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Deboever N, Antonoff MB. Commentary: Boot camps may improve skills, but how can they be further strengthened? JTCVS OPEN 2022; 10:296-297. [PMID: 36004233 PMCID: PMC9390635 DOI: 10.1016/j.xjon.2022.02.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 01/20/2022] [Accepted: 02/17/2022] [Indexed: 11/29/2022]
Affiliation(s)
| | - Mara B. Antonoff
- Address for reprints: Mara B. Antonoff, MD, FACS, Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030.
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Mayo NE, Ow N, Asano M, Askari S, Barclay R, Figueiredo S, Hawkins M, Hum S, Inceer M, Kaur N, Kuspinar A, Mate KKV, Moga AM, Mozafarinia M. Reducing research wastage by starting off on the right foot: optimally framing the research question. Qual Life Res 2022; 31:2889-2899. [PMID: 35312956 DOI: 10.1007/s11136-022-03117-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2022] [Indexed: 11/28/2022]
Abstract
PURPOSE Strongly framed research questions are clear as to the population (P), the exposures or interventions (E/I), comparison groups (C), outcomes (O), time when relevant (T), and what the investigator wants to know. A solid framework sets up the measurement model, analysis, and anticipated results. The purpose of this study was to estimate the extent to which research questions in journals that focused on patient-reported outcome measures (PROM) and quality of life (QOL) are clear. METHODS All 440 research articles published in four PROM journals in 2020. excluding reviews, psychometric, and qualitative papers, were reviewed. Research questions were classified as: (i) adequately framed (ii) poorly framed; or (iii) unframed based on clarity criteria. Examples from each journal were presented and reframed to match results in the article. RESULTS Of 440 articles, 195 (44.3%) were classified as adequately framed; 230 (52.2%) as poorly framed; and 15 (3.4%) as unframed. There was heterogeneity across journals (Chi-square: 20.8; 6 df; p = 0.002). Only 29% were framed according to what the investigators wanted to know; 72% were framed like a "to do" list; and 6% were framed as a research agenda. CONCLUSION Almost half of the questions were poorly framed or unframed a practice that could contribute to research wastage. Even "adequately framed" questions rarely stated what they wanted to know a priori, increasing the risk of biased reporting. Researchers, reviewers, and editors should encourage the use established frameworks for research questions.
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Affiliation(s)
- Nancy E Mayo
- School of Physical and Occupational Therapy, Divisions of Clinical Epidemiology, Geriatrics, Experimental Medicine, Department of Medicine, McGill University, Center for Outcomes Research and Evaluation (CORE) McGill University Health Centre (MUHC)-Research Institute, Montreal, Canada. .,School of Physical and Occupational Therapy, Divisions of Clinical Epidemiology, Geriatrics, Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Center for Outcomes Research and Evaluation (CORE) McGill University Health Centre-Research Institute (RI-MUHC), Montreal, QC, Canada.
