Optimizing the Selection of General Surgery Residents: A National Consensus
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- 作者：Marisa Louridas ; MD⁎ ; &dagger ; ; marisa.louridas@mail.utoronto.ca ; Peter Szasz ; MD⁎ ; &dagger ; ; Sandra de Montbrun ; MD ; MEd ; FRCSC⁎ ; &dagger ; ; Kenneth A. Harris ; MD ; FRCSC ; FACS&Dagger ; ; Teodor P. Grantcharov ; MD ; PhD ; FACS⁎ ; &dagger ;
- 关键词：selection ; general surgery ; surgical residency ; post graduate education ; technical skill
- 刊名：Journal of Surgical Education
- 出版年：2017
- 出版时间：January-February 2017
- 年：2017
- 卷：74
- 期：1
- 页码：100-107
- 全文大小：194 K
- 卷排序：74
文摘
Surgical programs strive to recruit trainees who will graduate as competent surgeons; however, selection processes vary between institutions. The purpose of the present study was to (1) solicit program directors’ (PDs) opinions on the proportion of trainees who have difficulty achieving competence and (2) establish consensus on the desired attributes of general surgery (GS) candidates and the technical skills that would be most indicative of future performance.MethodsDelphi consensus methodology was used. An open-ended questionnaire, followed by a closed-ended questionnaire, formulated as a 5-point Likert scale, was administered. A Cronbach α ≥ 0.8 with 80% of responses in agreement (4—agree and 5—strongly agree) determined the threshold for consensus.ResultsThe first and second rounds were completed by 14 and 11, of a potential 17, GS PDs, respectively. PDs felt that 5% or less of trainees have difficulty reaching competence in clinical knowledge, 5% to 10% in decision-making, and 5% to 15% in technical skill by the time of completion of training. Consensus was excellent (α = 0.92). The top attributes for success in GS included work ethic and passion for surgery. Technical skills that felt to be most appropriate were open tasks (one-handed tie and subcuticular suture) and laparoscopic tasks (coordination, grasping, and cutting).ConclusionPDs indicate that of the 3 domains, the largest proportion of trainees had difficulty reaching competence in technical skill. Consensus among PDs suggests that top personal attributes include work ethic and passion for surgery. Consensus of technical tasks for inclusion into selection was basic open and laparoscopic skills.