian Surgeon: The Development,
           Implementation and Assessment of an Ethics Curriculum for Residents
           Participating in Humanitarian Missions
    • Abstract: Publication date: Available online 27 December 2019Source: Journal of Surgical EducationAuthor(s): Victoria S. McDonald, Romeo C. Ignacio, Matthew A. Kuettel, Lisa L. Schlitzkus, Maura E. Sullivan, Matthew D TadlockBackgroundHumanitarian surgeons face many ethical challenges. Despite increasing resident participation during humanitarian activities, minimal literature exists describing premission ethics training.MethodsA systematic literature review was conducted to identify publications on humanitarian surgery. A 3-tiered review was performed assessing for ethical conflicts and guidelines. A Humanitarian Ethics Curriculum (HEC) was developed based on these findings and administered to residents prior to a humanitarian mission. Postmission essays were assigned to describe an ethical dilemma they encountered. The HEC's value was evaluated by identifying the ACGME core competencies represented in the essays.Results49 eligible publications were identified. Several areas of consensus were found. Controversies identified included: trainee involvement, surgical innovation, and operating on patients with dismal prognosis. All residents stated that the HEC was vital. 61% of ethical dilemmas involved surgical patients. Core competencies emphasized included systems-based practice, patient care, professionalism, interpersonal/communication skills, and medical knowledge.ConclusionsThere is consensus regarding ethical principles that surgeons should follow during humanitarian activities. However, areas of controversy persist. Premission HEC should be administered to residents participating in humanitarian missions.
       
  • Towards Development of an Open Surgery Competency Assessment for Residents
           (OSCAR) Tool – A Systematic Review of the Literature and Delphi
           Consensus
    • Abstract: Publication date: Available online 27 December 2019Source: Journal of Surgical EducationAuthor(s): Etienne St-Louis, Mohammed Shaheen, Fareeda Mukhtar, Ryan Adessky, Sarkis Meterissian, Marylise BoutrosObjectiveCompetency-based education has mandated accurate intra-operative assessment tools. We aimed to define consensus-based open surgical skills perceived by experts as critical for assessment.DesignA mixed-method design was employed: systematic review and e-Delphi methodology.SettingThe study was performed at McGill University-affiliated large tertiary academic centers in Montreal, Quebec, Canada.ParticipantsPer PRISMA guidelines, a peer-reviewed search strategy was employed. Studies published in English and those describing technical skill assessment of open abdominal surgery were included; subspecialty-specific skills, conference abstracts, academic memoirs were excluded. Most-cited skills were subjected to e-Delphi methodology to identify those deemed essential by experts, based a 3-point Likert scale. Eighteen McGill University-affiliated general surgeons, representing a variety of subspecialties of General Surgery, were invited to answer the questionnaire.ResultsAround 120 of 4285 references were retained for analysis. The 12 most cited skills included suturing, tissue and instrument handling, movement economy, instrument knowledge, knot tying, flow, knowledge of procedure, completion time, dissection technique, knowledge of anatomy and sterile technique; 6 of these achieved high or perfect scores and agreement after 2 rounds of survey: suturing, sterile technique, knot tying, knowledge of anatomy, knowledge of procedure, and tissue handling. Median standard deviation decreased (0.495 to 0.450) from first to second round, indicating improvement in consensus.ConclusionThese results will help develop and validate the OSCAR (objective structured clinical assessment rubric) assessment tool for immediate intra-operative feedback of open technical skills for surgical trainees.
       
 
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