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Updated: Feb 17, 2026

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Creating a Needs Based Curriculum to Support General Surgery Preliminary Residents.

Shannon Barter1, Cynthia K Shortell1, Alisan Fathalizadeh1

  • 1Department of Surgery, Duke University School of Medicine, Durham, North Carolina.

Journal of Surgical Education
|February 15, 2026
PubMed
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A new support program was developed for non-designated preliminary residents (NDPRs) in general surgery. This program aims to improve the NDPR experience by addressing needs like tailored schedules and transparent expectations.

Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Programs

Background:

  • Non-designated preliminary residents (NDPRs) are crucial in general surgery programs.
  • NDPRs often face unique challenges and require targeted support.
  • Existing support structures may not fully address the specific needs of NDPRs.

Purpose of the Study:

  • To identify the needs of non-designated preliminary residents (NDPRs) within a general surgery residency.
  • To develop and pilot a needs-based peer support program for NDPRs.
  • To enhance the overall experience and career success of NDPRs.

Main Methods:

  • A needs assessment was conducted with former NDPRs from the past 7 years.
  • Feedback was gathered on recruitment, rotations, support, mentorship, and career progression.
Keywords:
career planninggeneral surgerymentorshippreliminary residents

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  • A year-long curriculum was developed based on resident input, including protected meeting time.

    • Main Results:

    • Key areas for improvement included tailored schedules and timely letters of recommendation.
    • Transparency regarding role expectations and advancement to categorical positions was a recurrent theme.
    • A structured support program with peer mentorship and faculty guidance was implemented.

    Conclusions:

    • NDPRs require institutional support and mentorship for successful career development.
    • The piloted support program provides a framework that can be adapted to individual residency program needs.
    • Formalized support can significantly enhance the preliminary residency experience.