| | - Nikki Ow
- Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Foundry Central Office, Vancouver, Canada
| | - Miho Asano
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Sorayya Askari
- School of Occupational Therapy, Dalhousie University, Halifax, Canada
| | - Ruth Barclay
- Department of Physical Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Sabrina Figueiredo
- Department of Clinical Research and Leadership, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA
| | - Melanie Hawkins
- Centre for Global Health and Equity, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia
| | - Stanley Hum
- Brain Health Outcomes Platform, Montreal Neurological Institute and Hospital, Montreal, Canada
| | - Mehmet Inceer
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Center for Outcomes Research and Evaluation (CORE) McGill University Health Centre (MUHC)-Research Institute, Montreal, Canada
| | - Navaldeep Kaur
- Department of Physical Therapy, Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
| | - Ayse Kuspinar
- School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
| | - Kedar K V Mate
- Centre for Neurological Restoration, Cleveland Clinic, Cleveland, USA
| | - Ana Maria Moga
- School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Center for Outcomes Research and Evaluation (CORE) McGill University Health Centre (MUHC)-Research Institute, Montreal, Canada
| | - Maryam Mozafarinia
- Division of Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Center for Outcomes Research and Evaluation (CORE) McGill University Health Centre (MUHC)-Research Institute, Montreal, Canada
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Luc JGY, Fowler CS, Eisenberg SB, Estrera AL, Wolf RK, Choi CW, Lawton JS, Martin LW, Nesbitt JC, Reznik SI, Nguyen TC, Vaporciyan AA, Antonoff MB. Multi-Institutional Evaluation of a Debate-Style Journal Club for Cardiothoracic Surgery Trainees. Ann Thorac Surg 2021; 114:327-333. [PMID: 34547299 DOI: 10.1016/j.athoracsur.2021.07.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 07/11/2021] [Accepted: 07/29/2021] [Indexed: 11/01/2022]
Abstract
BACKGROUND Traditional journal clubs address individual articles and are limited in terms of breadth and depth of content covered. The present study describes the outcomes of a novel debate-style journal club in a multi-institutional setting. METHODS Participating institutions were recruited through the Thoracic Education Cooperative Group (TECoG). The distributed curriculum included instructions, debate scenarios, suggested article lists, moderator slides, debate scoresheets, exams, and feedback surveys. RESULTS Six institutions participated in the study (2015-2019), consisting of a total of 10 years' worth of cumulative debates. Cardiothoracic surgery trainees participated in 10 monthly debates over each academic year. Trainee performance on the written examination in the realm of evidence-based medicine and critical appraisal improved over the course of the academic year (beginning 55.2% vs end 76.3%, p=0.040). Importantly, written examination after debates revealed a significant improvement in scores on questions relating to topics that were debated as compared to those that were not (+27.1% vs +2.5%, p=0.006), emphasizing the importance of the debates as compared to other sources of knowledge gain. Surveys completed by trainees and faculty overall favored the debate-style journal club as compared to the traditional journal club in gaining familiarity with seminal literature in the field, improving upon oral presentation skills, and applying published literature to questions encountered clinically. CONCLUSIONS In this multi-institutional prospective study, we demonstrate that the novel debate-style cardiothoracic surgery journal club is an effective educational intervention for cardiothoracic surgical trainees to acquire, retain, and gain practice in applying literature-based evidence to case-based scenarios.
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Affiliation(s)
- Jessica G Y Luc
- Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada
| | - Clara S Fowler
- Research Medical Library, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Steven B Eisenberg
- Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, Houston, USA
| | - Anthony L Estrera
- Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, Houston, USA
| | - Randall K Wolf
- Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, Houston, USA
| | - Chun Woo Choi
- Division of Cardiac Surgery, Department of Surgery, John Hopkins University, Baltimore, Maryland, USA
| | - Jennifer S Lawton
- Division of Cardiac Surgery, Department of Surgery, John Hopkins University, Baltimore, Maryland, USA
| | - Linda W Martin
- Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, VA, USA
| | - Jonathan C Nesbitt
- Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Scott I Reznik
- Division of General Thoracic Surgery, Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Tom C Nguyen
- Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, Houston, USA
| | - Ara A Vaporciyan
- Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
