Tag Archive for ‘graduate medical education’

Dateline DC

Dateline: DC—House passes ACS priority bills before starting in-district work period

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.

Rural Surgery

Rural surgery: High pressure but rewarding

The challenges of practicing in a rural setting, including professional isolation, are explored in this month’s column.

Figure 1. Age range of ACS Governors

2015 ACS Governors Survey: Surgeons speak out on GME funding issues

Surgeons’ views on alternate sources of graduate medical education funding, based on the findings of the 2015 ACS Governors Survey, are summarized.

Big data and GME: Expanding the scope of patient safety and QI training

This month’s column explores big data as it relates to enhancing graduate medical education, specifically how studying this information increases residents’ sense of ownership over the development of quality improvement initiatives.

Emergency room entrance to Parirenyatwa Hospital in Harare, Zimbabwe.

Surgical training abroad: It’s not about the cases

The challenges of surgical training abroad are addressed in this article as is the collaboration between Stanford University and the University of Zimbabwe College of Health Sciences, which may serve as a model for other surgical training programs around the world.

Surgeons influence AMA policy

The annual meeting of the American Medical Association (AMA) House of Delegates took place June 7–11 in Chicago, IL. More than 800 delegates as well as alternate delegates converged on the Windy City to consider and adopt policy for the AMA.

Looking forward – April 2014

An update on the College’s Transition to Practice Program in General Surgery is the focus of Dr. Hoyt’s column this month, including a closer look at two institutions currently pilot testing the program.

The ACS Inspiring Quality timeline

The ACS NSQIP Quality In-Training Initiative: Educating residents to ensure the future of optimal surgical care

This article describes the ACS NSQIP® Quality In-Training Initiative and its three objectives: adaptation of ACS NSQIP data for use in graduate surgical education, development of a national quality improvement curriculum, and the creation of a culture in surgical education that emphasizes quality conscientiousness.

ACS Transition to Practice program offers residents additional opportunities to hone skills

In response to concerns regarding the preparedness of newly trained surgeons and their ability to work independently, the College has established the ACS Transition to Practice (TTP) program. This article offers an overview of the challenges involved in developing this program and the process the ACS will use in approving training programs to serve as sites for the TTP program.

Hold the onions: Training in an era of heightened diversity and expectations

In his introduction to the RAS-ACS–themed issue, which centers on the evolving demands in resident training, Brian J. Santin, MD, Chair of RAS-ACS, compares the recent dramatic changes in surgical practice and training to the increased diversity in culinary techniques, and provides an overview of the changes that occurred in graduate medical education over the last 20 years, including the implementation of work-hour restrictions and a focus on the delivery of patient-centered, coordinated care.

The role of politics in shaping surgical training

Political and socioeconomic factors have affected surgical education over the last several decades, and, in particular, government funding has had a significant impact on graduate medical education programs. This article addresses how surgical training has responded to external pressures, including surgical workforce shortages and resident work-hour restrictions, and considers the issue of patient consent as it relates to the role of surgical trainees.

Improved communication techniques enable residents to provide better care now and in the future

Underscoring the role of effective communication in delivering high-quality patient-centered care, this article describes how certain tools, including checklists and the development of multidisciplinary teams, can be used to improve the dissemination of key information.

International surgery provides opportunities for residents to serve and learn

Globalization has increased the need for surgeons and surgical trainees to provide care beyond the borders of North America, and surgical residents are responding and showing greater interest in international training opportunities. There are several reasons to pursue these opportunities, and this article provides an overview of the benefits of international training.

Early surgical subspecialization: A new paradigm? Part I

Several subspecialities have developed well-formed models for training programs independent of general surgery residency programs, and these programs in the areas of vascular, plastic and reconstructive, and cardiothoracic surgery are the focus of this article.

Early surgical subspecialization: A new paradigm? Part II

The authors of this article had the opportunity to discuss early specialization options and the ACS Transition to Practice in General Surgery program with residency directors and national leaders in surgical education. Excerpts from these interviews convey some prevailing thoughts on current experiences with early specialization, the challenges encountered, and the future of early specialization and general surgery training paradigms.

100 years of surgical education: The past, present, and future

From the Halstedian training model to the impact of robotics on surgical training in the 21st century, this article examines the evolution of surgical education and highlights the importance of developing new approaches to training and evaluation of skills.

Centennial reprint: Graduate training for general surgery and the surgical specialties

To help commemorate the American College of Surgeons’ (ACS) 100th anniversary, the Bulletin of the American College of Surgeons is reprinting articles centered on the issues and developments that have defined the character and integrity of the organization throughout its history. This month, the Bulletin is reprinting an article from the January 1939 issue titled Graduate Training for General Surgery and the Surgical Subspecialites.

Stakeholders invested in GME

The critical state of graduate medical education funding

The recession and deficit have compelled federal and state governments to begin withdrawing longstanding support for residents and teaching hospitals while, simultaneously, predictions about the health care workforce suggest that more physicians will need to be trained than the current system allows. This article offers recommendations for moving toward a rational, multi-stakeholder solution to the graduate medical education (GME) funding crisis.

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