Integrating Postoperative Feedback Into Workflow: Perceived Practices and Barriers.

Objective: Previous studies have found that both resident and staff surgeons highly value postoperative feedback; and that such feedback has high educational value. However, little is known about how to consistently deliver this feedback. Our aim was to understand how often surgical residents should receive feedback and what barriers are preventing this from occurring.

Resident training in a teaching hospital: How do attendings teach in the real operative environment?

Background: The study aim was to explore the nature of intraoperative education and its interaction with the environment where surgical education occurs.

Methods: Video and audio recording captured teaching interactions between colorectal surgeons and general surgery residents during laparoscopic segmental colectomies. Cases and collected data were analyzed for teaching behaviors and workflow disruptions.

A national survey of educational resources utilized by the Resident and Associate Society of the American College of Surgeons membership.

Background: Contemporary surgical education includes online resources, mobile platform applications, and simulation training. The aim of this study was to characterize educational tools used by surgical residents.

Methods: An anonymous web-based survey was distributed to 9,913 members of the Resident and Associate Society of the American College of Surgeons.

Quantifying technical skills during open operations using video-based motion analysis.

Introduction: Objective quantification of technical operative skills in surgery remains poorly defined, although the delivery of and training in these skills is essential to the profession of surgery. Attempts to measure hand kinematics to quantify operative performance primarily have relied on electromagnetic sensors attached to the surgeon's hand or instrument. We sought to determine whether a similar motion analysis could be performed with a marker-less, video-based review, allowing for a scalable approach to performance evaluation.

Utilizing a novel tool for the comprehensive assessment of resident operative performance.

Purpose: A mechanism for more effective and comprehensive assessment of surgical residents' performance in the operating room (OR) is needed, especially in light of the new requirements issued by the American Board of Surgery. Furthermore, there is an increased awareness that assessments need to be more meaningful by including not only procedure-specific and general technical skills, but also nontechnical skills (NOTECHS), such as teamwork and communication skills. Our aims were to develop a methodology and create a tool that comprehensively assesses residents' operative performance.

Wound complications after inguinal lymph node dissection for melanoma: is ACS NSQIP adequate?

Background: In the treatment of melanoma, inguinal lymph node dissection (ILND) is the standard of care for palpable or biopsy-proven lymph node metastases. Wound complications occur frequently after ILND. In the current study, the multicenter American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) was utilized to examine the frequency and predictors of wound complications after ILND.