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East meets West: Challenges faced by our surgeons moving overseas as mentee. Indian J Thorac Cardiovasc Surg 2021; 37:612-613. [PMID: 34511778 DOI: 10.1007/s12055-020-01069-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 09/21/2020] [Accepted: 09/25/2020] [Indexed: 10/23/2022] Open
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Bharadwaj SN, Luc JGY, Love R, Antonoff MB, Odell DD. The Unfulfilled Need for Technical Skill Assessments Among Academic Cardiothoracic Surgeons. Semin Thorac Cardiovasc Surg 2021; 34:611-616. [PMID: 34089826 DOI: 10.1053/j.semtcvs.2021.05.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Accepted: 05/21/2021] [Indexed: 11/11/2022]
Abstract
Technical skill is a proven predictor of surgical outcomes, yet no platform exists for continual technical skill development following training. We aim to characterize the perceived need for feedback on technical skill among practicing thoracic surgeons. Under the Thoracic Education Cooperative Group, a panel of cardiothoracic surgeons and trainees developed and distributed an online survey for cardiothoracic surgery faculty in the Thoracic Surgery Directors Association database. The survey solicited demographics, perceived need for constructive feedback, barriers to sharing critiques, and preferences of desired peer reviewers. One hundred forty surgeons responded to our survey (response rate: 19.6% [140/713]). Most respondents had practiced for greater than 15 years (49.3%, 69/140). About 76.4% (107/140) of responders agreed or strongly agreed receiving feedback on their technical skills would help them improve, and 71.5% (100/140) desired individualized skills feedback. While 61.4% (86/140) of surgeons received meaningful technical skill feedback as attending surgeons, this was infrequent, with 63.3% (88/139) last receiving feedback over 12 months prior. Commonly cited barriers to sharing feedback included lack of common practice, time constraints, and hierarchical barriers. About 66.2% (92/139) of participants would spend at least 10 minutes providing peer feedback to receive feedback on their own skills, while 45.3% (63/139) would spend greater than 20 minutes. Attending thoracic surgeons identify an unmet desire for ongoing, constructive feedback on their technical skills following training. Surgeons feel critique fosters improvement and would devote significant time to engaging in peer feedback. A platform for exchange of technical skill feedback is warranted.
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Affiliation(s)
- Sandeep N Bharadwaj
- Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Surgical Outcomes and Quality Improvement Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Jessica G Y Luc
- Division of Cardiovascular Surgery, University of British Columbia, Vancouver, British Columbia, Canada
| | - Remi Love
- Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Surgical Outcomes and Quality Improvement Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas
| | - David D Odell
- Division of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Surgical Outcomes and Quality Improvement Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
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Luc JGY, Reddy RM, Corsini EM, Carrott PW, David EA, Shemanski K, Fabian T, McCarthy DP, Okereke I, Oliver AL, Turner SR, Vaporciyan AA, Antonoff MB. Are Esophagectomy Board Requirements Achievable? A Multi-Institutional Analysis. Semin Thorac Cardiovasc Surg 2021; 33:1158-1168. [PMID: 33711460 DOI: 10.1053/j.semtcvs.2021.02.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Accepted: 02/01/2021] [Indexed: 11/11/2022]
Abstract
Duty-hour restrictions have implications on trainee operative exposure necessary to meet minimum case-volume requirements. We utilized a previously validated simulation model to evaluate the effect of program volume, trainee numbers and complement, and rotation schedule on the probability of achieving adequate esophagectomy case numbers for cardiothoracic surgery trainees. A ProModel simulator centered on probabilistic distributions of operative cases was utilized. Historical data from five 2-year cardiothoracic surgery training programs were obtained from 2016-2018 and used as inputs to the simulator that generated 10,000 "trainee 2-year periods" per program. Programs varied in annual average esophagectomy volume (12-91 per year), with 2-4 trainees graduating over a 2-year training period. If esophagectomy cases were distributed solely based on scheduling and institutional volume, only 60% of evaluated programs could adequately expose all trainees in esophagectomy to meet case requirements. The 3 programs with adequate esophagectomy volumes had averaged 3.3 times (range 3.0-3.6) the minimum number of board-required cases for their programs' trainees. The ability of programs to provide trainees with adequate esophagectomy volume is challenging based on institutional volume and scheduling. Through simulation, we demonstrate that programs need >2 times the expected minimum number of esophagectomies to ensure that >90% of trainees meet case-volume requirements. Programs may consider strategies such as allowing trainees to select cases based on personal need, train fewer fellows, or enable trainees to seek subspecialty exposure externally to achieve minimum esophagectomy case-load requirements.
