- Email: [email protected]
Implementing a curriculum in surgical ethics at your institution
ASSOCIATION OF THE PROGRAM DIRECTORS IN SURGERY
Workshop Abstracts from the 2008 Annual Meeting of the APDS Evidence based reviews in surgery—Incorporating critical appraisal skills into your residency program. Brasel KJ, Cogbill T, McLeod R. Background: Evidence Based Reviews in Surgery (EBRS) was developed to teach the critical appraisal skills needed by practicing surgeons and residents to interpret and evaluate the surgical literature. A previous trial of practicing general surgeons demonstrated that participation in the online discussion and methodological critiques improved critical appraisal skills compared with receiving a journal article without this support. The American College of Surgeons supports EBRS, which is a benefit of membership for both practicing surgeons and residents. Recently, the American Society of Colorectal Surgeons has incorporated colorectal-specific packages for their members and trainees. Purpose: To introduce program directors to EBRS using demonstration and discussion. Methods: The components of EBRS include a peer-reviewed journal article, a methodological critique of the article, 2 critiques written by clinicians with expertise in the clinical subject area, and a listserv discussion. Eight packages are designed around 8 peer-reviewed journal articles per year. Presenters will demonstrate how to access all EBRS components. Examples of listserv discussion threads will be presented to demonstrate how this discussion improves analytic skills. Features important to Program Directors will be demonstrated, including how to track whether residents have downloaded articles and reviews. Program Directors with experience incorporating EBRS into their programs will facilitate discussion. Conclusions: After participation in this workshop, program directors can navigate the EBRS website, understand how EBRS can be incorporated into their program, and understand how to track resident progress in using EBRS materials. SAGES educational offerings to complement residency training in GI and minimally invasive surgery. Brunt LM,* Onders R,† Jones DB,‡ Scott D.§ From the SAGES Continuing Education, Resident Education, and Educational Resources Committees, *St. Louis, Missouri, †Cleveland, Ohio, ‡Boston, Massachusetts, and §Dallas, Texas. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has developed an extensive series of offerings in gastrointestinal (GI) and minimally invasive surgery (MIS) appropriate for surgical resident education. Among SAGES’s educational offerings for residents are 1) hands-on laparoscopic training courses, 2) SAGES postgraduate video courses, 3) Top 14 and “Pearls” video series, 4) SAGES grand rounds, and 5) the SAGES Web Learning Center. SAGES-sponsored resident training courses are held 6 times/year at no charge to R3–R5-level residents. These courses combine didactic lectures with hands-on laboratory training in basic and advanced laparoscopic techniques. The SAGES video library includes videotapes of selected videos of procedures and postgraduate courses from the Annual Meetings. The Top 14 collection demonstrates the operative technique for 14 of the most common laparoscopic procedures as performed by leading experts. The “Pearls” video series breaks down different laparoscopic procedures into the key steps of a successful procedure, demonstrating multiple approaches to each step. The SAGES Grand Rounds Master Series is a unique program produced as a series of DVDs that includes in-depth lectures, video segments, and case discussions on a variety of GI and MIS topics. Video chapter segments from the Grand Rounds and Pearls series can be used either as stand-alone materials for independent viewing by 26
residents or in faculty-led small group discussions or conferences. SAGES, in partnership with Cine-Med, has recently developed a Web Learning Center in which the above video materials are packaged with other educational materials (the SAGES Manual, the Atlas of Minimally Invasive Surgery, and assessment questions) into topical modules that are formatted ideally for resident education and assessment. In this workshop, examples of how SAGES educational materials may be used within a surgical residency program will be discussed, and the use of new technology, including video or audio downloads, and demonstration of the Web Learning Center will be presented. Opportunity will be provided for participants to access the online Learning Center and to listen to or view downloaded segments. This unique set of video educational materials may be especially valuable in programs that do not offer extensive educational opportunities in MIS. The new Web Learning Center should provide programs with easy resident access to a broad, structured educational curriculum in the field. Old Program Director’s Course—Module 2—Teaching and evaluating for the six core competencies. Cogbill T, Mellinger J, Kavic M, Termuhlen P. Sponsored by the APDS Education/Mentoring Committee, this workshop will focus on a comprehensive definition of each of the 6 ACGME Core Competencies, methods of including each of the competencies into a surgical residency curriculum, and effective methods of evaluation for each competency. We will encourage the participants to share their experiences with both problems and solutions in applying these techniques in their surgical residency programs. Implementing a curriculum in surgical ethics at your institution. Klingensmith ME,* McGrath MH.