| Service or education: in the eye of the beholder. | |
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MedLine Citation:
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PMID: 22184301 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: To elicit and compare surgical resident and program director (PD) perspectives on service and education in surgical training and the conditions that influence these opinions. DESIGN: Cross-sectional, multi-institutional national study conducted through an online survey. SETTING: General surgical residency programs in the United States. PARTICIPANTS: General surgical residents and PDs. MAIN OUTCOME MEASURES: Resident and PD perspectives on the circumstances, conditions, and context in which activities are perceived as service vs education. RESULTS: Respondents scored 24 resident activities on 5-point Likert scales and commented on conditions that influenced these scores. From 17 residency programs, 105 of 218 PDs (48.4%) responded, and 407 of 645 residents (63.1%) responded. Compared with residents, PDs rated 21 of 24 activities (87.5%) as more educational than service (P ≤ .05). In more than half these activities, notable minorities (≥25%) of residents stated that these activities were service and educational, depending on factors that included the particular attending physician, case complexity, and experience with the activity. Postgraduate year seniority correlated with service and educational perceptions in 12 activities (P < .05). Attending physician teaching and learning environment correlated positively (P < .05) with perception as educational in 8 and 5 activities, respectively. CONCLUSIONS: This study demonstrated significant differences in service and education definitions for PDs and residents. The implication that these activities are mutually exclusive may devalue residents' perceptions of the importance of patient care as an essential component of surgical competency. In an era of diminished work hours and continuity of care, educators must teach residents to appreciate the educational value in providing care for all patients and develop a sense of patient ownership in both faculty and residents. |
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Authors:
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Hilary Sanfey; Joe Cofer; Jonathan R Hiatt; Matthew Hyser; Colleen Jakey; Stephen Markwell; John Mellinger; Richard Sidwell; Douglas Smink; Stephen Wise; Chris Wohltman; Gary Dunnington |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 146 ISSN: 1538-3644 ISO Abbreviation: Arch Surg Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1389-95 Citation Subset: AIM; IM |
Affiliation:
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BCh, MHPE, Department of Surgery, Southern Illinois University School of Medicine, PO Box 19638, Springfield, IL 62794. hsanfey@siumed.edu. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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