How Many Trauma Admissions Require Acute Trauma Team Interventions?

Introduction: The aim of this study was to assess the percentage of trauma patients admitted and receiving intervention, and to identify which of these interventions were performed by non-trauma specialists.

Methods: The authors conducted a retrospective chart review of all adult patients who presented to the trauma service between January 2019 and June 2019. Collected data included demographics, trauma activation level, total interventions performed, interventions performed by the trauma team, interventions performed by subspecialty teams, and isolated injuries requiring orthopedic, neurosurgical, or other specialized care.

Short and Long-Term Success of a Surgery Residency Prep Course.

Introduction: This study aimed to assess the feasibility of evaluating the short-term and long-term effectiveness of a surgery residency prep course throughout the intern year.

Methods: The authors offered a surgery residency prep course to graduating medical students. We used an anonymous survey to assess the perceived confidence in medical knowledge, clinical skills and surgical skills pre-course, post-course, and at six months into residency.

The Effects of COVID-19 on General Surgery Residency Programs in the United States.

Introduction: The COVID-19 pandemic impacted multiple aspects of surgical education. This survey delineates steps taken by general surgery residency programs to meet changing patient-care needs while continuing to provide adequate education.

Methods: A survey was administered to program directors and coordinators of all United States general surgery residency programs to assess the early effects of the pandemic on residents from March 1 through May 31, 2020.

Systemic Therapy in Elderly Patients With Her2/Neu-Positive Breast Cancer: A SEER Database Study.

Background: The use of systemic therapy in elderly patients with Her2/neu-positive breast cancers has been questioned given the potential for cardiac side effects with several of the agents frequently used. This study aimed to evaluate trends in use of systemic therapy in patients 70 years and older.

Methods: The 2010-2016 SEER database was used to collect data on female patients with non-metastatic Her2/neu-positive breast cancer.

Evaluation of Resuscitative Endovascular Balloon Occlusion of the Aorta Complications in a Community-Based Trauma Center.

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a method of management of noncompressible torso hemorrhage in trauma patients. Increased utilization has shown increased vascular complications and mortality. This study aimed to evaluate complications of REBOA placement in a community trauma setting.

Sleeve Gastrectomy: Does the Amount of Stomach Removed Matter?

Purpose: Data regarding the associations between percent weight loss and the volume and weight of stomach resected during sleeve gastrectomy (SG) are mixed. The purpose of this study was to evaluate the effect of the size and volume of stomach removed during laparoscopic SG on percent total body weight lost (%TBWL).

Methods: An observational case series study was performed on 67 patients for 1 year after SG at a single university-affiliated, tertiary care hospital.

Is Two Better Than One? A Retrospective Study on Colorectal Surgery Outcomes Using the Da Vinci Dual-Console Robot.

Introduction: The da Vinci surgical system has become standard in many specialties. The dual-console system has increased console time for residents during their training. This study evaluated patient outcomes using the single- versus dual-console system in resident training.

Comparing Outcomes of Robotic-Assisted versus Conventional Laparoscopic Hiatal Hernia Repair.

Introduction: Robotic-assisted laparoscopic surgery for anti-reflux and hiatal hernia surgery is becoming increasingly prevalent. The purpose of this study was to compare hospital length of stay and outcomes of robotic-assisted versus conventional laparoscopic hiatal hernia repair.

Methods: A retrospective review was conducted of 58 patients who underwent robotic-assisted laparoscopic (n = 16, 27.

Development of a Near Peer Clinical Anatomy Review Session during the Surgery Clerkship: Pre- and Post-Test Results among Third Year Medical Students.

Introduction: Our institution created a review of anatomy relevant to general surgery for third-year medical students. This study was designed to evaluate this review program and determine if participation increased third-year medical students' anatomy knowledge and confidence identifying anatomical structures in the operating room.

Methods: A formalin-embalmed cadaver-based review of anatomy was created and taught in near-peer fashion to third-year medical students.

The Emergent General Surgical Patient: Evaluation Patterns in the Emergency Department.

