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Keeping Open Surgery Alive: A Competency-Based Approach to Elevating Resident Skills.

Pamela B Andreatta1, Brenton Franklin1, Nicholas Koeberle1,2

  • 1From the Department of Surgery, Uniformed Services University of the Health Science and the Walter Reed National Military Medical Center, Bethesda, MD; and.

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Summary
This summary is machine-generated.

Surgical residents improved open procedural skills through quarterly cadaver training. Chief residents matched attending surgeons in trauma procedure performance, highlighting effective surgical education strategies.

Keywords:
emergency surgery competenciesensuring open-procedures competencyensuring surgical competencyopen-procedures competenciesprocedural assessmentsurgical assessmentsurgical residencysurgical training gapstrauma surgery competencies

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Area of Science:

  • Surgical Education
  • Trauma Surgery
  • Cadaver-Based Training

Background:

  • Surgical training faces challenges in balancing skill development for trauma/emergency surgery with limited procedural opportunities.
  • Innovative methods are needed to ensure residents gain proficiency in essential open surgical techniques.

Purpose of the Study:

  • To assess if surgical residents incrementally acquire open-procedural abilities via quarterly cadaver instruction.
  • To determine if chief residents achieve parity with attending surgeons in performing open trauma procedures.

Main Methods:

  • A 4-module, quarterly cadaver-based open procedures course was implemented for 60 surgical residents (PGY1-PGY5) over 3 years.
  • Knowledge and procedural competencies were assessed, and PGY5 resident performance was compared to attending surgeons for 33 trauma procedures.

Main Results:

  • Residents demonstrated sustained acquisition of knowledge (P < 0.01) and procedural performance (P < 0.05) across all training levels.
  • No significant performance differences were found between PGY5 residents and attending general surgeons in the 33 trauma procedures.

Conclusions:

  • Quarterly cadaver-based instruction effectively enhances surgical residents' open procedural skills for complex abdominal and vascular exposures.
  • Creative educational approaches, like this cadaver course, can successfully prepare surgeons for open procedures in trauma and emergency surgery.