Evidence map›Paper›PMID 27866727›Full record

ArticleAmerican journal of surgery2017

Who did the case? Perceptions on resident operative participation.

Jennifer A Perone, Grant T Fankhauser, Deepak Adhikari, Hemalkumar B Mehta, Majka B Woods, John H Strohmeyer, Douglas S Tyler, Kimberly M Brown

Abstract read
In one paragraph

Article in American journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jennifer A PeroneDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Grant T FankhauserDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Deepak AdhikariDepartment of Preventative Medicine and Community Health, Office of Biostatistics, University of Texas Medical Branch, Galveston, TX, USA.
Hemalkumar B MehtaDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Majka B WoodsDepartment of Educational Development, University of Texas Medical Branch, Galveston, TX, USA.
John H StrohmeyerDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Douglas S TylerDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Kimberly M BrownDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA. Electronic address: km3brown@utmb.edu.

Funding

UTMB Clinical and Translational Science AwardTL1TR001440 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI HOMMEL, JONATHAN DEAN · 2015 to 2024
$3.4M
NCATS NIH HHS TL1 TR001440
6 · The paper itself

Abstract

backgroundThe ACGME case log is one of the primary metrics used to determine resident competency; it is unclear if this is an accurate reflection of the residents' role and participation.

methodsResidents and faculty were independently administered 16-question surveys following each case over a three-week period. The main outcome was agreement between resident and faculty on resident role and percent of the case performed by the resident.

resultsMatched responses were collected for 87 cases. Agreement on percent performed occurred in 61% of cases, on role in 63%, and on both in 47%. Disagreement was more often due to resident perception they performed more of the case. Faculty with <10 years experience were more likely to have disagreement compared to faculty with ≥10 years (p = 0.009).

conclusionsThere was a high degree of disagreement between faculty and residents regarding percent of the case performed and role. Accurate understanding of participation and competency is vital for accrediting institutions and for resident self-assessment meriting further study of the causes for this disagreement to improve training and evaluation.

Indexed as

Internship and ResidencySelf-AssessmentClinical CompetenceFaculty, MedicalGeneral SurgeryHumansRoleSurveys and QuestionnairesTexasCompetencyMilestonesOperative skillsPerceptionsResidency trainingSurgical education

Identifiers

PMID27866727
PMCPMC6681825

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.