Research Agenda for Entrustable Professional Activities Among US Surgical Specialties.

The magnitude of advances in surgical care inspires awe consistent with the impact of these developments on patients' lives. With this comes greater knowledge, new practices, and novel technologies for integration into residency training, making the skillset required of today's residents quite different from those in the past. Competency-based medical education and learner-centered approaches offer innovative and studied methodologies for teaching, learning, and assessment to meet the demands of today's educational environment.

Analysis of Surgeon and Program Characteristics Associated with Success on American Board of Surgery Exam Outcomes.

Background: Existing research exploring predictors of success on American Board of Surgery (ABS) exams focused on either resident or residency program characteristics, but limited studies focus on both. This study examines relationships between both resident and program characteristics and ABS Qualifying (QE) and Certifying Exam (CE) outcomes.

Study Design: Multilevel logistic regression was used to analyze the relationship between resident and program characteristics and ABS QE and CE 1st attempt pass and eventual certification.

Examiner-examinee gender concordance does not impact ratings on the American Board of Surgery Vascular Surgery Certifying Examination.

Objective: Implicit bias is a potential factor in the severity of examinee rating during oral examinations. Ratings may be impacted by examinee characteristics, such as gender, that are independent of examinee knowledge base, clinical judgment, or test-taking ability. The effects of examiner-examinee gender concordance in the Vascular Surgery Certifying Examination (VCE) have not been previously studied.

Performance of Recycled Polylactic Acid/Amorphous Polyhydroxyalkanoate Blends.

Blends of polylactic acid (PLA) with amorphous polyhydroxyalkanoate (aPHA) are less brittle than neat PLA, thus enabling their use as biodegradable packaging. This work investigated the impact of recycling on the properties of neat PLA and PLA/aPHA blends with 90 and 75 wt. % PLA.

Observations on the Representation of Asians in Surgical Training and Leadership.

Introduction: Diversity in medicine has a positive effect on outcomes, especially for Asian patients. We sought to evaluate representation of Asians across entry and leadership levels in surgical training.

Methods: Publicly accessible population data from 2018 to 2023 were collected from the US Census Bureau, the Association of American Medical Colleges, and the American Board of Surgery (ABS).

A Look at Demographics and Transition to Virtual Assessments: An Analysis of Bias in the American Board of Surgery General Surgery Certifying Exams.

Objective: The goals of this study were (1) to assess if examiner ratings in the American Board of Surgery (ABS) General Surgery Cetifying Exam (CE) are biased based on the gender, race, and ethnicity of the candidate or the examiners, and (2) if the format of delivering of the exams, in-person or virtual, affects how examiners rate candidates.

Design: We included every candidate-examiner combination for first time takers of the general surgery oral exam. Total scores and pass/fail outcomes based on the 4 scores given by examiners to candidates were analyzed using multilevel models, with candidates as random effects.

Tandem Hydroperoxyl-Alkylperoxyl Radical Quenching by an Engineered Nanoporous Cerium Oxide Nanoparticle Macrostructure (NCeONP): Toward Efficient Solid-State Autoxidation Inhibitors.

The use of nanomaterials as inhibitors of the autoxidation of organic materials is attracting tremendous interest in petrochemistry, food storage, and biomedical applications. Metal oxide materials and CeO in particular represent one of the most investigated inorganic materials with promising radical trapping and antioxidant abilities. However, despite the importance, examples of the CeO material's ability to retard the autoxidation of organic substrates are still lacking, together with a plausible chemical mechanism for radical trapping.

How Does the Sequence of the American Board of Surgery Examinations Impact Pass/Fail Outcomes?

Objective: Historically, the American Board of Surgery required surgeons to pass the qualifying examination (QE) before taking the certifying examination (CE). However, in the 2020-2021 academic year, with mitigating circumstances related to COVID-19, the ABS removed this sequencing requirement to facilitate the certification process for those candidates who were negatively impacted by a QE delivery failure. This decoupling of the traditional order of exam delivery has provided a natural comparator to the traditional route and an analysis of the impact of examination sequencing on candidate performance.

Association Between American Board of Surgery Initial Certification and Medical Malpractice Payments.

Objective: To measure associations between surgeons' examination performance and obtaining American Board of Surgery certification with the likelihood of having medical malpractice payments.

Background: Further research is needed to establish a broader understanding of the association of board certification and patient and practice outcomes.

Methods: Retrospective analysis using propensity score-matched surgeons who attempted to obtain American Board of Surgery certification.

Impact of Melt Processing Conditions on the Degradation of Polylactic Acid.

To reduce the degradation of polylactic acid (PLA) during processing, which reduces the molecular weight of PLA and its properties, prior studies have recommended low processing temperatures. In contrast, this work investigated the impact of four factors affecting shear heating (extruder type, screw configuration, screw speed, and feed rate) on the degradation of PLA. The polylactic acid was processed using a quad screw extruder (QSE) and a comparable twin screw extruder (TSE), two screw configurations, higher screw speeds, and several feed rates.

