scholarly journals Do Rural Longitudinal Integrated Clerkships Impact Choice of Residency Type and/or Permanent Community Practice in Surgery?

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Bennett J. Maki ◽  
Karen C. Riley ◽  
Raymond Christensen ◽  
Kirby Clark ◽  
Paula M. Termuhlen
Keyword(s):  
General Surgery ◽  
Residency Program ◽  
Academic Program ◽  
Community Practice ◽  
Residency Programs ◽  
Surgical Residency ◽  
Longitudinal Integrated Clerkships ◽  
Longitudinal Integrated Clerkship ◽  
Rural Surgery ◽  
Reported Data

Purpose: Rural general surgery experiences during medical school appear to have influenced the decision of prospective general surgery applicants to pursue residency programs that provide rural surgery opportunities. This is an analysis of a single cohort, rural-focused, longitudinal integrated clerkship to determine if there is an association between type of residency program and completion of a rural-focused longitudinal integrated clerkship. Methods: An institutional database of de-identified, self-reported data was reviewed to identify rural-focused longitudinal integrated clerkship alumni who matched into a surgical residency program.  Findings: Of the seventy-five alumni who chose a surgical residency program, 40 (53.3%) matched into a university-affiliated residency program, and 32 (42.6%) matched into an independent-academic program. There was no association between type of residency program and completion of a rural-focused longitudinal integrated clerkship. Conclusions: A rural-focused longitudinal integrated clerkship can help increase the rural physician workforce within both the state and region of the sponsoring institution. To facilitate heightened interest in rural general surgery, these types of programs should continue to be promoted.

scholarly journals Diversity and Inclusion on General Surgery, Integrated Thoracic Surgery, and Integrated Vascular Surgery Residency Program Websites

2021 ◽  
Author(s):  
Ryan Mortman ◽  
Harold A. Frazier ◽  
Yolanda C. Haywood
Keyword(s):  
Thoracic Surgery ◽  
Vascular Surgery ◽  
General Surgery ◽  
Residency Program ◽  
Training Programs ◽  
Residency Programs ◽  
Diversity And Inclusion ◽  
Related Information ◽  
Application Service ◽  
Surgery Residency Program

ABSTRACT Background Increasing diversity in medicine is receiving more attention yet underrepresented in medicine (UiM) surgeons remain a small fraction of all surgeons. Whether surgical training programs attempt to attract UiM applicants to their programs, and therefore their specialties, through program website information is unclear. Objective To analyze the scope of diversity and inclusion (D&I) related information on US allopathic and osteopathic general surgery, integrated thoracic surgery, and integrated vascular surgery residency program websites. Methods Residency programs were identified through the Electronic Residency Application Service (ERAS) in July 2020. We searched surgical program websites and collected data on the presence or absence of variables labeled “diversity & inclusion” or “underrepresented in medicine.” Variables found on program websites as well as sites linked to the program website were included. We excluded programs identified in ERAS as fellowship training programs. Programs without webpages were also excluded. Results We identified 425 residency programs and excluded 22 from data analysis. Only 75 of the 403 included programs (18.6%) contained D&I-related information. The presence of individual variables was also low, ranging from 4.5% for opportunities related to early exposure to the specialty to 11.1% for a written or video statement of commitment to D&I. Conclusions In 2020, as recruitment and interviews moved entirely online, few US allopathic and osteopathic general surgery, integrated thoracic surgery, and integrated vascular surgery residency programs provided D&I-related information for residency applicants on their program websites.

scholarly journals Attitudes and experiences during training and professional expectations in generation-y surgical residents

2019 ◽  
Vol 65 (3) ◽  
pp. 348-354 ◽  
Author(s):  
Fernanda M. Lafraia ◽  
Fernando A.M. Herbella ◽  
Julia R. Kalluf ◽  
Francisco Schlottmann ◽  
Marco G. Patti
Keyword(s):  
Generation Y ◽  
Residency Program ◽  
Surgical Volume ◽  
Teaching Techniques ◽  
Future Expectations ◽  
Program Satisfaction ◽  
Residency Programs ◽  
Surgical Residency ◽  
Surgical Residents ◽  
Professional Expectations

