Evidence map›Paper›PMID 35168761›Full record

ArticleAmerican journal of surgery2022

"The captain of the ship." A qualitative investigation of surgeon identity formation.

Samantha J Rivard, C Ann Vitous, Ana C De Roo, Michaela C Bamdad, Sara M Jafri, Mary E Byrnes, Pasithorn A Suwanabol

Abstract read
In one paragraph

Article in American journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. The Quiet Surgeon: A Qualitative Analysis of the Introverted Experience Throughout a Career in Academic Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Samantha J RivardCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States. Electronic address: rivardsj@med.umich.edu.
C Ann VitousCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States.
Ana C De RooCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States.
Michaela C BamdadCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States.
Sara M JafriCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States.
Mary E ByrnesCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States.
Pasithorn A SuwanabolCenter for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor and Department of Surgery, University of Michigan, Ann Arbor, United States.

Funding

Health Services Research Training Years 32-36T32HS000053 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HIRTH, RICHARD A · 1992 to 2024
$7.3M
Obesity Surgery Scientist Training ProgramT32DK108740 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin Brigham Dimick, RANDY J SEELEY · 2016 to 2026
$2.2M
Optimizing the End-of-Life Care Needs of Older Adults Undergoing SurgeryK08HS026772 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUWANABOL, PASITHORN · 2019 to 2023
$724k
Earlier Introductions to Palliative Care in Older Adults Undergoing High-Risk SurgeryR03AG056588 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUWANABOL, PASITHORN · 2019 to 2020
$228k
AHRQ HHS K08 HS026772AHRQ HHS T32 HS000053NIA NIH HHS R03 AG056588NIDDK NIH HHS T32 DK108740
6 · The paper itself

Abstract

backgroundProfessional identity formation is essential to medical trainee education. Surgeons are expected to guide trainees through this process but may be unprepared as they may not understand their own professional identity.

methodsWe purposively selected 46 surgeons across Michigan to participate in semi-structured qualitative interviews intended to explore surgical decision-making in 2019. Thematic analysis was used to analyze the transcripts.

resultsSurgeon identity formation is a complex process influenced by factors from four domains: individual factors, interpersonal relationships, external influences, and professional experience. We found surgeon identity formation commences prior to residency training and continues to remodel long into practice.

conclusionsBy understanding surgeon identity, surgeons will be prepared to help form trainees' professional identities and recognize opportunities for improvement. We believe changes, especially within the environment and community, will encourage medical students to enter surgical fields, decrease resident attrition, and promote surgeon well-being.

Indexed as

Internship and ResidencyStudents, MedicalSurgeonsHumansMichiganQualitative ResearchProfessional identityProfessional identity formationProfessionalismSurgeon identity

Identifiers

PMID35168761
PMCPMC9531326

What OpenQuestion holds

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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.