Understanding why residents may inaccurately log their role in operations

A look at the 2013 in-training examination survey presented at the poster session of the Fifty-first Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, Jan 24-28, 2015.

Michael P. Robich, Andrew Flagg, Damien J. LaPar, David Duston Odell, William Stein, Muhammad Aftab, Kathleen S. Berfield, Amanda L. Eilers, Shawn S. Groth, John F. Lazar, Asad A. Shah, Danielle A. Smith, Elizabeth H. Stephens, Cameron T. Stock, Walter F. Denino, Vakhtang Tchantchaleishvili, Edward G. Soltesz*

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background With increased time and quality pressures, it may be more difficult for residents in cardiothoracic surgery residency programs to get independent operative experience. That may lead residents to inaccurately report their role as "surgeon" to meet American Board of Thoracic Surgery (ABTS) case requirements. Methods The 2013 In-Training Examination surveyed 312 cardiothoracic surgery residents and was used to contrast residents in traditional 2-year and 3-year cardiothoracic surgery residencies (traditional, n = 216) with those in 6-year integrated or 3+4-year programs (integrated, n = 96). Results Traditional program residents reported a higher percentage of cases that met the ABTS criteria of surgeon than did integrated program residents (p = 0.05) but were less likely to meet requirements if all cases were logged accurately (p = 0.03). The majority of residents in each program believed that their case log accurately reflected their experience as "surgeon." Residents who tended to log cases incorrectly had lower self-reported 2012 In-Training Examination percentiles, were less likely to meet case requirements if logged properly, and felt less prepared for board examinations and eventual practice compared with residents who logged cases correctly (all p < 0.001). Residents who believed they would not meet case requirements if logged correctly cited limited surgical opportunities, poor case diversity, and a compromised training environment but not the 80-hour work week, excessive simulation, or disproportionate number of complex cases as causes. Conclusions Overall cardiothoracic surgery residents appear to be satisfied with their training. There were specific subsets of trainees in both traditional and Integrated programs that are misrepresenting their role on cases because they otherwise may not meet the requirements.

Original languageEnglish (US)
Pages (from-to)323-328
Number of pages6
JournalAnnals of Thoracic Surgery
Volume101
Issue number1
DOIs
StatePublished - Jan 1 2016

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Posters
Internship and Residency
Thoracic Surgery
Pressure
Surveys and Questionnaires
Surgeons

ASJC Scopus subject areas

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

Cite this

Robich, Michael P. ; Flagg, Andrew ; LaPar, Damien J. ; Odell, David Duston ; Stein, William ; Aftab, Muhammad ; Berfield, Kathleen S. ; Eilers, Amanda L. ; Groth, Shawn S. ; Lazar, John F. ; Shah, Asad A. ; Smith, Danielle A. ; Stephens, Elizabeth H. ; Stock, Cameron T. ; Denino, Walter F. ; Tchantchaleishvili, Vakhtang ; Soltesz, Edward G. / Understanding why residents may inaccurately log their role in operations : A look at the 2013 in-training examination survey presented at the poster session of the Fifty-first Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, Jan 24-28, 2015. In: Annals of Thoracic Surgery. 2016 ; Vol. 101, No. 1. pp. 323-328.
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title = "Understanding why residents may inaccurately log their role in operations: A look at the 2013 in-training examination survey presented at the poster session of the Fifty-first Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, Jan 24-28, 2015.",
abstract = "Background With increased time and quality pressures, it may be more difficult for residents in cardiothoracic surgery residency programs to get independent operative experience. That may lead residents to inaccurately report their role as {"}surgeon{"} to meet American Board of Thoracic Surgery (ABTS) case requirements. Methods The 2013 In-Training Examination surveyed 312 cardiothoracic surgery residents and was used to contrast residents in traditional 2-year and 3-year cardiothoracic surgery residencies (traditional, n = 216) with those in 6-year integrated or 3+4-year programs (integrated, n = 96). Results Traditional program residents reported a higher percentage of cases that met the ABTS criteria of surgeon than did integrated program residents (p = 0.05) but were less likely to meet requirements if all cases were logged accurately (p = 0.03). The majority of residents in each program believed that their case log accurately reflected their experience as {"}surgeon.{"} Residents who tended to log cases incorrectly had lower self-reported 2012 In-Training Examination percentiles, were less likely to meet case requirements if logged properly, and felt less prepared for board examinations and eventual practice compared with residents who logged cases correctly (all p < 0.001). Residents who believed they would not meet case requirements if logged correctly cited limited surgical opportunities, poor case diversity, and a compromised training environment but not the 80-hour work week, excessive simulation, or disproportionate number of complex cases as causes. Conclusions Overall cardiothoracic surgery residents appear to be satisfied with their training. There were specific subsets of trainees in both traditional and Integrated programs that are misrepresenting their role on cases because they otherwise may not meet the requirements.",
author = "Robich, {Michael P.} and Andrew Flagg and LaPar, {Damien J.} and Odell, {David Duston} and William Stein and Muhammad Aftab and Berfield, {Kathleen S.} and Eilers, {Amanda L.} and Groth, {Shawn S.} and Lazar, {John F.} and Shah, {Asad A.} and Smith, {Danielle A.} and Stephens, {Elizabeth H.} and Stock, {Cameron T.} and Denino, {Walter F.} and Vakhtang Tchantchaleishvili and Soltesz, {Edward G.}",
year = "2016",
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Robich, MP, Flagg, A, LaPar, DJ, Odell, DD, Stein, W, Aftab, M, Berfield, KS, Eilers, AL, Groth, SS, Lazar, JF, Shah, AA, Smith, DA, Stephens, EH, Stock, CT, Denino, WF, Tchantchaleishvili, V & Soltesz, EG 2016, 'Understanding why residents may inaccurately log their role in operations: A look at the 2013 in-training examination survey presented at the poster session of the Fifty-first Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, Jan 24-28, 2015.', Annals of Thoracic Surgery, vol. 101, no. 1, pp. 323-328. https://doi.org/10.1016/j.athoracsur.2015.07.047

