ARCHIVES
VOL. 5, ISSUE 9 (2019)
Correlation of procedural numbers with meaningful procedural autonomy in general surgery residents
Authors
Bilal Yousuf Mir, Nida Shafiq, Ferkhand Mohi ud din, Mufti Mahmood Ahmed
Abstract
Background: Concerns exist regarding the competency of general surgery graduates with performing core general surgery procedures. Current competence assessment incorporates minimal procedural numbers requirements. Methods: Based on the Zwisch scale, the level of autonomy achieved by categorical PGY1-5 general surgery residents at 14 general surgery resident training programs over a period of one year. With 5 of the most commonly performed core general surgery procedures, we correlated the level of autonomy achieved by each resident with the number of procedures they had performed before the evaluation period, with the intent of identifying specific target numbers that would correlate with the achievement of meaningful autonomy for each procedure with most residents. Results: Whereas a definitive target number was identified for laparoscopic appendectomy (i.e. 25), for the other 4 procedures studied (i.e. laparoscopic cholecystectomy, 52; open inguinal hernia repair, 42; ventral hernia repair, 35; and partial colectomy, 60), target numbers identified were less definitive and/ or were higher than many residents will experience during their surgical residency training. Conclusions: We conclude that procedural target numbers are generally not effective in predicting procedural competence and should not be used as the basis for determining residents’ readiness for independent practice.
Download
Pages:111-113
How to cite this article:
Bilal Yousuf Mir, Nida Shafiq, Ferkhand Mohi ud din, Mufti Mahmood Ahmed "Correlation of procedural numbers with meaningful procedural autonomy in general surgery residents". International Journal of Medical and Health Research, Vol 5, Issue 9, 2019, Pages 111-113
Download Author Certificate
Please enter the email address corresponding to this article submission to download your certificate.

