Resident Perception of Technical Skills Education and Preparation for Independent Practice

David D. Odell*, Ryan A. Macke, Vakhtang Tchantchaleishvili, Gabriel Loor, Jennifer S. Nelson, Damien J. LaPar, John F. LaZar, Benjamin Wei, Walter F. DeNino, Kathleen Berfield, William Stein, Samuel J. Youssef, Tom C. Nguyen

*Corresponding author for this work

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background Surgical skills are traditionally taught and practiced in the operating room. However, changes in health care policy and outcome-based evaluation have decreased trainee operative autonomy. We examined cardiothoracic residents’ perceptions of operative experience and the role of simulation. Methods The In-Training Examination (ITE) is taken each year by all residents. Completion of a 30-question preexamination survey is mandatory, ensuring a 100% response rate. Survey data related to operative experience, career preparedness, and surgical simulation were analyzed. Opinion questions were asked on a 5-point Likert scale. Respondents were grouped into three cohorts by training paradigm (2-year versus 3-year traditional programs and 6-year integrated programs). Results In all, 314 respondents (122 2-year, 96 3-year, and 96 6-year integrated) completed the survey. Of the three groups, residents in 3-year programs had the highest levels of satisfaction. Advanced training was most common among residents in 6-year integrated programs (66%, versus 49% for 2-year and 26% for 3-year programs; p = 0.63). Desire to specialize drove further training (97%), with 2% stating further training was needed owing to inadequacy and 1% owing to a poor job market. In all assessed categories, the majority of residents believed that simulation did not completely replicate the educational value of an operative case. Conclusions Cardiothoracic residents largely feel well prepared for the transition to practice under the current educational paradigm. Although many residents seek advanced training, it seems driven by the desire for specialization. Residents view simulation as an adjunct to traditional intraoperative education, but not as a viable replacement. Further study is necessary to better understand how best to integrate simulation with operative experience.

Original languageEnglish (US)
Pages (from-to)2305-2313
Number of pages9
JournalAnnals of Thoracic Surgery
Volume100
Issue number6
DOIs
StatePublished - Jan 1 2015

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Education
Operating Rooms
Health Policy
Surveys and Questionnaires
Delivery of Health Care

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Odell, D. D., Macke, R. A., Tchantchaleishvili, V., Loor, G., Nelson, J. S., LaPar, D. J., ... Nguyen, T. C. (2015). Resident Perception of Technical Skills Education and Preparation for Independent Practice. Annals of Thoracic Surgery, 100(6), 2305-2313. https://doi.org/10.1016/j.athoracsur.2015.05.135
Odell, David D. ; Macke, Ryan A. ; Tchantchaleishvili, Vakhtang ; Loor, Gabriel ; Nelson, Jennifer S. ; LaPar, Damien J. ; LaZar, John F. ; Wei, Benjamin ; DeNino, Walter F. ; Berfield, Kathleen ; Stein, William ; Youssef, Samuel J. ; Nguyen, Tom C. / Resident Perception of Technical Skills Education and Preparation for Independent Practice. In: Annals of Thoracic Surgery. 2015 ; Vol. 100, No. 6. pp. 2305-2313.
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title = "Resident Perception of Technical Skills Education and Preparation for Independent Practice",
abstract = "Background Surgical skills are traditionally taught and practiced in the operating room. However, changes in health care policy and outcome-based evaluation have decreased trainee operative autonomy. We examined cardiothoracic residents’ perceptions of operative experience and the role of simulation. Methods The In-Training Examination (ITE) is taken each year by all residents. Completion of a 30-question preexamination survey is mandatory, ensuring a 100{\%} response rate. Survey data related to operative experience, career preparedness, and surgical simulation were analyzed. Opinion questions were asked on a 5-point Likert scale. Respondents were grouped into three cohorts by training paradigm (2-year versus 3-year traditional programs and 6-year integrated programs). Results In all, 314 respondents (122 2-year, 96 3-year, and 96 6-year integrated) completed the survey. Of the three groups, residents in 3-year programs had the highest levels of satisfaction. Advanced training was most common among residents in 6-year integrated programs (66{\%}, versus 49{\%} for 2-year and 26{\%} for 3-year programs; p = 0.63). Desire to specialize drove further training (97{\%}), with 2{\%} stating further training was needed owing to inadequacy and 1{\%} owing to a poor job market. In all assessed categories, the majority of residents believed that simulation did not completely replicate the educational value of an operative case. Conclusions Cardiothoracic residents largely feel well prepared for the transition to practice under the current educational paradigm. Although many residents seek advanced training, it seems driven by the desire for specialization. Residents view simulation as an adjunct to traditional intraoperative education, but not as a viable replacement. Further study is necessary to better understand how best to integrate simulation with operative experience.",
author = "Odell, {David D.} and Macke, {Ryan A.} and Vakhtang Tchantchaleishvili and Gabriel Loor and Nelson, {Jennifer S.} and LaPar, {Damien J.} and LaZar, {John F.} and Benjamin Wei and DeNino, {Walter F.} and Kathleen Berfield and William Stein and Youssef, {Samuel J.} and Nguyen, {Tom C.}",
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Odell, DD, Macke, RA, Tchantchaleishvili, V, Loor, G, Nelson, JS, LaPar, DJ, LaZar, JF, Wei, B, DeNino, WF, Berfield, K, Stein, W, Youssef, SJ & Nguyen, TC 2015, 'Resident Perception of Technical Skills Education and Preparation for Independent Practice', Annals of Thoracic Surgery, vol. 100, no. 6, pp. 2305-2313. https://doi.org/10.1016/j.athoracsur.2015.05.135