SUMMARY BACKGROUND: Residency programs, especially in surgery, have been undergoing constant changes. The profile of residents in surgical fields is changing too since residents are now part of the Generation Y (Millenials). This change in profile mandates a re-evaluation to adapt surgical residency programs. Six years ago, we carried out a study evaluating attitudes and experiences during training, and the professional expectations of residents. This study aims to survey surgical residents to evaluate current attitudes, experiences, and expectations. METHODS: We surveyed 50 residents to determine professional satisfaction, residency-program satisfaction, future expectations, financial expectations, and correct attitude towards patients. RESULTS: Our results show that half of the residents are satisfied with the residency program. However, dissatisfaction reaches 40% on surgical volume and 80% on mentorship; 62% of the residents are not confident to perform operations after the residency, the majority believes a specialization is necessary; most residents believe financial compensation will decrease with time, but concerns with reimbursement are low; and most residents are worried about injuring patients, but only two thirds are satisfied working with patients. CONCLUSIONS: Current residents present lower job satisfaction and more criticism of teaching techniques. These changes compared to previous results match the profile of Generation Y, who is more iconoclastic when compared to previous generations.

scholarly journals Effect of COVİD-19 Pandemic on General Surgery Practice and Resident Education

2021 ◽  
Author(s):  
Timuçin Erol ◽  
Kamran Mahmudzada ◽  
Busenur Kırımtay ◽  
Doğukan Doğu ◽  
Mustafa Oruç ◽  
...  
Keyword(s):  
General Surgery ◽  
Sudden Change ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Case Volume ◽  
Cross Sectional ◽  
Residency Programs ◽  
Surgical Residency ◽  
Surgery Department ◽  
Hospital General

Abstract Background Sudden change in general surgery practice during pandemic caused a detrimental effect on residency training. The main objective of this study is to reveal the effect of Covid-19 pandemic on general surgery practice and surgical residency education. Methods This retrospective cross sectional study included all patients operated at a tertiary university hospital, general surgery department between 11-March 2019/ 11- January-2019 (Pre-Covid 19 Period) and 11-march 2020- 11- January − 2020 (Covid 19 period). Two period compared in terms of case volume, complexity difference and effect of this difference on residents training. Results Overall 2740 cases included to study. Elective case volume significantly decreased during pandemic (p = 0.001). This decrease is much more obvious for B-C category operations. Intermediate seniority resident’s case volumes and complexity of the cases they performed decreased during pandemic. Conclusion Surgical residency programs must be revised urgently in order to provide adequte training which altered due to Covid-19 pandemic.

scholarly journals Are we producing general surgeons who are ready for community or rural practice?

2021 ◽  
Vol 64 (5) ◽  
pp. E467-E472
Author(s):  
Jake Hiebert ◽  
Leo Chen ◽  
Hamish Hwang
Keyword(s):  
British Columbia ◽  
General Surgery ◽  
Rural Practice ◽  
Community Practice ◽  
Residency Programs ◽  
General Surgery Residency ◽  
Community Or ◽  
Community Needs ◽  
General Surgeons ◽  
Training Structure

General surgery remains a broad and unclearly defined specialty in small and medium-sized communities, where general surgeons perform more subspecialty and non-core procedures than their urban counterparts. It is unclear what specific procedures are being performed or whether today’s residents are being trained to meet community needs. We surveyed the members of the British Columbia (BC) Surgical Society and found that only 3% of BC’s surgeons believe today’s graduates are “definitely prepared” for a broad-based community practice. We also identified several non-core procedures performed more frequently by general surgeons in small and medium-sized communities. General surgery residency is narrowing its focus despite the fact that community general surgeons are maintaining a broad-based practice. To meet the needs of smaller communities, residency programs need to address the discrepancies that exist between the emphasis within the current training structure and the practice of our community surgeons.

