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Characteristics Associated With Outstanding General Surgery Residency Graduate Performance, as Rated by Surgical

Amanda C Purdy1, Brian R Smith2, Farin Amersi3

  • 1Department of Surgery, Harbor-University of California, Los Angeles Medical Center, Torrance.

JAMA Surgery
|August 10, 2022
PubMed

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Summary
This summary is machine-generated.

Outstanding surgical residents excel in surgical judgment and leadership. These key qualities, along with medical knowledge, are crucial for predicting overall performance and guiding surgical education.

Area of Science:

  • Surgical Education
  • Medical Training Assessment

Background:

  • The defining characteristics of exceptional graduating surgical residents are not well-established.
  • Identifying these traits is vital for refining resident selection and educational strategies.

Purpose of the Study:

  • To identify the specific qualities most strongly correlated with being recognized as an outstanding graduating surgical resident.

Main Methods:

  • A multi-institutional study involving expert panels and faculty evaluations across 14 general surgery residency programs.
  • Faculty ranked 297 residents (2017-2020) into performance quartiles and rated them on 21 identified characteristics using a 5-point Likert scale.
  • Spearman rank-order correlation and LASSO ordinal regression were employed to analyze associations between characteristics and overall performance.

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Main Results:

  • All 21 assessed characteristics positively correlated with overall resident performance.
  • Surgical judgment (r=0.728), leadership (r=0.726), postoperative clinical skills (r=0.715), and preoperative clinical skills (r=0.707) showed the strongest associations.
  • A LASSO model indicated that surgical judgment, leadership, and medical knowledge alone could accurately predict overall resident performance.

Conclusions:

  • All evaluated characteristics are linked to superior resident performance, with surgical judgment and leadership being paramount.
  • Surgical judgment, leadership, and medical knowledge are sufficient predictors of overall resident performance.
  • Curricula and assessments for surgical judgment and leadership skills should be prioritized within surgical residency programs.