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See one, do one, and teach none: resident experience as a teaching assistant
Teviah E Sachs1, Timothy M Pawlik2
1Department of Surgery, Boston Medical Center, Boston, Massachusetts.
The Journal of Surgical Research
|February 24, 2015
Summary
Surgical resident operative case volumes remained stable, but teaching assistant (TA) cases significantly decreased. Graduating residents have fewer opportunities to gain confidence through teaching roles.
Area of Science:
- Medical Education
- Surgical Training
- Graduate Medical Education
Background:
- Surgical resident training relies on progressive autonomy.
- Trends in operative volume and teaching cases for graduating residents require definition.
Purpose of the Study:
- To analyze trends in operative case volume and teaching cases for graduating general surgery residents over time.
Main Methods:
- Utilized Accreditation Council for Graduate Medical Education case logs (1999-2012).
- Analyzed median cases performed as surgeon chief, surgeon junior, and teaching assistant (TA).
Main Results:
- Overall case volume remained stable; surgeon junior cases slightly increased, surgeon chief cases slightly decreased.
- Median teaching assistant (TA) cases decreased by 79%, with significant declines in thoracic and breast surgery.
- Large intestine, biliary, and abdominal hernia repairs were most frequent, but teaching cases declined across all categories.
Conclusions:
- Graduating surgical residents (GSRs) have fewer teaching assistant (TA) case opportunities.
- Increased TA opportunities during residency may enhance surgeon confidence upon graduation.
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