Resident Perception of Technical Skills Education and Preparation for Independent Practice. / Odell, David D.; Macke, Ryan A.; Tchantchaleishvili, Vakhtang; Loor, Gabriel; Nelson, Jennifer S.; LaPar, Damien J.; LaZar, John F.; Wei, Benjamin; DeNino, Walter F.; Berfield, Kathleen; Stein, William; Youssef, Samuel J.; Nguyen, Tom C.

In: Annals of Thoracic Surgery, Vol. 100, No. 6, 01.01.2015, p. 2305-2313.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Resident Perception of Technical Skills Education and Preparation for Independent Practice

AU - Odell, David D.

AU - Macke, Ryan A.

AU - Tchantchaleishvili, Vakhtang

AU - Loor, Gabriel

AU - Nelson, Jennifer S.

AU - LaPar, Damien J.

AU - LaZar, John F.

AU - Wei, Benjamin

AU - DeNino, Walter F.

AU - Berfield, Kathleen

AU - Stein, William

AU - Youssef, Samuel J.

AU - Nguyen, Tom C.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background Surgical skills are traditionally taught and practiced in the operating room. However, changes in health care policy and outcome-based evaluation have decreased trainee operative autonomy. We examined cardiothoracic residents’ perceptions of operative experience and the role of simulation. Methods The In-Training Examination (ITE) is taken each year by all residents. Completion of a 30-question preexamination survey is mandatory, ensuring a 100% response rate. Survey data related to operative experience, career preparedness, and surgical simulation were analyzed. Opinion questions were asked on a 5-point Likert scale. Respondents were grouped into three cohorts by training paradigm (2-year versus 3-year traditional programs and 6-year integrated programs). Results In all, 314 respondents (122 2-year, 96 3-year, and 96 6-year integrated) completed the survey. Of the three groups, residents in 3-year programs had the highest levels of satisfaction. Advanced training was most common among residents in 6-year integrated programs (66%, versus 49% for 2-year and 26% for 3-year programs; p = 0.63). Desire to specialize drove further training (97%), with 2% stating further training was needed owing to inadequacy and 1% owing to a poor job market. In all assessed categories, the majority of residents believed that simulation did not completely replicate the educational value of an operative case. Conclusions Cardiothoracic residents largely feel well prepared for the transition to practice under the current educational paradigm. Although many residents seek advanced training, it seems driven by the desire for specialization. Residents view simulation as an adjunct to traditional intraoperative education, but not as a viable replacement. Further study is necessary to better understand how best to integrate simulation with operative experience.

AB - Background Surgical skills are traditionally taught and practiced in the operating room. However, changes in health care policy and outcome-based evaluation have decreased trainee operative autonomy. We examined cardiothoracic residents’ perceptions of operative experience and the role of simulation. Methods The In-Training Examination (ITE) is taken each year by all residents. Completion of a 30-question preexamination survey is mandatory, ensuring a 100% response rate. Survey data related to operative experience, career preparedness, and surgical simulation were analyzed. Opinion questions were asked on a 5-point Likert scale. Respondents were grouped into three cohorts by training paradigm (2-year versus 3-year traditional programs and 6-year integrated programs). Results In all, 314 respondents (122 2-year, 96 3-year, and 96 6-year integrated) completed the survey. Of the three groups, residents in 3-year programs had the highest levels of satisfaction. Advanced training was most common among residents in 6-year integrated programs (66%, versus 49% for 2-year and 26% for 3-year programs; p = 0.63). Desire to specialize drove further training (97%), with 2% stating further training was needed owing to inadequacy and 1% owing to a poor job market. In all assessed categories, the majority of residents believed that simulation did not completely replicate the educational value of an operative case. Conclusions Cardiothoracic residents largely feel well prepared for the transition to practice under the current educational paradigm. Although many residents seek advanced training, it seems driven by the desire for specialization. Residents view simulation as an adjunct to traditional intraoperative education, but not as a viable replacement. Further study is necessary to better understand how best to integrate simulation with operative experience.

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EP - 2313

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

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