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US general surgical trainee performance for representative global surgery procedures.

Kenneth L Abbott1, Gifty Kwakye2, Grace J Kim2

  • 1Center for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA; University of Michigan Medical School, Ann Arbor, MI, USA.

American Journal of Surgery
|June 13, 2021
PubMed
Summary
This summary is machine-generated.

Many US general surgery residents lack proven competence in essential global surgery procedures. Competency rates for critical global surgery skills were below 90% for some procedures at graduation.

Keywords:
General surgeryGlobal surgeryPerformanceProcedureResident

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Area of Science:

  • Global Surgery
  • Surgical Education
  • Medical Professional Learning

Background:

  • Interest in global surgery is high among US general surgery residents.
  • Resident competence in essential global surgery procedures remains largely unknown.
  • Assessing surgical skills is crucial for effective global health initiatives.

Purpose of the Study:

  • To evaluate the operative competence of US general surgery residents.
  • To identify procedural gaps relevant to global surgical practice.
  • To inform surgical training programs for global health.

Main Methods:

  • Utilized longitudinal operative performance data from the SIMPL registry.
  • Analyzed 12,976 procedures performed by 1,584 residents across 52 programs.
  • Employed a Bayesian generalized linear mixed model to estimate graduation competence.

Main Results:

  • Assessed competence in 17 of 31 (55%) key global surgery procedures.
  • Graduating residents achieved a 0.95 probability of competence for most procedures.
  • Competence fell below 0.9 for 3 critical observed procedures.

Conclusions:

  • Significant gaps exist in US general surgery resident preparedness for global surgery.
  • Training must address specific procedural deficits for global surgical settings.
  • Data-driven insights can enhance surgical education for global health.