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S/he who can, does and teaches. S/he who cannot, doesn't.
John L Falcone1, Peter F Ferson1, Giselle G Hamad1
1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Superior general surgery residents who excel in teaching also demonstrate higher laparoscopic skills and content knowledge, challenging the notion that those who cannot perform, teach. This study analyzed chief residents' performance and teaching awards.
Area of Science:
- Medical Education
- Surgical Skills Assessment
- Resident Training
Background:
- The adage 'he who can, does; he who cannot, teaches' is commonly cited.
- This study investigates the validity of this saying in the context of general surgery chief residents.
Purpose of the Study:
- To determine if general surgery chief residents with superior teaching abilities also possess higher technical and cognitive surgical skills.
- To challenge the traditional notion that poor performers become teachers.
Main Methods:
- Retrospective analysis of general surgery chief residents from 2009-2013.
- Technical skill assessment using the Fundamentals of Laparoscopic Surgery (FLS) examination.
- Teaching ability evaluation via medical student Likert scale scores and teaching awards (Arnold P. Gold, graduating class surgical teaching award, Alpha Omega Alpha induction).
Main Results:
- Residents who won teaching awards generally outperformed non-winners in the cognitive FLS section (p < 0.05).
- No significant difference in manual skills FLS scores was observed between award recipients and non-recipients for the Arnold P. Gold Award or the graduating class award.
- Residents inducted into Alpha Omega Alpha showed significantly higher FLS manual skills scores than those not inducted (p = 0.01).
Conclusions:
- Superior resident teachers may possess greater content knowledge.
- Evidence suggests a correlation between effective resident teaching and higher laparoscopic skills.
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