Understanding why residents may inaccurately log their role in operations : A look at the 2013 in-training examination survey presented at the poster session of the Fifty-first Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, Jan 24-28, 2015. / Robich, Michael P.; Flagg, Andrew; LaPar, Damien J.; Odell, David Duston; Stein, William; Aftab, Muhammad; Berfield, Kathleen S.; Eilers, Amanda L.; Groth, Shawn S.; Lazar, John F.; Shah, Asad A.; Smith, Danielle A.; Stephens, Elizabeth H.; Stock, Cameron T.; Denino, Walter F.; Tchantchaleishvili, Vakhtang; Soltesz, Edward G.

In: Annals of Thoracic Surgery, Vol. 101, No. 1, 01.01.2016, p. 323-328.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Understanding why residents may inaccurately log their role in operations

T2 - A look at the 2013 in-training examination survey presented at the poster session of the Fifty-first Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, Jan 24-28, 2015.

AU - Robich, Michael P.

AU - Flagg, Andrew

AU - LaPar, Damien J.

AU - Odell, David Duston

AU - Stein, William

AU - Aftab, Muhammad

AU - Berfield, Kathleen S.

AU - Eilers, Amanda L.

AU - Groth, Shawn S.

AU - Lazar, John F.

AU - Shah, Asad A.

AU - Smith, Danielle A.

AU - Stephens, Elizabeth H.

AU - Stock, Cameron T.

AU - Denino, Walter F.

AU - Tchantchaleishvili, Vakhtang

AU - Soltesz, Edward G.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background With increased time and quality pressures, it may be more difficult for residents in cardiothoracic surgery residency programs to get independent operative experience. That may lead residents to inaccurately report their role as "surgeon" to meet American Board of Thoracic Surgery (ABTS) case requirements. Methods The 2013 In-Training Examination surveyed 312 cardiothoracic surgery residents and was used to contrast residents in traditional 2-year and 3-year cardiothoracic surgery residencies (traditional, n = 216) with those in 6-year integrated or 3+4-year programs (integrated, n = 96). Results Traditional program residents reported a higher percentage of cases that met the ABTS criteria of surgeon than did integrated program residents (p = 0.05) but were less likely to meet requirements if all cases were logged accurately (p = 0.03). The majority of residents in each program believed that their case log accurately reflected their experience as "surgeon." Residents who tended to log cases incorrectly had lower self-reported 2012 In-Training Examination percentiles, were less likely to meet case requirements if logged properly, and felt less prepared for board examinations and eventual practice compared with residents who logged cases correctly (all p < 0.001). Residents who believed they would not meet case requirements if logged correctly cited limited surgical opportunities, poor case diversity, and a compromised training environment but not the 80-hour work week, excessive simulation, or disproportionate number of complex cases as causes. Conclusions Overall cardiothoracic surgery residents appear to be satisfied with their training. There were specific subsets of trainees in both traditional and Integrated programs that are misrepresenting their role on cases because they otherwise may not meet the requirements.

AB - Background With increased time and quality pressures, it may be more difficult for residents in cardiothoracic surgery residency programs to get independent operative experience. That may lead residents to inaccurately report their role as "surgeon" to meet American Board of Thoracic Surgery (ABTS) case requirements. Methods The 2013 In-Training Examination surveyed 312 cardiothoracic surgery residents and was used to contrast residents in traditional 2-year and 3-year cardiothoracic surgery residencies (traditional, n = 216) with those in 6-year integrated or 3+4-year programs (integrated, n = 96). Results Traditional program residents reported a higher percentage of cases that met the ABTS criteria of surgeon than did integrated program residents (p = 0.05) but were less likely to meet requirements if all cases were logged accurately (p = 0.03). The majority of residents in each program believed that their case log accurately reflected their experience as "surgeon." Residents who tended to log cases incorrectly had lower self-reported 2012 In-Training Examination percentiles, were less likely to meet case requirements if logged properly, and felt less prepared for board examinations and eventual practice compared with residents who logged cases correctly (all p < 0.001). Residents who believed they would not meet case requirements if logged correctly cited limited surgical opportunities, poor case diversity, and a compromised training environment but not the 80-hour work week, excessive simulation, or disproportionate number of complex cases as causes. Conclusions Overall cardiothoracic surgery residents appear to be satisfied with their training. There were specific subsets of trainees in both traditional and Integrated programs that are misrepresenting their role on cases because they otherwise may not meet the requirements.

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DO - 10.1016/j.athoracsur.2015.07.047

M3 - Article

VL - 101

SP - 323

EP - 328

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

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