Evidence map›Paper›PMID 39561503›Full record

ArticleJournal of surgical education2025

Defining the Essential Leadership Skills for Surgical Residents Leading Inpatient Teams: A Modified Delphi Study.

Michael A Kochis, Rebecca B Tang, Emil R Petrusa, James W Fleshman, Amalia L Cochran, Roy Phitayakorn

Abstract read
In one paragraph

Article in Journal of surgical education, 2025. 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. 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.

Michael A KochisMassachusetts General Hospital, Department of Surgery, Boston, Massachusetts. Electronic address: mkochis@mgh.harvard.edu.
Rebecca B TangMassachusetts General Hospital, Department of Surgery, Boston, Massachusetts.
Emil R PetrusaMassachusetts General Hospital, Department of Surgery, Boston, Massachusetts.
James W FleshmanBaylor University Medical Center, Department of Surgery, Dallas, Texas.
Amalia L CochranUniversity of Florida, Department of Surgery, Gainesville, Florida.
Roy PhitayakornMassachusetts General Hospital, Department of Surgery, Boston, Massachusetts.

Funding

RESEARCH TRAINING IN ALIMENTARY TRACT SURGERYT32DK007754 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HODIN, RICHARD A. · 1997 to 2025
$6.5M
NIDDK NIH HHS T32 DK007754
6 · The paper itself

Abstract

objectiveLeadership is an important competency for surgical trainees but traditionally overlooked in residency programs. Existing leadership curricula are limited by a lack of standardized objectives and validated assessment tools. This project seeks to define the most essential leadership skills for surgical residents leading inpatient teams and to develop an instrument that can be used as a workplace-based assessment.

designWe surveyed the literature to compile a preliminary list of relevant leadership skills. We then recruited national experts in surgical resident leadership to participate in 2 rounds of a modified Delphi process. In the first round, panelists voted to keep, modify, or remove the preliminary items, or to add additional ones. Insufficient agreement to keep a skill necessitated revision. In the second round, panelists rated their agreement with revised items' inclusion, with consensus indicated by content validity index >0.75. Leadership behaviors were mapped onto a quality rating scale.

settingREDCap online forms.

participantsSixteen experts including senior surgeons, surgical educators/social psychologists, and advanced practice providers participated in both rounds of the Delphi process.

resultsThe preliminary list included 26 behaviors grouped into 9 domains. After the first round of the Delphi process, 18 items were modified, 3 were removed, 3 were added, and 2 domains were merged. After the second round, all 27 revised behaviors in 8 domains achieved consensus. We incorporated them into the Inpatient Leadership Assessment Device (I-LEAD).

conclusionsWe used a consensus of national experts to define essential leadership skills for surgical residents and created a workplace-based assessment tool. I-LEAD provides a shared mental model for residents and team members, and clear objectives for educators seeking to develop leadership curricula. These efforts align with current trends toward competency-based education and can underpin the establishment of formal leadership training programs for surgical residents on a wider scale.

Indexed as

Delphi TechniqueGeneral SurgeryInternship and ResidencyLeadershipClinical CompetenceCurriculumEducation, Medical, GraduateFemaleHumansMalePatient Care TeamDelphi processLeadershipSurgical trainingWorkplace-based assessment

Identifiers

PMID39561503
PMCPMC11929429

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.