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Lemonade from lemons: a program response to RRC-determined probation.

Fassler1, Dobkin, Horowitz

  • 1Department of Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA

Current Surgery
|October 12, 2000
PubMed
Summary
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Surgical residency probation prompted significant program reengineering, leading to improved resident satisfaction and a better learning environment. These changes positively impacted resident perceptions and overall program quality.

Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Program Improvement

Background:

  • The University of Connecticut Integrated General Surgery Residency (UCIGSR) faced probation due to deficiencies cited by the Residency Review Committee (RRC).
  • Issues included inadequate evaluations, documentation problems, lack of conferences, faculty involvement, excessive work hours, and low morale.

Purpose of the Study:

  • To assess resident satisfaction following comprehensive changes implemented in response to probation.
  • To evaluate the impact of program reengineering on the surgical residency learning environment.

Main Methods:

  • A survey with 65 questions was administered to residents before the RRC report and at 6-month intervals post-probation.
  • The survey assessed the learning environment, support, work-life balance, and overall working conditions on a 4-point scale.

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Main Results:

  • Resident survey data indicated improved perceptions and increased satisfaction with the program.
  • Implemented changes positively affected the residency program, correlating with areas of intervention.

Conclusions:

  • Probation served as a catalyst for substantial improvement in the surgical residency program.
  • The reengineering process, driven by resident feedback and faculty involvement, enhanced the educational experience and satisfaction.