Archive for August, 2018
Dr. Hoyt introduces the theme of this year’s RAS-ACS issue—resident autonomy as a stepping stone to independent surgical practice—and describes solutions that were discussed at the third Annual ACS Summit on Surgical Training.
In this introduction to the annual RAS-ACS issue, the author describes the challenges associated with balancing resident autonomy with patient safety.
Describes the surgeon’s role in advocacy-related efforts to enhance autonomy and summarizes regulations affecting medical training, including work-hour and billing restrictions.
Examines how surgeons can counsel patients on trainee participation in their care and discusses the “graded responsibility” model for surgical training.
Identifies tools for promoting self-efficacy among residents, such as curriculum development and mentorship programs, and outlines characteristics associated with grit.
Discusses recent studies examining gaps in perceptions of autonomy and describes the importance of aligning these views to improve resident operative independence.
Describes the role of entrustable professional activities to bridge the chasm between theory and clinical practice and summarizes the value of simulation training to improve both technical performance and enhance team building.
Training competent, confident, and autonomous surgeons is the goal of surgical residency and fellowships programs. However, the readiness of new graduates to transition to independent practice continues to be a topic of debate.1 The Halsted model—wherein trainees receive increasing responsibility with each advancing year—was first introduced by William S. Halsted, MD, FACS, in 1904. This […]
Describes the evolution of physician extenders (PEs) and the potential effect of PEs on resident education by reducing time spent with patients; highlights two models for PE assimilation into practice.
Blunt trauma-related clinical scenarios are presented to test the reader’s coding knowledge.
The authors conducted an observational study to determine the frequency and types of ethical issues that are addressed in a single institution’s M&M conferences.
Ongoing and future clinical trials examining how liquid biopsies may be a promising tool for early cancer diagnosis, prognosis, and recurrence are the focus of this month’s column.
Research identifying the frequency of burnout in surgeons is summarized, as are strategies for reducing health care provider stress.
This month’s column examines the occurrence of upper extremity compartment syndrome in the National Trauma Data Bank® (NTDB®) research dataset.
The 2018 Jacobson Innovation Award honors the accomplishments of Steven A. Rosenberg, MD, PhD, a surgical oncologist, for his pioneering work in the development of immunotherapy and gene therapy.
This month’s column summarizes three key health care proposals that were passed by the House in July: the Children’s Hospital GME Support Reauthorization Act, the Palliative Care and Hospice Education and Training Act, and the ASC Payment Transparency Act of 2018.
This article summarizes the highlights of the annual Leadership & Advocacy Summit in Washington, DC.
Lessons learned at the 2018 Leadership & Advocacy Summit are summarized in this resident’s report.
The goals of the ACS Women in Surgery Committee and its six subcommittees are summarized.
Coming next month in JACS and online now: Creating individual surgeon performance assessments in a statewide hospital surgical quality improvement collaborative
A study in an upcoming issue of JACS suggests that low surgeon-specific case volumes and minimal variance between surgeons may limit the utility of ACS NSQIP outcomes measures for individual profiling.