† From the *Washington University in Saint Louis, Missouri, and the †Division of Plastic Surgery, UCSF, San Francisco, California. Workshop purpose: This workshop will introduce program directors to Ethical Issues in Clinical Surgery, which is a case-based educational resource developed to help surgeons learn and teach surgical ethics to students, residents, fellows, and colleagues. Published by the Committee on Ethics of the American College of Surgeons, the printed materials are designed to serve as the basis for instituting a bioethics curriculum at the local level. These programs are meant to be taught by surgeons for surgeons. This resource can help program directors fulfill the requirements in the “Professionalism” competency area. Attendees should include those persons interested in implementing the teaching and dissemination of surgical ethics. Methods of presentation of material: The program will describe models that can be taught and employed in the classroom, at the bedside, and in the operating room. Workshop participants will be exposed to multimedia and audiovisual tools, asked to provide audience participation in organized debates about controversial cases, and taught on the use of institutional experts outside of surgery in launching an ethics curriculum. Objectives: 1. Introduce program directors to ACS Ethical Issues in Clinical Surgery resource. 2. Demonstrate how resource can be used in a variety of clinical settings. 3. Provide examples for how resource can be used in a variety of formats. 4. Provide tips for how to launch an ethics curriculum at participant’s institutions using readily accessible individuals and resources. 5. Demonstrate how the resource can be used to fulfill ACGME competency requirements.
Journal of Surgical Education • © 2008 Association of Program Directors in Surgery Published by Elsevier Inc. All rights reserved.
1931-7204/08/$30.00 doi:10.1016/j.jsurg.2008.01.001
Workshop Abstracts from the 2008 Annual Meeting of the APDS Evidence based reviews in surgery—Incorporating critical appraisal skills into your residency program. Brasel KJ, Cogbill T, McLeod R. Background: Evidence Based Reviews in Surgery (EBRS) was developed to teach the critical appraisal skills needed by practicing surgeons and residents to interpret and evaluate the surgical literature. A previous trial of practicing general surgeons demonstrated that participation in the online discussion and methodological critiques improved critical appraisal skills compared with receiving a journal article without this support. The American College of Surgeons supports EBRS, which is a benefit of membership for both practicing surgeons and residents. Recently, the American Society of Colorectal Surgeons has incorporated colorectal-specific packages for their members and trainees. Purpose: To introduce program directors to EBRS using demonstration and discussion. Methods: The components of EBRS include a peer-reviewed journal article, a methodological critique of the article, 2 critiques written by clinicians with expertise in the clinical subject area, and a listserv discussion. Eight packages are designed around 8 peer-reviewed journal articles per year. Presenters will demonstrate how to access all EBRS components. Examples of listserv discussion threads will be presented to demonstrate how this discussion improves analytic skills. Features important to Program Directors will be demonstrated, including how to track whether residents have downloaded articles and reviews. Program Directors with experience incorporating EBRS into their programs will facilitate discussion. Conclusions: After participation in this workshop, program directors can navigate the EBRS website, understand how EBRS can be incorporated into their program, and understand how to track resident progress in using EBRS materials. SAGES educational offerings to complement residency training in GI and minimally invasive surgery. Brunt LM,* Onders R,† Jones DB,‡ Scott D.§ From the SAGES Continuing Education, Resident Education, and Educational Resources Committees, *St. Louis, Missouri, †Cleveland, Ohio, ‡Boston, Massachusetts, and §Dallas, Texas. