Readiness of Graduating General Surgery Residents To Perform Common Pediatric Surgery Procedures.

Objective: Up to 40% of pediatric surgery procedures occur at adult hospitals. We aim to evaluate how competent graduating general surgery residents are to perform common pediatric surgery procedures.

Design: Pediatric and adult inguinal (IH) and umbilical (UH) hernia operative evaluations were collected.

Operative Performance and Autonomy Across Training Years: Does a Preliminary Year Matter?

Objective: Preliminary surgery positions are associated with a negative stigma, and this stigma may persist for those residents who later go on to obtain a categorical position. However, it is currently unknown if general surgery residents who complete a preliminary year perform differently than their categorical peers throughout training. To examine these potential differences, we compared operative performance and autonomy across all 5 years of training for those who completed a nondesignated preliminary training year with those who did not.

Evaluating Performance and Autonomy Levels of Previous Preliminary Surgery Interns.

Introduction: Surgery residents who complete a nondesignated preliminary year have an additional year of training compared to those who begin as categorical residents. While this additional year is sometimes perceived negatively, these more experienced residents may outperform traditional categorical (TC) residents in their first year of training.

Methods: Operative assessment ratings were recorded for first year categorical general surgery residents in the United States between 2015 and 2023 using the Society for Improving Medical and Professional Learning assessment platform.

Characteristics and Practice Patterns of Non-Certified Surgeons Treating Medicare Patients.

Objective: The objective of this study is to explore the patient characteristics and practice patterns of non-certified surgeons who treat Medicare patients in the United States.

Background: Although most surgeons in the United States are board-certified, non-certified surgeons are permitted to practice in many locations. At the same time, surgical workforce shortages threaten access to surgical care for many patients.

Mortality and Severe Complications Among Newly Graduated Surgeons in the United States.

Objective: To evaluate severe complications and mortality over years of independent practice among general surgeons.

Background: Despite concerns that newly graduated general surgeons may be unprepared for independent practice, it is unclear whether patient outcomes differ between early and later career surgeons.

Methods: We used Medicare claims for patients discharged between July 1, 2007 and December 31, 2019 to evaluate 30-day severe complications and mortality for 26 operations defined as core procedures by the American Board of Surgery.

Early findings and strategies for successful implementation of SIMPL workplace-based assessments within vascular surgery residency and fellowship programs.

Objective: As medical education systems increasingly move toward competency-based training, it is important to understand the tools available to assess competency and how these tools are utilized. The Society for Improving Medical Professional Learning (SIMPL) offers a smart phone-based assessment system that supports workplace-based assessment of residents' and fellows' operative autonomy, performance, and case complexity. The purpose of this study was to characterize implementation of the SIMPL app within vascular surgery integrated residency (0+5) and fellowship (5+2) training programs.