Evidence map›Paper›PMID 28607848›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic.

Kristopher M Day, Jillian K Scott, Lani Gao, Tara M Lee, Jimmy L Waldrop, Larry A Sargent, J Woody Kennedy, Jason P Rehm, Mark A Brzezienski

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Revision Rates in Cosmetic Plastic Surgery with and without Resident Involvement.Plastic and reconstructive surgery. Global open · 2024
    Article
  4. Article
  5. Article
  6. Perceptions of Preparedness in Plastic Surgery Residency Training.Plastic and reconstructive surgery. Global open · 2020
    Article
  7. Article
  8. Article
  9. How Educational Theory Can Inform the Training and Practice of Plastic Surgeons.Plastic and reconstructive surgery. Global open · 2018
    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

9 authors.

Kristopher M DayDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Jillian K ScottDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Lani GaoDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Tara M LeeDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Jimmy L WaldropDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Larry A SargentDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
J Woody KennedyDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Jason P RehmDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.
Mark A BrzezienskiDepartment of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResident clinics are thought to catalyze educational milestone achievement through opportunities for progressively autonomous surgical care, but studies are lacking for general plastic surgery resident clinics (PSRCs). We demonstrate the achievement of increased surgical autonomy and continuity of care in a PSRC.

methodsA retrospective review of all patients seen in a PSRC from October 1, 2010, to October 1, 2015, was conducted. Our PSRC is supervised by faculty plastic surgery attendings, though primarily run by chief residents in an accredited independent plastic surgery training program. Surgical autonomy was scored on a 5-point scale based on dictated operative reports. Graduated chief residents were additionally surveyed by anonymous online survey.

resultsThousand one hundred forty-four patients were seen in 3,390 clinic visits. Six hundred fifty-three operations were performed by 23 total residents, including 10 graduating chiefs. Senior resident autonomy averaged 3.5/5 (SD = 1.5), 3.6/5 (SD = 1.5), to 3.8/5 (SD = 1.3) in postgraduate years 6, 7, and 8, respectively. A linear mixed model analysis demonstrated that training level had a significant impact on operative autonomy when comparing postgraduate years 6 and 8 (

conclusionThe achievement of progressive surgical autonomy may be demonstrated within a PSRC model.

Identifiers

PMID28607848
PMCPMC5459631

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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.