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has developed an extensive series of offerings in gastrointestinal (GI) and minimally invasive surgery (MIS) appropriate for surgical resident education. Among SAGES’s educational offerings for residents are 1) hands-on laparoscopic training courses, 2) SAGES postgraduate video courses, 3) Top 14 and “Pearls” video series, 4) SAGES grand rounds, and 5) the SAGES Web Learning Center. SAGES-sponsored resident training courses are held 6 times/year at no charge to R3–R5-level residents. These courses combine didactic lectures with hands-on laboratory training in basic and advanced laparoscopic techniques. The SAGES video library includes videotapes of selected videos of procedures and postgraduate courses from the Annual Meetings. The Top 14 collection demonstrates the operative technique for 14 of the most common laparoscopic procedures as performed by leading experts. The “Pearls” video series breaks down different laparoscopic procedures into the key steps of a successful procedure, demonstrating multiple approaches to each step. The SAGES Grand Rounds Master Series is a unique program produced as a series of DVDs that includes in-depth lectures, video segments, and case discussions on a variety of GI and MIS topics. Video chapter segments from the Grand Rounds and Pearls series can be used either as stand-alone materials for independent viewing by 26
residents or in faculty-led small group discussions or conferences. SAGES, in partnership with Cine-Med, has recently developed a Web Learning Center in which the above video materials are packaged with other educational materials (the SAGES Manual, the Atlas of Minimally Invasive Surgery, and assessment questions) into topical modules that are formatted ideally for resident education and assessment. In this workshop, examples of how SAGES educational materials may be used within a surgical residency program will be discussed, and the use of new technology, including video or audio downloads, and demonstration of the Web Learning Center will be presented. Opportunity will be provided for participants to access the online Learning Center and to listen to or view downloaded segments. This unique set of video educational materials may be especially valuable in programs that do not offer extensive educational opportunities in MIS. The new Web Learning Center should provide programs with easy resident access to a broad, structured educational curriculum in the field. Old Program Director’s Course—Module 2—Teaching and evaluating for the six core competencies. Cogbill T, Mellinger J, Kavic M, Termuhlen P. Sponsored by the APDS Education/Mentoring Committee, this workshop will focus on a comprehensive definition of each of the 6 ACGME Core Competencies, methods of including each of the competencies into a surgical residency curriculum, and effective methods of evaluation for each competency. We will encourage the participants to share their experiences with both problems and solutions in applying these techniques in their surgical residency programs. Implementing a curriculum in surgical ethics at your institution. Klingensmith ME,* McGrath MH.† From the *Washington University in Saint Louis, Missouri, and the †Division of Plastic Surgery, UCSF, San Francisco, California. Workshop purpose: This workshop will introduce program directors to Ethical Issues in Clinical Surgery, which is a case-based educational resource developed to help surgeons learn and teach surgical ethics to students, residents, fellows, and colleagues. Published by the Committee on Ethics of the American College of Surgeons, the printed materials are designed to serve as the basis for instituting a bioethics curriculum at the local level. These programs are meant to be taught by surgeons for surgeons. This resource can help program directors fulfill the requirements in the “Professionalism” competency area. Attendees should include those persons interested in implementing the teaching and dissemination of surgical ethics. Methods of presentation of material: The program will describe models that can be taught and employed in the classroom, at the bedside, and in the operating room. Workshop participants will be exposed to multimedia and audiovisual tools, asked to provide audience participation in organized debates about controversial cases, and taught on the use of institutional experts outside of surgery in launching an ethics curriculum. Objectives: 1. Introduce program directors to ACS Ethical Issues in Clinical Surgery resource. 2. Demonstrate how resource can be used in a variety of clinical settings. 3. Provide examples for how resource can be used in a variety of formats. 4. Provide tips for how to launch an ethics curriculum at participant’s institutions using readily accessible individuals and resources. 5. Demonstrate how the resource can be used to fulfill ACGME competency requirements.
Journal of Surgical Education • © 2008 Association of Program Directors in Surgery Published by Elsevier Inc. All rights reserved.
1931-7204/08/$30.00 doi:10.1016/j.jsurg.2008.01.001