Introduction: Emergency general surgery patients represent a growing segment of general surgical admissions and national healthcare burden. A paucity of literature exists evaluating the work-up of these patients presenting to the Emergency Department (ED), particularly possible evaluation differentials between emergency physicians and physician assistants or advanced practice registered nurses (PA/ APRNs). The purpose of this study was to evaluate differences in ED work-up of general surgical patients between emergency physicians and PA/APRNs.

An analysis of missed injuries at a level 1 trauma center with a tertiary survey protocol.

Background: Tertiary surveys can help identify missed injuries, but how and when to conduct them remains uncertain. This study aimed to evaluate the outcomes of a policy requiring tertiary survey completion within 24 h post-admission.

Methods: A retrospective review was performed with a pre-intervention time-period of 8/1/2019-1/31/2020, where tertiary surveys were performed prior to discharge (n = 762).

The Effect of Insurance Status on Bariatric Surgery Outcomes: A Retrospective Chart Review Study.

Background: Prior studies have shown socioeconomic factors and race to affect weight loss after bariatric surgery, but few have focused on the impact of insurance status. The purpose of this study was to determine if insurance status affects bariatric surgery patients' surgical outcomes and weight loss.

Methods: A retrospective review was conducted of 408 bariatric patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (SG).

Geriatric Trauma Patients: Outcomes Before and After Addition of a Hospitalist Consultation.

Background: Research has shown improvements in patient care and outcomes with addition of a rounding geriatrician. The purpose of this study was to determine if addition of a hospitalist consultation improved patient outcomes.

Methods: A retrospective review was conducted of all trauma patients, ≥65 years, before (n=481) and after (n=430) addition of a hospitalist consultant.

Is mechanical bowel preparation necessary in bariatric surgery?

Background: Historically, mechanical bowel preparation (MBP) is performed prior to bariatric procedures; but our counter parts in colorectal surgery have shown that no-MBP is non-inferior to MBP, in regard to post-operative complications. The purpose of our study was to show that no-MBP prior to bariatric surgery is also non-inferior to MBP.

Methods: A prospective, randomized, controlled trial was conducted on patients undergoing bariatric surgical procedures (Roux-en-Y Gastric Bypass, or Sleeve Gastrectomy).

Does Adding a Fissurectomy to Botox Sphincterotomy Increase Success Rate or Just Cost?

Background: While Botox sphincterotomy with or without fissurectomy has been proven effective in healing anal fissures, they have not been directly compared. We evaluated cost-effectiveness and outcomes between Botox sphincterotomies with and without fissurectomy.

Methods: A 5-year retrospective review was conducted comparing all patients undergoing Botox sphincterotomy for anal fissure with or without fissurectomy.

Chief Resident Indirect Supervision in Training Safety Study: Is a Chief Resident General Surgery Service Safe for Patients?

Objective: There has been concern expressed amongst the medical educational community regarding the readiness of general surgery residents in the United States to be competent practicing attendings upon graduation and that limited autonomy may be a contributing factor to this unpreparedness. The purpose of this study was to evaluate an RRC-accredited general surgery residency chief resident acute care surgery service with indirect supervision of cases in terms of safety and outcomes compared to traditional general surgeon cases with direct supervision. The study focused on common general surgical procedures, specifically cholecystectomies, appendectomies, and inguinal and ventral hernia repairs.

Residency Prep Course Instills Confidence in Interns.

Introduction: Physicians entering surgical residency often feel unprepared for tasks expected of them beginning July 1, including responding to pages, writing orders, doing procedures independently, and a multitude of other requirements. Our aim was to design a surgical boot camp to help graduating senior medical students feel more confident entering residency.

Methods: A two-week intensive surgery residency prep course was conducted in the spring of 2019 at an Accreditation Council for Graduate Medical Education-accredited General Surgery residency program.

Could lymph node evaluation be eliminated in nearly 50% of women with early stage ER/PR positive breast cancer?

Background: The Society of Surgical Oncology introduced guidance discouraging routine axillary staging in women 70 years or older with invasive, clinically node negative, hormone-receptor positive breast cancer. Due to concerns this could result in patients missing necessary treatment, researchers from the Mayo Clinic developed a rule to distinguish between those at low/high-risk of having positive nodes. The purpose of this study was to validate the Mayo Clinic rule in women of all ages.