Abstract
BackgroundMany US general surgery residents are interested in global surgery, but their competence with key procedures is unknown. MethodsUsing a registry managed by the Society for Improving Medical Professional Learning (SIMPL), we extracted longitudinal operative performance ratings data for a national cohort of US general surgery residents. Operative performance at the time of graduation was estimated via a Bayesian generalized linear mixed model. ResultsOperative performance ratings for 12,976 procedures performed by 1584 residents in 52 general surgery programs were analyzed. These spanned 17 of 31 (55%) procedures deemed important for global surgical practice. For these procedures, the probability of a graduating resident being deemed competent to perform a procedure was 0.95 (95% confidence interval 0.86–1.00) but was less than 0.9 for 3 observed procedures. ConclusionOur results highlight gaps in the preparedness of US general surgery trainees to perform procedures deemed most important for global surgery settings.
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