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Affiliation(s)
- Jessica G Y Luc
- Division of Cardiovascular Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada; Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis
| | - Rishindra M Reddy
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Section of Thoracic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan
| | - Erin M Corsini
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Department of Thoracic and Cardiovascular Surgery, UT MD Anderson Cancer Center, Houston, Texas
| | - Philip W Carrott
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of General Thoracic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
| | - Elizabeth A David
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of Thoracic Surgery, Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California
| | - Kimberly Shemanski
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of Thoracic Surgery, Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California
| | - Thomas Fabian
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of Thoracic Surgery, Albany Medical Center, Department of Surgery, Albany Medical College, Albany, New York
| | - Daniel P McCarthy
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Section of Thoracic Surgery, Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Ikenna Okereke
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of Cardiothoracic Surgery, University of Texas Medical Branch, Galveston, Texas
| | - Aundrea L Oliver
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of Thoracic Surgery, Department of Cardiovascular Sciences, East Carolina University Brody School of Medicine, Greenville, North Carolina
| | - Simon R Turner
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Division of Thoracic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
| | - Ara A Vaporciyan
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Department of Thoracic and Cardiovascular Surgery, UT MD Anderson Cancer Center, Houston, Texas
| | - Mara B Antonoff
- Thoracic Education Cooperative Group, Thoracic Surgical Directors Association, Chicago, Illionis; Department of Thoracic and Cardiovascular Surgery, UT MD Anderson Cancer Center, Houston, Texas; Division of Thoracic Surgery, Department of Surgery, Keck School of Medicine of USC, University of Southern California, Los Angeles, California.
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Vervoort D, Dearani JA, Starnes VA, Thourani VH, Nguyen TC. Brave New World: Virtual conferencing and surgical education in the Coronavirus Disease 2019 era. J Thorac Cardiovasc Surg 2021; 161:748-752. [PMID: 32891447 PMCID: PMC7409975 DOI: 10.1016/j.jtcvs.2020.07.094] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Revised: 07/17/2020] [Accepted: 07/28/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Dominique Vervoort
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md
| | | | - Vaughn A. Starnes
- Department of Surgery, Keck School of Medicine of USC, Los Angeles, Calif
| | - Vinod H. Thourani
- Department of Cardiovascular Surgery, Marcus Valve Center, Piedmont Heart Institute, Atlanta, Ga
| | - Tom C. Nguyen
- Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center Houston, McGovern Medical School, Houston, Tex,Address for reprints: Tom C. Nguyen, MD, Department of Cardiothoracic and Vascular Surgery, The University of Texas Health Science Center at Houston, McGovern Medical School, 6400 Fannin St, Suite 2850, Houston, TX 77030
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Lin J. Evolution of the thoracic surgeon educator: Incorporating education science into our DNA. J Thorac Cardiovasc Surg 2020; 162:503-509. [PMID: 33353748 DOI: 10.1016/j.jtcvs.2020.10.134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 10/09/2020] [Accepted: 10/10/2020] [Indexed: 12/14/2022]
Affiliation(s)
- Jules Lin
- Section of Thoracic Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, Mich.
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Fiedler AG, Emerson D, Gillaspie EA, Hermsen JL, Levack MM, McCarthy DP, Sihag S, Worrell SG, Antonoff MB. Multi-institutional collaborative mock oral (mICMO) examination for cardiothoracic surgery trainees: Results from the pilot experience. ACTA ACUST UNITED AC 2020; 3:128-135. [PMID: 34173545 PMCID: PMC7381400 DOI: 10.1016/j.xjon.2020.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Revised: 07/18/2020] [Accepted: 07/21/2020] [Indexed: 11/24/2022]
Abstract
Objective The American Board of Thoracic Surgery–certifying examination is challenging for applicants. Single institutions have reported good results with a mock oral examination (MOE) for trainees. General surgery literature has demonstrated success with in-person multi-institutional MOE examinations. Due to small numbers of cardiothoracic training programs and significant geographic variability, we hypothesized that a multi-institutional, collaborative remotely administered MOE (mICMO) pairing faculty with trainees from different institutions would provide an important educational experience. Methods mICMOs were conducted via the Zoom virtual platform across 6 institutions. Descriptive results via post-experience survey were analyzed and reported. Results In total, 100% of trainees found mICMO useful. The majority would recommend to a peer, and 100% of faculty examiners found mICMO useful and would participate in another examination. Conclusions Faculty and trainees found the experience to be effective with respect to creating a high-stakes environment, educationally beneficial, and productive. These results support the continued use of mICMO and encourage expansion and collaboration with additional institutions across the country.
