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Perspectives of Surgical Research Residents on Improving Their Reentry Into Clinical Training. | LitMetric

Perspectives of Surgical Research Residents on Improving Their Reentry Into Clinical Training.

J Surg Educ

Department of Surgery, Veterans Affairs Boston Healthcare System, Boston, MA; Department of Surgery, Boston Medical Center, Boston University, Boston, MA; Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Published: November 2024

AI Article Synopsis

  • The study investigates the concerns of surgery residents about losing clinical and surgical skills during research years and explores potential solutions for smoother reentry into clinical training.
  • A survey conducted among 102 residents showed that a significant majority felt a decline in their clinical aptitude and surgical skills, with many reporting anxiety and low confidence upon returning to residency.
  • Proposed interventions to mitigate skill decay included personalized development plans, structured clinical curricula during research, preceptorships, and simulation training throughout the research period.

Article Abstract

Objective: Concerns exist about clinical and operative skill decay in surgery residents when they dedicate time away from clinical training to pursue research. However, it remains undetermined how to best prevent these negative impacts. Our study evaluated the perspectives of surgical research residents on interventions to improve their reentry into clinical training.

Design, Setting, And Participants: An anonymous web-based survey was distributed between 5/01/2023 and 6/01/2023 to 102 current and former (within the previous 3 years) general surgery research residents from 4 academic medical centers in Boston, MA.

Results: Survey response rate was 35.3% (36/102 residents). About 22 of 36 residents (61.1%) felt that their clinical aptitude decreased during the research years, whereas 33 of 36 (91.7%) reported reduced surgical skills. When reflecting on their re-entry to residency, former research residents reported feeling anxious and less confident (3.84/5 on a 1-5 Likert scale) as well as being below the expected level of clinical performance (3.42/5). Most of them (12 of 17; 70.6%) reported that it took up to 6 months, whereas 5 of them (29.4%) up to 12 months to feel at the expected level. When compared to nonmoonlighting residents, those who moonlighted often and operated during moonlighting, denied a decrease in clinical and surgical skills, and reported less anxiety, higher confidence, and a quicker return to the expected level of performance. Interventions proposed for improving their clinical re-entry included individualized development plans for 3 months before returning to clinical training, established curriculum for clinical work throughout the research years, clinical preceptorships throughout the research years, and simulation curriculum throughout the research years.

Conclusions: General surgery residents feel that their clinical and surgical skills decreased during the research years, leading to anxiety and lack of confidence when returning to residency. Therefore, comprehensive interventions are needed to improve the reentry of the research residents into clinical training.

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Source
http://dx.doi.org/10.1016/j.jsurg.2024.07.005DOI Listing

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