Who did the case? Perceptions on resident operative participation
Abstract Background The ACGME case log is one of the primary metrics used to determine resident competency; it is unclear if this is an accurate reflection of the residents' role and participation. Methods Residents and faculty were independently administered 16-question surveys following each...
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| Veröffentlicht in: | The American journal of surgery 2017-04, Vol.213 (4), p.821-826 |
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| container_title | The American journal of surgery |
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| creator | Perone, Jennifer A Fankhauser, Grant T Adhikari, Deepak Mehta, Hemalkumar B Woods, Majka B Strohmeyer, John H Tyler, Douglas S Brown, Kimberly M |
| description | Abstract Background The ACGME case log is one of the primary metrics used to determine resident competency; it is unclear if this is an accurate reflection of the residents' role and participation. Methods Residents and faculty were independently administered 16-question surveys following each case over a three-week period. The main outcome was agreement between resident and faculty on resident role and percent of the case performed by the resident. Results Matched responses were collected for 87 cases. Agreement on percent performed occurred in 61% of cases, on role in 63%, and on both in 47%. Disagreement was more often due to resident perception they performed more of the case. Faculty with |
| doi_str_mv | 10.1016/j.amjsurg.2016.11.002 |
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Perceptions on resident operative participation</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>ProQuest Central UK/Ireland</source><creator>Perone, Jennifer A ; Fankhauser, Grant T ; Adhikari, Deepak ; Mehta, Hemalkumar B ; Woods, Majka B ; Strohmeyer, John H ; Tyler, Douglas S ; Brown, Kimberly M</creator><creatorcontrib>Perone, Jennifer A ; Fankhauser, Grant T ; Adhikari, Deepak ; Mehta, Hemalkumar B ; Woods, Majka B ; Strohmeyer, John H ; Tyler, Douglas S ; Brown, Kimberly M</creatorcontrib><description>Abstract Background The ACGME case log is one of the primary metrics used to determine resident competency; it is unclear if this is an accurate reflection of the residents' role and participation. Methods Residents and faculty were independently administered 16-question surveys following each case over a three-week period. The main outcome was agreement between resident and faculty on resident role and percent of the case performed by the resident. Results Matched responses were collected for 87 cases. Agreement on percent performed occurred in 61% of cases, on role in 63%, and on both in 47%. Disagreement was more often due to resident perception they performed more of the case. Faculty with <10 years experience were more likely to have disagreement compared to faculty with ≥10 years (p = 0.009). Conclusions There was a high degree of disagreement between faculty and residents regarding percent of the case performed and role. Accurate understanding of participation and competency is vital for accrediting institutions and for resident self-assessment meriting further study of the causes for this disagreement to improve training and evaluation.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2016.11.002</identifier><identifier>PMID: 27866727</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Agreements ; Clinical Competence ; Competency ; Faculty, Medical ; General Surgery - education ; Humans ; Institutions ; Internship and Residency ; Medical residencies ; Milestones ; Operative skills ; Participation ; Perceptions ; Residency training ; Role ; Self-Assessment ; Skills ; Surgeons ; Surgery ; Surgical education ; Surveys and Questionnaires ; Teaching assistants ; Texas ; Training</subject><ispartof>The American journal of surgery, 2017-04, Vol.213 (4), p.821-826</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Apr 1, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c583t-c9cb9af59ed6b87797390e53fa6fe704237ff0029b2e8ea16c464e5dfc52a29a3</citedby><cites>FETCH-LOGICAL-c583t-c9cb9af59ed6b87797390e53fa6fe704237ff0029b2e8ea16c464e5dfc52a29a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1884198976?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,45974,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27866727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perone, Jennifer A</creatorcontrib><creatorcontrib>Fankhauser, Grant T</creatorcontrib><creatorcontrib>Adhikari, Deepak</creatorcontrib><creatorcontrib>Mehta, Hemalkumar B</creatorcontrib><creatorcontrib>Woods, Majka B</creatorcontrib><creatorcontrib>Strohmeyer, John H</creatorcontrib><creatorcontrib>Tyler, Douglas S</creatorcontrib><creatorcontrib>Brown, Kimberly M</creatorcontrib><title>Who did the case? Perceptions on resident operative participation</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background The ACGME case log is one of the primary metrics used to determine resident competency; it is unclear if this is an accurate reflection of the residents' role and participation. Methods Residents and faculty were independently administered 16-question surveys following each case over a three-week period. The main outcome was agreement between resident and faculty on resident role and percent of the case performed by the resident. Results Matched responses were collected for 87 cases. Agreement on percent performed occurred in 61% of cases, on role in 63%, and on both in 47%. Disagreement was more often due to resident perception they performed more of the case. Faculty with <10 years experience were more likely to have disagreement compared to faculty with ≥10 years (p = 0.009). Conclusions There was a high degree of disagreement between faculty and residents regarding percent of the case performed and role. Accurate understanding of participation and competency is vital for accrediting institutions and for resident self-assessment meriting further study of the causes for this disagreement to improve training and evaluation.