Evidence map›Paper›PMID 28089342›Full record

ArticleAmerican journal of surgery2017

A Simulation-based, cognitive assessment of resident decision making during complex urinary catheterization scenarios.

Jay N Nathwani, Katherine E Law, Anna K Witt, R D Ray, S M DiMarco, C M Pugh

Abstract read
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Hidden Curriculum in Medical Residency Programs: A Scoping Review.Journal of advances in medical education & professionalism · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jay N NathwaniUniversity of Wisconsin, General Surgery, Madison, WI, USA.
Katherine E LawUniversity of Wisconsin, Industrial and Systems Engineering, Madison, WI, USA.
Anna K WittUniversity of Wisconsin, General Surgery, Madison, WI, USA.
R D RayUniversity of Wisconsin, General Surgery, Madison, WI, USA.
S M DiMarcoUniversity of Wisconsin, General Surgery, Madison, WI, USA.
C M PughUniversity of Wisconsin, General Surgery, Madison, WI, USA. Electronic address: pugh@surgery.wisc.edu.

Funding

UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
NCI NIH HHS T32 CA090217
6 · The paper itself

Abstract

backgroundThis study explores general surgery residents' decision making skills in uncommon, complex urinary catheter scenarios.

methods40 residents were presented with two scenarios. Scenario A was a male with traumatic urethral injury and scenario B was a male with complete urinary blockage. Residents verbalized whether they would catheterize the patient and described the workup and management of suspected pathologies. Residents' decision paths were documented and analyzed.

resultsIn scenario A, 45% of participants chose to immediately consult Urology. 47.5% named five diagnostic tests to decide if catheterization was safe. In scenario B, 27% chose to catheterize with a 16 French Coude. When faced with catheterization failure, participants randomly upsized or downsized catheters. Chi-square analysis revealed no measurable consensus amongst participants.

conclusionsResidents need more training in complex decision making for urinary catheterization. The decision trees generated in this study provide a useful blueprint of residents' learning needs. SUMMARY: Exploration of general surgery residents' decision making skills in uncommon, complex urinary catheter scenarios revealed major deficiencies. The resulting decision trees reveal residents' learning needs.

Indexed as

Clinical Decision-MakingDecision TreesInternship and ResidencyUrinary CatheterizationCognitionEducation, Medical, GraduateFemaleHumansMaleDecision makingHidden curriculumSurgical education

Identifiers

PMID28089342
PMCPMC5485835

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Registered trials

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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.