Rural Surgery Rotation during Surgical Residency

2009 ◽  
Vol 75 (9) ◽  
pp. 743-746 ◽  
Author(s):  
John L. Milligan ◽  
Henry S. Nelson ◽  
Matthew L. Mancini ◽  
Mitchell H. Goldman
Keyword(s):  
General Surgery ◽  
Senior Resident ◽  
Rural Hospital ◽  
Rural Setting ◽  
Case Mix ◽  
Surgical Residency ◽  
Rural Surgery

General surgery in the rural hospital is threatened by declining resident interest in pursuing a career in the rural setting. We found that by initiating a rural rotation of 3 months in the senior resident years, a case mix that more approximated that of the rural surgeons was experienced. Also, by experiencing a rural rotation, more residents chose to practice in a rural setting when compared with residents before the initiation of the rotation.

scholarly journals Impact of Pandemics on surgical residency programs

2021 ◽  
Vol 29 (02) ◽  
pp. 79-83
Author(s):  
Sajjad Ali ◽  
Farooq Ahmed ◽  
Waleed Mabood ◽  
Fayaz ur Rehman
Keyword(s):  
General Surgery ◽  
Residency Program ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Surgical Residency ◽  
Research Activities ◽  
Institutional Review ◽  
Ward Rounds ◽  
The Impact

Background; To evaluate the impact of the COVID 19 pandemic on the national surgical residency program of Pakistan in terms of its effects on skill development, academics, research activities, and fellowship examination/assessment. Material and methods; A 16 item validated survey was designed to conduct this cross-sectional study which was carried out in 3 tertiary care hospitals of Peshawar, Khyber Pakhtunkhwa Province of Pakistan. Ethical approval was granted by institutional review board after formal piloting. The study included 169 residents from both general surgery and surgery-allied disciplines. Participants characteristics and Responses were analyzed using SPSS 25.0 and presented as percentages value of less than 0.05 was considered significant.Results: Before the pandemic, more than 80 % general surgery residents had frequent or occasional opportunities to engage in surgical activities as observer, assistant, dependent or independent performer. During pandemic these opportunities were less than 20 % and more than 75 % had rare or no such opportunities. Almost similar and statistically significant was the impact on the skills exposure opportunities for surgery-allied residents. 100 % general surgery residents and 98.9 % surgery-allied residents had frequent or occasional opportunities to attend academic ward rounds before the pandemic while 91 % general surgery residents and 80 % surgery allied residents had only rare or no opportunities to attend academic ward rounds. Data collection of 88.6 % general surgery residents and 80 % surgery allied residents were affected to more or less extent on the Likert scale. In both disciplines less than 15 % residents. Among the general surgery residents only 9 (11.4%) confident, and 1 (1.3%) very confident that the exam will take place in time despite the pandemic. These figures were 11.4% and 4.4 % only in surgery-allied discipline.Conclusion: The COVID 19 pandemic has severely damaged all the pillars of surgical residency program in Pakistan. Residents think that they have lagged behind than they should have been at this stage of residency and are not sure of the months to come in prospect of their training. They feel insecure whether they will be able to complete their research projects in time or not. Moreover, they are not confident about the schedule of their module/exit exam.Key-Words: Pandemic, residency, COVID,

scholarly journals Is Canadian surgical residency training stressful?

2012 ◽  
pp. S145-S151
Author(s):  
Nasser Aminazadeh ◽  
Forough Farrokhyar ◽  
Amir Naeeni ◽  
Marjan Naeeni ◽  
Susan Reid ◽  
...  
Keyword(s):  
Working Conditions ◽  
Residency Program ◽  
Time Pressure ◽  
Working Hours ◽  
Coping Mechanisms ◽  
Residency Programs ◽  
Surgical Residency ◽  
Canadian Medical School ◽  
Surgical Residents ◽  
Lack Of Sleep

Background: Surgical residency has the reputation of being arduous and stressful. We sought to determine the stress levels of surgical residents, the major causes of stress and the coping mechanisms used. Methods: We developed and distributed a survey among surgical residents across Canada. Results: A total of 169 participants responded: 97 (57%) male and 72 (43%) female graduates of Canadian (83%) or foreign (17%) medical schools. In all, 87% reported most of the past year of residency as somewhat stressful to extremely stressful, with time pressure (90%) being the most important stressor, followed by number of working hours (83%), residency program (73%), working conditions (70%), caring for patients (63%) and financial situation (55%). Insufficient sleep and frequent call was the component of residency programs that was most commonly rated as highly stressful (31%). Common coping mechanisms included staying optimistic (86%), engaging in enjoyable activities (83%), consulting others (75%) and exercising (69%). Mental or emotional problems during residency were reported more often by women (p = 0.006), who were also more likely than men to seek help (p = 0.026), but men reported greater financial stress (p = 0.036). Foreign graduates reported greater stress related to working conditions (p < 0.001), residency program (p = 0.002), caring for family members (p = 0.006), discrimination (p < 0.001) and personal and family safety (p < 0.001) than Canadian graduates. Conclusion: Time pressure and working hours were the most common stressors overall, and lack of sleep and call frequency were the most stressful components of the residency program. Female sex and graduating from a non-Canadian medical school increased the likelihood of reporting stress in certain areas of residency.

