Staff perceptions on the impact of a general surgery residency program

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Scientific Poster Presentations: 2014 Clinical Congress

(p<0.001). The correlation between GOALS-GH and checklist score was 0.89(p<0.01). CONCLUSIONS: TAPP checklist is a valid tool for the assessment of the surgical skill of TAPP procedure using surgical video. This tool may have the potential to be used to give the detailed feedback to the trainees of LIHR. Staff perceptions on the impact of a general surgery residency program Steven Perrins, MD, Conrad H Simpfendorfer, MD, Emanuele Lo Menzo, MD, FACS, Raul J Rosenthal, MD, FACS Cleveland Clinic Florida, Weston, FL INTRODUCTION: There is a well documented shortage of surgeons throughout the United States. The increases in residency positions are not able to keep up with this growth rate. This study’s aim is to provide the surgical community with information of pre and post General Surgery Residency Program (GSRP) implementation. METHODS: After institutional review board approval, a survey was designed to evaluate staff perception across 31 points to evaluate staff perception of residents after 18 months of interaction. The survey evaluated subjective opinion using 5 point scales with an option for “insufficient contact” for 28 of the 31 questions. The final 3 questions used a sliding scale that provided ranged values from 0-100. Survey responses were collected anonymously and managed using REDCap electronic data capture tool. Thirty two staff surgeons were included in the survey. RESULTS: Overwhelmingly, staff perception about the introduction of a surgical residency was positive. 92% of surgeons noted that residents improved the overall environment of the hospital for physicians. 92% of the surgeons in the study stated that training residents provides professional satisfaction. Conversely, only 58% of those questioned felt that surgical residents knew their patients well enough to be helpful on rounds. 81% felt that care of patients was not delayed because of resident involvement. It was also observed that staff surgeons felt cases were approximately 33% longer. CONCLUSIONS: General surgery residency implementation has had a positive influence on the staff surgeons involved after a period of 18 months at two separate hospitals in south Florida. Faculty assessment of resident medical knowledge, does it meet Accreditation Council for Graduate Medical Education (ACGME) core competency requirements? Johanna V Basa, MD, Daniel Chang, BS, Gainosuke Sugiyama, MD, FACS, Lisa S Dresner, MD, FACS, Roseanna Lee, MD, Antonio E Alfonso, MD, FACS State University of New York Downstate Medical Center, Brooklyn, NY INTRODUCTION: The Accreditation Council for Graduate Medical Education (ACGME) requires that all residents demonstrate

J Am Coll Surg

competency in 6 core areas; patient care, interpersonal and communication skills, medical knowledge, professionalism, practice-based learning, and systems-based practice. The goal of the competencies was to have an objective marker as basis to determine a program’s accreditation. Surgical educators use a variety of tools to assess resident knowledge, however the validity of these tools remain unclear. In this study, we investigated the relationship between faculty assessment of resident knowledge and performance on the American Board of Surgery In-Service Training Exam (ABSITE). We predict that there is poor correlation between faculty perception of resident knowledge and actual resident performance on the ABSITE. METHODS: Faculty in an ACGME approved university teaching general surgery residency completed a web based assessment of resident medical knowledge. Correlation between perceived medical knowledge and ABSITE scores was determined by the Pearson product-moment correlation coefficient. Rater reliability was determined by intra-class correlation. RESULTS: Rating of resident medical knowledge showed no significant correlation with ABSITE scores, Pearson correlation coefficient, r¼0.168 (p-value¼0.412). Furthermore, intra-class correlation for faculty ratings was poor as determined by intra-class correlation, ICC¼.422 (p-value¼0.106). CONCLUSIONS: The ACGME highlights six core competencies that all residents should be proficient in upon graduation. However, in our study we have found that faculty assessment of resident medical knowledge is not consistent with subsequent performance on standardized examinations. In order to more accurately evaluate surgical residents, residency programs should utilize more objective methods to assess competency in the area of medical knowledge. Analysis of the occupational stress of Korean surgeons Yoon-Jung Boo, MD, Ji-Sung Lee, MD, Sang-Hee Kang, MD Korea University College of Medicine, Seoul, South Korea INTRODUCTION: Surgery is a demanding and stressful field in Korea. Occupational stress can adversely affect quality of care, decrease job satisfaction, and potentially increase of medical errors. Despite the continuous decrease in volunteers for surgical residents, there has been no study for the occupational stress of surgeons in Korea. The aim of this study is to investigate the occupational stress of Korean surgeons. METHODS: We conducted an electronic survey of Korean surgeons for the occupational stress. Sixty-five questions were used to assess the demographics and occupational stress using the Korean occupational stress scale (KOSS) which was validated by the National Study for Development and Standardization of Occupational Stress in Korea. RESULTS: A total of 621 out of the 4,294 surgeons participated in this study (14.5%). The mean KOSS score of the survey was 49.319.95, which was higher than that of average Korean occupational stress (45.86, p<0.01) or that of other specialized professions