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Accès ouvert déclaré 2019 article

Canadian Surgery Forum 201901. The future of general surgery training: a Canadian resident nationwide Delphi consensus statement02. Traumatized: Can mindfulness lead to improved mental health outcomes after multisystem trauma?03. Operating room availability for general surgery in 2007 versus 2017 at a regional hospital in BC04. Perceptions and barriers to Gastrografin protocol implementation05. Resident opinions and educational experience of a mixed night-float system for general surgery resident call06. A scoping review of best management for hepato-pancreatobiliary trauma07. Simultaneous versus staged resection for synchronous colorectal liver metastases: a population-based cohort study08. Weight loss following hepatopancreatobiliary surgery. How much is too much?09. Uptake and patient outcomes of laparoscopic liver resection for colon cancer liver metastases: a population-based analysis10. Simultaneous resection of colorectal cancer with synchronous liver metastases: a survey-based

1Citations signalées, ce qui n’est pas une note de qualité
95Institutions déclarées
16Pays d’affiliation déclarés

Rattachement africain : ca, us, nu, ie, gb, ch, au, jp, it, br, sg, nl, fr, pl, fi, in. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

Various pedagogical models have been introduced in an attempt to improve and restructure surgical training, but significant obstacles remain.Before implementing national guidelines, it is critical to explore residents' opinions to ensure a successful transition that meets their needs and addresses the challenges of reformatting surgical residency.This study aimed to establish a nationwide Delphi consensus statement on the opinions and perceptions of Canadian residents regarding the future of general surgery training.Canadian general surgery resident representatives participated in a moderated semistructured focus group using the nominal group technique to discuss issues related to general surgery training across 3 domains: early subspecialization, competency-based medical education (CBME) and a transition-to-practice (TTP) period.Qualitative verbal data were transcribed, grouped into themes and synthesized into a list of recommendation statements.During an iterative Delphi survey, residents ranked each statement on a 5-point Likert scale in terms of agreement.The survey was terminated once consensus was achieved (≥ 2 survey rounds and internal consistency Cronbach's α ≥ 0.80).Sixty-six statements were synthesized by 16 members of the Canadian Association of General Surgeons Resident Committee.Forty-nine residents participated in the Delphi consensus achieved after 2 voting rounds (Cronbach's α = 0.93).Participants agreed that (a) residency should be remodelled to focus on achieving standardized competencies and milestones, based on residents' ability to meet specific measurable metrics; (b) early streaming should be offered after "core" milestones and competencies have been achieved; and (c) an explicit period should allow transition to independent practice with tailored rotations, greater autonomy, patient ownership and resident-run clinics.Ten barriers to CBME implementation were also identified.A nationwide consensus regarding the future of surgical training was established among current residents.These findings can help in the implementation of guidelines and new national curricula that meet trainees' needs and address the many challenges they face in their training.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Canadian Surgery Forum 201901. The future of general surgery training: a Canadian resident nationwide Delphi consensus statement02. Traumatized: Can mindfulness lead to improved mental health outcomes after multisystem trauma?03. Operating room availability for general surgery in 2007 versus 2017 at a regional hospital in BC04. Perceptions and barriers to Gastrografin protocol implementation05. Resident opinions and educational experience of a mixed night-float system for general surgery resident call06. A scoping review of best management for hepato-pancreatobiliary trauma07. Simultaneous versus staged resection for synchronous colorectal liver metastases: a population-based cohort study08. Weight loss following hepatopancreatobiliary surgery. How much is too much?09. Uptake and patient outcomes of laparoscopic liver resection for colon cancer liver metastases: a population-based analysis10. Simultaneous resection of colorectal cancer with synchronous liver metastases: a survey-based
Date Crossref
01/08/2019
Éditeur
CMA Impact Inc.
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Les institutions déclarées

University of British ColumbiaUniversity of TorontoUniversity of ManitobaMcGill UniversityColumbia UniversityUniversity of AlbertaUniversity of CalgarySt Clements University Higher Education SchoolWestern UniversityUniversity of LimerickEdwards (United Kingdom)McMaster UniversityRoyal College of Surgeons in IrelandWinnMedLAC+USC Medical CenterUniversity of OttawaOttawa UniversityDalhousie UniversityMemorial University of NewfoundlandCanadian Association of General SurgeonsUniversity of SaskatchewanNOSM UniversityRoyal College of Physicians and Surgeons of CanadaVancouver General HospitalSt. Michael's HospitalSt Michaels HospitalUniversity of GuelphBaxter (United States)Queen's UniversityOttawa HospitalIndiana University BloomingtonMcGill University Health CentreMartelCentral Coast Local Health DistrictHokkaido UniversitySt Mary's Hospital CentreSan Raffaele University of RomeUniversidade Federal de São PauloUniversité de MontréalLondon Health Sciences CentreGeorge & Fay Yee Centre for Healthcare InnovationUniversity of Southern CaliforniaUniversity of California, Los AngelesOttawa Hospital Research InstituteThe University of Texas at AustinNational University of SingaporeSingapore General HospitalSunnybrook Health Science CentreHealth Sciences CentreUniversity Health NetworkCarleton UniversityBC Cancer AgencyLondon School of Economics and Political ScienceUniversity of PaduaWilliam Osler Health SystemMcGill-Queen's University PressSt. Paul's HospitalProvidence Health CareCentre Hospitalier de l’Université de MontréalJewish General HospitalJohns Hopkins UniversityJohns Hopkins MedicineUniversité LavalSunnybrook Research InstituteUniversité de SherbrookeLaurentian UniversityNorthwestern UniversitySt. Joseph’s Healthcare HamiltonSt James's University HospitalAzienda Ospedaliera San GerardoBaxter (Australia)Fox Chase Cancer CenterCancer Care OntarioAlberta Health ServicesLeiden UniversityHarvard UniversityInstitut Gustave RoussyThe Netherlands Cancer InstituteDana-Farber Cancer InstituteRoyal Marsden HospitalInstitut BergoniéThe Maria Sklodowska-Curie National Research Institute of OncologyFondazione IRCCS Istituto Nazionale dei TumoriInstitut CurieSunnybrook HospitalMayo Clinic in ArizonaUniversity of KansasMemorial Sloan Kettering Cancer CenterCentre intégré de santé et de services sociaux de Chaudière-AppalachesCentre intégré de santé et de services sociaux de LanaudièreThe Ohio State UniversityJagiellonian UniversityUniversity of HelsinkiAditya Birla (India)Gosford Hospital

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

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