Tag Archive for ‘resident training’
RAS-ACS Symposium essays: Shift work surgery: Loss of continuity or sensible balance of responsibility?
The topic of this year’s ACS Resident and Associate Society Symposium is Shift Work Surgery: Loss of Continuity or Sensible Balance of Responsibility; the following are the second-place essays submitted, offering views from both sides of the debate.
This essay supports the perspective that shift work has been successfully implemented in other surgical specialties, including acute care and in hospitalist programs, and can help address the issues of burnout and work-life integration.
This essay asserts that shift work disrupts the continuum of surgical patient care and interferes with residents’ full exposure to all phases of surgical care delivery.
Examines how the fields of aviation and education maintain successful approaches to building mental and emotional resilience and summarizes action items for developing a health care culture that fosters physician wellness.
The benefits associated with shift work, including improved job satisfaction and enhanced resident education opportunities, are described as are the challenges including the potential for diminished continuity of care.
The importance of international collaboration, with an emphasis on Italian surgeons who have contributed to this movement, is highlighted.
The ACS Clinical Scholars in Residence program is accepting applications for the 2020–2022 positions.
Outlines the history of locum tenens physicians and identifies the benefits and challenges associated with temporary staff surgeons.
RAS-ACS Symposium essays: Residents describe the benefits and challenges of physician extenders in academic surgery
The topic of this year’s Resident and Associate Society of the American College of Surgeons Symposium was Physician Extenders in Academic Surgery: Integrated Partner or Parallel Player? The following are the second place essays submitted featuring views from both sides of the debate.
The role of physician extenders in resident education is explored.
Summarizes the benefits of APPs including reducing resident workload and enhanced patient care.
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.