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Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic
BACKGROUND: Resident clinics are thought to catalyze educational milestone achievement through opportunities for progressively autonomous surgical care, but studies are lacking for general plastic surgery resident clinics (PSRCs). We demonstrate the achievement of increased surgical autonomy and con...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459631/ https://www.ncbi.nlm.nih.gov/pubmed/28607848 http://dx.doi.org/10.1097/GOX.0000000000001318 |
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author | Day, Kristopher M. Scott, Jillian K. Gao, Lani Lee, Tara M. Waldrop, Jimmy L. Sargent, Larry A. Kennedy, J. Woody Rehm, Jason P. Brzezienski, Mark A. |
author_facet | Day, Kristopher M. Scott, Jillian K. Gao, Lani Lee, Tara M. Waldrop, Jimmy L. Sargent, Larry A. Kennedy, J. Woody Rehm, Jason P. Brzezienski, Mark A. |
author_sort | Day, Kristopher M. |
collection | PubMed |
description | BACKGROUND: Resident clinics are thought to catalyze educational milestone achievement through opportunities for progressively autonomous surgical care, but studies are lacking for general plastic surgery resident clinics (PSRCs). We demonstrate the achievement of increased surgical autonomy and continuity of care in a PSRC. METHODS: A retrospective review of all patients seen in a PSRC from October 1, 2010, to October 1, 2015, was conducted. Our PSRC is supervised by faculty plastic surgery attendings, though primarily run by chief residents in an accredited independent plastic surgery training program. Surgical autonomy was scored on a 5-point scale based on dictated operative reports. Graduated chief residents were additionally surveyed by anonymous online survey. RESULTS: Thousand one hundred forty-four patients were seen in 3,390 clinic visits. Six hundred fifty-three operations were performed by 23 total residents, including 10 graduating chiefs. Senior resident autonomy averaged 3.5/5 (SD = 1.5), 3.6/5 (SD = 1.5), to 3.8/5 (SD = 1.3) in postgraduate years 6, 7, and 8, respectively. A linear mixed model analysis demonstrated that training level had a significant impact on operative autonomy when comparing postgraduate years 6 and 8 (P = 0.026). Graduated residents’ survey responses (N = 10; 100% response rate) regarded PSRC as valuable for surgical experience (4.1/5), operative autonomy (4.4/5), medical knowledge development (4.7/5), and the practice of Accreditation Council of Graduate Medical Education core competencies (4.3/5). Preoperative or postoperative continuity of care was maintained in 93.5% of cases. CONCLUSION: The achievement of progressive surgical autonomy may be demonstrated within a PSRC model. |
format | Online Article Text |
id | pubmed-5459631 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-54596312017-06-12 Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic Day, Kristopher M. Scott, Jillian K. Gao, Lani Lee, Tara M. Waldrop, Jimmy L. Sargent, Larry A. Kennedy, J. Woody Rehm, Jason P. Brzezienski, Mark A. Plast Reconstr Surg Glob Open Special Topic BACKGROUND: Resident clinics are thought to catalyze educational milestone achievement through opportunities for progressively autonomous surgical care, but studies are lacking for general plastic surgery resident clinics (PSRCs). We demonstrate the achievement of increased surgical autonomy and continuity of care in a PSRC. METHODS: A retrospective review of all patients seen in a PSRC from October 1, 2010, to October 1, 2015, was conducted. Our PSRC is supervised by faculty plastic surgery attendings, though primarily run by chief residents in an accredited independent plastic surgery training program. Surgical autonomy was scored on a 5-point scale based on dictated operative reports. Graduated chief residents were additionally surveyed by anonymous online survey. RESULTS: Thousand one hundred forty-four patients were seen in 3,390 clinic visits. Six hundred fifty-three operations were performed by 23 total residents, including 10 graduating chiefs. Senior resident autonomy averaged 3.5/5 (SD = 1.5), 3.6/5 (SD = 1.5), to 3.8/5 (SD = 1.3) in postgraduate years 6, 7, and 8, respectively. A linear mixed model analysis demonstrated that training level had a significant impact on operative autonomy when comparing postgraduate years 6 and 8 (P = 0.026). Graduated residents’ survey responses (N = 10; 100% response rate) regarded PSRC as valuable for surgical experience (4.1/5), operative autonomy (4.4/5), medical knowledge development (4.7/5), and the practice of Accreditation Council of Graduate Medical Education core competencies (4.3/5). Preoperative or postoperative continuity of care was maintained in 93.5% of cases. CONCLUSION: The achievement of progressive surgical autonomy may be demonstrated within a PSRC model. Wolters Kluwer Health 2017-05-04 /pmc/articles/PMC5459631/ /pubmed/28607848 http://dx.doi.org/10.1097/GOX.0000000000001318 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Special Topic Day, Kristopher M. Scott, Jillian K. Gao, Lani Lee, Tara M. Waldrop, Jimmy L. Sargent, Larry A. Kennedy, J. Woody Rehm, Jason P. Brzezienski, Mark A. Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic |
title | Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic |
title_full | Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic |
title_fullStr | Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic |
title_full_unstemmed | Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic |
title_short | Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic |
title_sort | progressive surgical autonomy in a plastic surgery resident clinic |
topic | Special Topic |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459631/ https://www.ncbi.nlm.nih.gov/pubmed/28607848 http://dx.doi.org/10.1097/GOX.0000000000001318 |
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