Attracting Medical Students to Surgical Residency Programs

2006 ◽  
Vol 72 (6) ◽  
pp. 485-490 ◽  
Author(s):  
Phillip P. Crace ◽  
Joseph Nounou ◽  
Amy M. Engel ◽  
Richard E. Welling
Keyword(s):  
Medical Students ◽  
General Surgery ◽  
Fellowship Training ◽  
Surgical Resident ◽  
Residency Programs ◽  
Surgical Residency ◽  
Significant Difference ◽  
University Programs ◽  
Residency Selection ◽  
Perceived Relationships

With the goals of creating a better match between medical students and general surgery programs and providing a program that is desirable to medical students who are interested in pursuing careers in surgery, a survey was designed to categorize student interests and to determine what factors are used in choosing a general surgery program. The survey focused on the reasons that surgical resident candidates select a program. Each statement was rated for importance on a 5-point scale, and then the top 10 statements were ranked in order of importance. The survey was distributed to 19 community hospitals, 23 university programs, and medical students interviewing for surgical residency. A total of 286 surveys were returned from 18 programs and medical students. The statements with the three highest ratings were “amount of operative exposure,” “diversity of operative cases,” and “perceived relationships among faculty and residents.” “Amount of operative exposure,” “diversity of operative cases,” and “ability to pursue fellowship training after residency” received the top rankings. There was a significant difference between men and women in the ratings of three statements. However, there was no difference with the ranking of the statements. There was also a significant difference between residents early and late in their training on ratings of five statements and on the ranking of two statements. The ratings of six statements were significantly different between community and university programs. A significant difference between types of program was also found with the rankings of four statements. There was a difference between small and large programs on two ratings of statements and one ranking. This data provides a useful resource for programs and candidates in preparing for candidate/residency selection.

scholarly journals Medical Student Mentorship in a University Setting as a Strategy for a Career in Surgery

2011 ◽  
Vol 77 (11) ◽  
pp. 1432-1434 ◽  
Author(s):  
Parul N. Barry ◽  
Mary E. Fallat
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Medical School ◽  
General Surgery ◽  
Residency Programs ◽  
Surgical Residency ◽  
Gender Balance ◽  
Surgical Residents ◽  
School Of Medicine ◽  
Surgical Subspecialty

Gender balance in surgery is a respectable and necessary goal. At the University of Louisville (UL) School of Medicine, we have compared percentages of UL medical student applicants to general surgery or surgical subspecialty residency programs, surgical residents, and surgical faculty with the rest of the nation. Although UL has at times paralleled or exceeded the nation in many of these categories, there is room for improvement and the comparison data allow for strategic planning initiatives. To promote gender balance among future generations of surgeons at UL, we recently implemented a mentoring program that pairs medical students with residents and faculty in surgery. We plan to track the success over time and correct any shortcomings of this program. Virginia Commonwealth University's commitment to gender balance in surgery is exemplary. As part of a more comprehensive vision to create a mentorship program for female medical students at the UL School of Medicine, we have recently recruited female surgical residents and faculty, whom we hope will provide the type of inspiration and guidance that will increase the number of women from UL who decide to train in general surgery and the surgical specialties. To understand why women across the nation are not generally at numerical parity in these fields, it is important to consider the length and intensity of the surgical residency programs in the context of the other goals and objectives that a woman might have for her future. This article does not address this broad topic but provides a perspective of how a medical school can evaluate and perhaps intervene to mentor medical students more effectively about the satisfaction derived from a career in surgery. As part of this project, we have evaluated each step of the path through medical school and a surgical residency by comparing data for our students, residency programs, and faculty with national data.

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