</description><subject>Agreements</subject><subject>Clinical Competence</subject><subject>Competency</subject><subject>Faculty, Medical</subject><subject>General Surgery - education</subject><subject>Humans</subject><subject>Institutions</subject><subject>Internship and Residency</subject><subject>Medical residencies</subject><subject>Milestones</subject><subject>Operative skills</subject><subject>Participation</subject><subject>Perceptions</subject><subject>Residency training</subject><subject>Role</subject><subject>Self-Assessment</subject><subject>Skills</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical education</subject><subject>Surveys and Questionnaires</subject><subject>Teaching assistants</subject><subject>Texas</subject><subject>Training</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNUk1v1DAQtRCILoWfAIrEhUuCPxJ_XFpVFQWkSiAB4jjyOpOul2wc7GSl_vs62qVAL3Cyxn7z_Oa9IeQloxWjTL7dVna3TXO8qXguK8YqSvkjsmJamZJpLR6TFc1XpZGMnpBnKW1zyVgtnpITrrSUiqsVufi-CUXr22LaYOFswvPiM0aH4-TDkIowFBGTb3GYijBitJPfYzHaOHnnR7uAnpMnne0Tvjiep-Tb1buvlx_K60_vP15eXJeu0WIqnXFrY7vGYCvXWimjhKHYiM7KDhWtuVBdl_WaNUeNlklXyxqbtnMNt9xYcUrODrzjvN5h67KkaHsYo9_ZeAvBevj7ZfAbuAl7kFIzzZtM8OZIEMPPGdMEO58c9r0dMMwJsmnaSE25_A9ozZtaclFn6OsH0G2Y45CdWAhrZrRRC2FzQLkYUorY3etmFJY8YQvHPGHJExiDbEbue_Xn0PddvwLMgPMDALP1e48RkvM4OGx9RDdBG_w_vzh7wOB6P3hn-x94i-n3NJA4UPiyLNWyU0wKqqnS4g69X8kg</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Perone, Jennifer A</creator><creator>Fankhauser, Grant T</creator><creator>Adhikari, Deepak</creator><creator>Mehta, Hemalkumar B</creator><creator>Woods, Majka B</creator><creator>Strohmeyer, John H</creator><creator>Tyler, Douglas S</creator><creator>Brown, Kimberly M</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170401</creationdate><title>Who did the case? Perceptions on resident operative participation</title><author>Perone, Jennifer A ; Fankhauser, Grant T ; Adhikari, Deepak ; Mehta, Hemalkumar B ; Woods, Majka B ; Strohmeyer, John H ; Tyler, Douglas S ; Brown, Kimberly M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-c9cb9af59ed6b87797390e53fa6fe704237ff0029b2e8ea16c464e5dfc52a29a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Agreements</topic><topic>Clinical Competence</topic><topic>Competency</topic><topic>Faculty, Medical</topic><topic>General Surgery - education</topic><topic>Humans</topic><topic>Institutions</topic><topic>Internship and Residency</topic><topic>Medical residencies</topic><topic>Milestones</topic><topic>Operative skills</topic><topic>Participation</topic><topic>Perceptions</topic><topic>Residency training</topic><topic>Role</topic><topic>Self-Assessment</topic><topic>Skills</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical education</topic><topic>Surveys and Questionnaires</topic><topic>Teaching assistants</topic><topic>Texas</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perone, Jennifer A</creatorcontrib><creatorcontrib>Fankhauser, Grant T</creatorcontrib><creatorcontrib>Adhikari, Deepak</creatorcontrib><creatorcontrib>Mehta, Hemalkumar B</creatorcontrib><creatorcontrib>Woods, Majka B</creatorcontrib><creatorcontrib>Strohmeyer, John H</creatorcontrib><creatorcontrib>Tyler, Douglas S</creatorcontrib><creatorcontrib>Brown, Kimberly M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perone, Jennifer A</au><au>Fankhauser, Grant T</au><au>Adhikari, Deepak</au><au>Mehta, Hemalkumar B</au><au>Woods, Majka B</au><au>Strohmeyer, John H</au><au>Tyler, Douglas S</au><au>Brown, Kimberly M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Who did the case? Perceptions on resident operative participation</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>213</volume><issue>4</issue><spage>821</spage><epage>826</epage><pages>821-826</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Abstract Background The ACGME case log is one of the primary metrics used to determine resident competency; it is unclear if this is an accurate reflection of the residents' role and participation. Methods Residents and faculty were independently administered 16-question surveys following each case over a three-week period. The main outcome was agreement between resident and faculty on resident role and percent of the case performed by the resident. Results Matched responses were collected for 87 cases. Agreement on percent performed occurred in 61% of cases, on role in 63%, and on both in 47%. Disagreement was more often due to resident perception they performed more of the case. Faculty with <10 years experience were more likely to have disagreement compared to faculty with ≥10 years (p = 0.009). Conclusions There was a high degree of disagreement between faculty and residents regarding percent of the case performed and role. Accurate understanding of participation and competency is vital for accrediting institutions and for resident self-assessment meriting further study of the causes for this disagreement to improve training and evaluation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27866727</pmid><doi>10.1016/j.amjsurg.2016.11.002</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of surgery, 2017-04, Vol.213 (4), p.821-826 |
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| subjects | Agreements Clinical Competence Competency Faculty, Medical General Surgery - education Humans Institutions Internship and Residency Medical residencies Milestones Operative skills Participation Perceptions Residency training Role Self-Assessment Skills Surgeons Surgery Surgical education Surveys and Questionnaires Teaching assistants Texas Training |
| title | Who did the case? Perceptions on resident operative participation |
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