Academic Journal
Surgical resident experience with common bile duct exploration and assessment of performance and autonomy with formative feedback
| العنوان: | Surgical resident experience with common bile duct exploration and assessment of performance and autonomy with formative feedback |
|---|---|
| المؤلفون: | Molly Q. Nyren, Amanda C. Filiberto, Patrick W. Underwood, Kenneth L. Abbott, Jeremy A. Balch, Francesca Dal Mas, Lorenzo Cobianchi, Philip A. Efron, Brian C. George, Benjamin Shickel, Gilbert R. Upchurch, George A. Sarosi, Tyler J. Loftus |
| المصدر: | World Journal of Emergency Surgery, Vol 18, Iss 1, Pp 1-9 (2023) |
| بيانات النشر: | BMC, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Surgery LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | Common bile duct exploration, Surgery, Feedback, Performance, Autonomy, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Abstract Background Common bile duct exploration (CBDE) is safe and effective for managing choledocholithiasis, but most US general surgeons have limited experience with CBDE and are uncomfortable performing this procedure in practice. Surgical trainee exposure to CBDE is limited, and their learning curve for achieving autonomous, practice-ready performance has not been previously described. This study tests the hypothesis that receipt of one or more prior CBDE operative performance assessments, combined with formative feedback, is associated with greater resident operative performance and autonomy. Methods Resident and attending assessments of resident operative performance and autonomy were obtained for 189 laparoscopic or open CBDEs performed at 28 institutions. Performance and autonomy were graded along validated ordinal scales. Cases in which the resident had one or more prior CBDE case evaluations (n = 48) were compared with cases in which the resident had no prior evaluations (n = 141). Results Compared with cases in which the resident had no prior CBDE case evaluations, cases with a prior evaluation had greater proportions of practice-ready or exceptional performance ratings according to both residents (27% vs. 11%, p = .009) and attendings (58% vs. 19%, p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1749-7922 |
| Relation: | https://doaj.org/toc/1749-7922 |
| DOI: | 10.1186/s13017-023-00480-0 |
| URL الوصول: | https://doaj.org/article/3b89c155a2334311b874ec43e11e6b78 |
| رقم الانضمام: | edsdoj.3b89c155a2334311b874ec43e11e6b78 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17497922 |
|---|---|
| DOI: | 10.1186/s13017-023-00480-0 |