Characteristics Associated With Outstanding General Surgery Residency Graduate Performance, as Rated by Surgical Educators.

Autor:	Purdy AC; Department of Surgery, Harbor-University of California, Los Angeles Medical Center, Torrance., Smith BR; Department of Surgery, University of California, Irvine Medical Center, Orange., Amersi F; Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California., Calhoun KE; Department of Surgery, University of Washington Medical Center, Seattle., Tolles J; Department of Emergency Medicine, Harbor-University of California, Los Angeles Medical Center, Torrance.; The Lundquist Institute, Torrance, California., Dauphine C; Department of Surgery, Harbor-University of California, Los Angeles Medical Center, Torrance., Holloway J; Department of Surgery, Cleveland Clinic Foundation, Cleveland, Ohio., Roy M; Department of Surgery, Cleveland Clinic Florida, Weston, Florida., Jarman BT; Department of Surgery, Gunderson Medical Foundation, La Crosse, Wisconsin., Han AY; Department of Surgery, Cleveland Clinic Foundation, Cleveland, Ohio., Neville AL; Department of Surgery, Harbor-University of California, Los Angeles Medical Center, Torrance., Dickinson KJ; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock., Salcedo ES; Department of Surgery, University of California, Davis, School of Medicine, Sacramento., Shields Frey E; Department of Surgery, Brookwood Baptist Medical Center, Birmingham, Alabama., Poola VP; Department of Surgery, Southern Illinois School of Medicine, Springfield., Murayama KM; Department of Surgery, University of Hawaii, Manoa., Chen F; Department of Surgery, University of California, Los Angeles., Wu E; Department of Surgery, Loma Linda University, California., Fleischman RJ; Department of Emergency Medicine, Harbor-University of California, Los Angeles Medical Center, Torrance.; The Lundquist Institute, Torrance, California., de Virgilio C; Department of Surgery, Harbor-University of California, Los Angeles Medical Center, Torrance.; The Lundquist Institute, Torrance, California.
Jazyk:	angličtina
Zdroj:	JAMA surgery [JAMA Surg] 2022 Oct 01; Vol. 157 (10), pp. 918-924.
DOI:	10.1001/jamasurg.2022.3340
Abstrakt:	Importance: Characteristics of outstanding graduating surgical residents are currently undefined. Identifying these qualities may be important in guiding resident selection and resident education. Objective: To determine characteristics that are most strongly associated with being rated as an outstanding graduating surgical resident. Design, Setting, and Participants: The multi-institutional study had 3 phases. First, an expert panel developed a list of characteristics embodied by top graduating surgical residents. Second, groups of faculty from 14 US general-surgery residency programs ranked 2017 through 2020 graduates into quartiles of overall performance. Third, faculty evaluated their graduates on each characteristic using a 5-point Likert scale. Data were analyzed using Spearman rank-order correlation to identify which individual characteristics were associated with overall graduate performance. A least absolute shrinkage and selection operator (LASSO) ordinal regression was performed to select a parsimonious model to predict the outcome of overall performance rating from individual characteristic scores. Main Outcome and Measures: Surgical educators' rankings of general surgery residency graduates' overall performance. Results: Fifty faculty from 14 US residency programs with a median of 13 (range, 5-30) years of surgical education experience evaluated 297 general surgery residency graduates. Surgical educators identified 21 characteristics that they believed outstanding graduating surgical residents possessed. Two hundred ninety-seven surgical residency graduates were evaluated. Higher scores in every characteristic correlated with better overall performance. Characteristics most strongly associated with higher overall performance scores were surgical judgment (r = 0.728; P < .001), leadership (r = 0.726; P < .001), postoperative clinical skills (r = 0.715; P < .001), and preoperative clinical skills (r = 0.707; P < .001). The remainder of the characteristics were moderately associated with overall performance. The LASSO regression model identified 3 characteristics from which overall resident performance could be accurately predicted without measuring other qualities: surgical judgment (odds ratio [OR] per 1 level of 5-level Likert scale OR, 1.27; 95% CI, 1.03-1.51), leadership (OR, 1.27; 95% CI, 1.06-1.48), and medical knowledge (OR, 1.16; 95% CI, 1.01-1.33). Conclusions and Relevance: All individual characteristics identified by surgical educators as being qualities of outstanding graduating surgical residents were positively associated with overall graduate performance. Surgical judgment and leadership skills had the strongest individual associations. Assessment of only 3 qualities (surgical judgment, leadership, and medical knowledge) were required to predict overall resident performance ratings. These findings highlight the importance of developing specific surgical judgment and leadership skills curricula and assessments during surgical residency.
Databáze:	MEDLINE
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