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Affiliation(s)
- Amy G Fiedler
- Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin, Madison, Wis
| | - Dominic Emerson
- Department of Cardiac Surgery, Cedars Sinai Medical Center, Smidt Heart Institute, Los Angeles, Calif
| | | | - Joshua L Hermsen
- Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin, Madison, Wis
| | | | - Daniel P McCarthy
- Division of Cardiothoracic Surgery, Department of Surgery, University of Wisconsin, Madison, Wis
| | - Smita Sihag
- Department of Surgery, Memorial Sloan Kettering, Thoracic Service, New York, NY
| | - Stephanie G Worrell
- Division of Thoracic Surgery, Case Western Reserve University, Cleveland, Ohio
| | - Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, UT MD Anderson Cancer Center, Houston, Tex
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Luc JGY, Antonoff MB. Necessity Is the Mother of Innovation-The Time to Collaborate Is Now. Ann Thorac Surg 2020; 110:2107. [PMID: 32460971 PMCID: PMC7246010 DOI: 10.1016/j.athoracsur.2020.05.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 05/16/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Jessica G Y Luc
- Division of Cardiovascular Surgery, University of British Columbia, Vancouver, Canada
| | - Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1489, Houston, TX 77030.
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Antonoff MB. Commentary: Thoracic surgery milestones as an iterative process: Try and try again. J Thorac Cardiovasc Surg 2020; 160:1405-1406. [PMID: 32014324 DOI: 10.1016/j.jtcvs.2019.12.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 12/16/2019] [Accepted: 12/16/2019] [Indexed: 11/19/2022]
Affiliation(s)
- Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, Houston, Tex.
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Surgical education research: How to move beyond the survey. Surgery 2019; 167:269-272. [PMID: 31253415 DOI: 10.1016/j.surg.2019.05.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Accepted: 05/15/2019] [Indexed: 12/22/2022]
Abstract
BACKGROUND Surgical education serves as the foundation for high-quality, efficient patient care. Because clinical knowledge is gained and newer surgical techniques developed, this material is incorporated into the curricula of surgical trainees. Methods for studying this integration vary widely, however, providing data that, at times, is challenging to interpret in the context of patient care and outcomes. METHODS A review of the literature was conducted to evaluate current practices in surgical education research, as well as topics areas of focus. RESULTS Several techniques in surgical education research currently exist, including surveys, knowledge assessments, tests of skill, and single-arm educational interventions, which may or may not include a prepost design with assessments administered both before and immediately following the intervention. The applicability of these measures to patient outcomes is variable. CONCLUSION Research in surgical education represents a field of great interest, with opportunity for novel investigations among a broad collection of topic areas. Educational research should be approached in a methodologically rigorous fashion with high investigational standards in order to advance the education of surgical trainees and the care of surgical patients.
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Corsini EM, Antonoff MB. A call for standardization of training and certification of thoracoscopic surgery for lung cancer. J Thorac Dis 2019; 11:S1188-S1190. [PMID: 31245081 DOI: 10.21037/jtd.2019.03.80] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022]
Affiliation(s)
- Erin M Corsini
- Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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Cardiothoracic surgical education research is NOT for dabblers anymore. J Thorac Cardiovasc Surg 2018; 157:829. [PMID: 30503731 DOI: 10.1016/j.jtcvs.2018.10.111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Accepted: 10/23/2018] [Indexed: 11/23/2022]
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Vaporciyan AA. "Crossing the quality chasm" in cardiothoracic surgical education. J Thorac Cardiovasc Surg 2018; 157:828. [PMID: 30414771 DOI: 10.1016/j.jtcvs.2018.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 10/05/2018] [Indexed: 10/28/2022]
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