Document Detail

Resident Designed Intern Orientation to Address the New ACGME Common Program Requirements for Resident Supervision.
MedLine Citation:
PMID:  23618445     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To design an orientation for surgical interns to meet the new Accreditation Council for Graduate Medical Education Common Program Requirements regarding supervision, to test patient-management competencies, and to assess confidence on skills and tasks pre-orientation and post-orientation.
DESIGN: Twenty-seven incoming surgical interns participated in a two-day orientation to clinical duties. Activities included a pre-test, lectures, simulation, oral examination, intern shadowing, and a post-test. Incoming interns were surveyed before and after orientation and two months later for confidence in patient-management and surgical intern skills. Paired t-tests were used to determine if confidence improved pre-orientation and post-orientation, and two months following orientation.
SETTING: The study took place at an academic training hospital.
PARTICIPANTS: All (n = 27) postgraduate year-1 (PGY-1) surgical residents at our institution, which included the categorical and nondesignated preliminary general surgery, urology, orthopedic surgery, otolaryngology, and neurosurgery programs.
RESULTS: All interns passed the oral and written examinations, and were deemed able to be indirectly supervised, with direct supervision immediately available. They reported increased confidence in all areas of patient management addressed during orientation, and this confidence was retained after two months. In surgical and floor-related tasks and skills, interns reported no increase in confidence directly following orientation. However, after two months, they reported a significant increase in confidence, particularly in those tasks that are performed often.
CONCLUSIONS: New requirements for resident supervision require creative ways of verifying resident competency in basic skills. This type of orientation is an effective way to address the new requirements of supervision and teach interns the tasks and skills that are necessary for internship.
Kristy L Rialon; Michael E Barfield; Dawn M Elfenbein; Keri E Lunsford; Elisabeth T Tracy; John Migaly
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical education     Volume:  70     ISSN:  1878-7452     ISO Abbreviation:  J Surg Educ     Publication Date:    2013 May-Jun
Date Detail:
Created Date:  2013-04-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303204     Medline TA:  J Surg Educ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Department of Surgery, Duke University Medical Center, Durham, North Carolina. Electronic address:
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