The vascular surgery in-training examination predicts performance on qualifying examination.

Objective: Vascular surgery trainees participate in the vascular surgery in-training examination (VSITE) during each year of their training. Although the VSITE was developed as a low-stakes, formative examination, performance on that examination might correlate with the pass rates for the Vascular Surgery Board written qualifying examination (VQE) and oral certifying examination (VCE) and might, therefore, guide both trainees and program directors. The present study was designed to examine the ability of the VSITE to predict trainees' performance on the VQE and VCE.

The Impact of Reprocessing with a Quad Screw Extruder on the Degradation of Polypropylene.

During mechanical recycling, polypropylene typically is reprocessed using a single- or twin-screw extruder. The degradation of polypropylene during this reprocessing reduces the polymer's molecular weight and, consequently, limits the performance of the recycled resin. This work investigated the impact of a quad screw extruder (QSE), which has greater free volume, on the reprocessing of an impact copolymer polypropylene.

Implementation of the Vascular Surgery Board virtual certifying examination.

Objective: The onset of the COVID-19 (coronavirus disease 2019) pandemic mandated postponement of the in-person Vascular Surgery Board 2020 certifying examination (CE). Vascular surgery virtual CEs (VVCEs) were developed for the scheduled 2020 CEs (rescheduled to January 2021) and 2021 CEs (rescheduled to July 2021) to avoid postponing the certification testing. In the present study, we have reported the development, implementation, and outcomes of the first two VVCEs.

Effect of Protein Adsorption on Air Plastron Behavior of a Superhydrophobic Surface.

Protein fouling on critical biointerfaces causes significant public health and clinical ramifications. Multiple strategies, including superhydrophobic (SHP) surfaces and coatings, have been explored to mitigate protein adsorption on solid surfaces. SHP materials with underwater air plastron (AP) layers hold great promise by physically reducing the contact area between a substrate and protein molecules.

Outcomes of the First Virtual General Surgery Certifying Exam of the American Board of Surgery.

Objective: To Study the Outcomes of the First Virtual General Surgery Certifying Exam of the American Board of Surgery.

Summary Of Background Data: The ABS General Surgery CE is normally an in-person oral examination. Due to the COVID-19 outbreak, the ABS was required to reschedule these.

Evaluating Superhydrophobic Surfaces under External Pressures using Quartz Crystal Microbalance.

The performance of hydrophobic surfaces under hydraulic pressures is critical to a wide range of practical applications such as drag reduction of seaboard vessels and design of microfluidic devices. This research focuses on the evaluation of drag reduction and velocity slip of hydrophobic surfaces and coatings under external hydrostatic pressures using an acoustic wave device (i.e.

Characterization of Stereolithography Printed Soft Tooling for Micro Injection Molding.

The use of microfeature-enabled devices, such as microfluidic platforms and anti-fouling surfaces, has grown in both potential and application in recent years. Injection molding is an attractive method of manufacturing these devices due to its excellent process throughput and commodity-priced raw materials. Still, the manufacture of micro-structured tooling remains a slow and expensive endeavor.

Fabrication of Flexible Polymer Molds for Polymer Microstructuring by Roll-to-Roll Hot Embossing.

Roll-to-roll hot embossing could revolutionize the manufacturing of multifunctional polymer films with the ability to process large area at a high rate with reduced cost. The continuous hot embossing of the films, however, has been hindered due to the lack of durable and flexible molds, which can replicate micro and nanofeatures with reliability over several embossing cycles. In this work, we demonstrate for the first time the fabrication of a flexible polymer (polyimide) mold from the commercially available sheet by a maskless photolithography approach combined with inductively coupled plasma etching and its potential application to the roll-to-roll hot embossing process.

Numerical evaluation and experimental validation of cross-flow microfiltration device design.

This research presents a comprehensive analysis of the design and validation of a cross-flow microfiltration device for separation of microspheres based on size. Simulation results showed that pillar size, pillar shape, incorporation of back-flow preventers, and rounding of pillar layouts affected flow patterns in a cross-flow microfiltration device. Simulation results suggest that larger pillar sizes reduce filtration capacity by decreasing the density of microfiltration gaps in the device.

The effect of composition and thermodynamics on the surface morphology of durable superhydrophobic polymer coatings.

Durable superhydrophobic coatings were synthesized using a system of silica nanoparticles (NPs) to provide nanoscale roughness, fluorosilane to give hydrophobic chemistry, and three different polymer binders: urethane acrylate, ethyl 2-cyanoacrylate, and epoxy. Coatings composed of different binders incorporating NPs in various concentrations exhibited different superhydrophobic attributes when applied on polycarbonate (PC) and glass substrates and as a function of coating composition. It was found that the substrate surface characteristics and wettability affected the superhydrophobic characteristics of the coatings.