2020
The ups and downs of general surgery resident experience in endocrine surgery: Analysis of 30 years of ACGME graduate case logs
Ramirez A, Fashandi A, Hanks J, Smith P, Potts J. The ups and downs of general surgery resident experience in endocrine surgery: Analysis of 30 years of ACGME graduate case logs. Surgery 2020, 168: 586-593. PMID: 32811696, DOI: 10.1016/j.surg.2020.07.007.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceEndocrine Surgical ProceduresGeneral SurgeryHumansInternship and ResidencyLongitudinal StudiesUnited StatesConceptsEndocrine surgery casesGeneral surgery residentsSurgery casesSurgery residentsGeneral surgery resident experienceExperience of general surgery residentsGeneral surgery casesAdrenal operationsParathyroid operationsThyroid operationsMedian numberEndocrine operationsEndocrine surgeryProcedure typeResident surgeonsLinear regression analysisCase-mixDescriptive statisticsSurgeonsResident levelTrainee experienceResident experienceRegression analysisAverage total numberAmerican AssociationNew endocrine fellowship programs do not decrease the endocrine surgery experience of residents in co-located general surgery programs
Fashandi A, Hanks J, Ramirez A, Potts J, Smith P. New endocrine fellowship programs do not decrease the endocrine surgery experience of residents in co-located general surgery programs. Surgery 2020, 169: 185-190. PMID: 32771297, DOI: 10.1016/j.surg.2020.05.043.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationClinical CompetenceEndocrine Surgical ProceduresEndocrinologyGeneral SurgeryHumansInternship and ResidencySurgeonsWorkloadConceptsEndocrine surgery casesGeneral surgery residentsGeneral surgery programsSurgery casesSurgery residentsSurgery programsSurgical fellowship programsFellowship programsResident operative experienceCase log dataMann-Whitney U testMann-WhitneyU testStatistical significanceYear 5Experiences of residentsNational declineYear 0Decades of increasesDescriptive statisticsYearsResidents
2018
Long-Term Skills Retention Following a Randomized Prospective Trial on Adaptive Procedural Training
Ramirez A, Hu Y, Kim H, Rasmussen S. Long-Term Skills Retention Following a Randomized Prospective Trial on Adaptive Procedural Training. Journal Of Surgical Education 2018, 75: 1589-1597. PMID: 29803772, PMCID: PMC6252163, DOI: 10.1016/j.jsurg.2018.03.007.Peer-Reviewed Original ResearchConceptsCentral venous catheter placementRandomized controlled trialsMedical studentsControlled trialsLong-term skill retentionSurvey assessed confidenceSimulation-based trainingTraining armChi-square testAssess confidenceSkill retentionInvestigate long-term outcomesTraining hospitalsTertiary care centerConventional trainingPractice volumeCare centerTrial completionVenous catheter placementRandomized prospective trialLong-term outcomesTrial outcomesStudy objectiveAverage scorePractice timeCreation, Implementation, and Assessment of a General Thoracic Surgery Simulation Course in Rwanda
Ramirez A, Nuradin N, Byiringiro F, Ssebuufu R, Stukenborg G, Ntakiyiruta G, Daniel T. Creation, Implementation, and Assessment of a General Thoracic Surgery Simulation Course in Rwanda. The Annals Of Thoracic Surgery 2018, 105: 1842-1849. PMID: 29476717, PMCID: PMC5964001, DOI: 10.1016/j.athoracsur.2018.01.043.Peer-Reviewed Original ResearchConceptsGeneral surgery residentsThoracic proceduresSurgery residentsLow-middle income country settingFellowship training opportunitiesSimulation courseDiaphragm repairLow-middle income countriesIncome country settingsStatistically significant improvementUnivariate analysisResident knowledge baseSecondary objectivesSimulated surgeryLocal facultyIncome countriesCountry settingsKnowledge assessmentTraining levelTraining opportunitiesResident feedbackParticipants' responsesLikert scaleEnhance confidenceSignificant improvement
2016
Using Interdisciplinary Workgroups to Educate Surgery Residents in Systems-Based Practice
Gillen J, Ramirez A, Farineau D, Hoke T, Schirmer B, Williams M, Lau C. Using Interdisciplinary Workgroups to Educate Surgery Residents in Systems-Based Practice. Journal Of Surgical Education 2016, 73: 1052-1059. PMID: 27372271, PMCID: PMC5124388, DOI: 10.1016/j.jsurg.2016.05.017.Peer-Reviewed Original ResearchConceptsSystems-based practiceSystem-based practiceInterdisciplinary workgroupCompetency of systems-based practiceFrontline health care providersAccreditation Council for Graduate Medical Education competenciesHealth care teamHealth care providersHealth care professionalsSurgery residentsEducation of residentsHands-on educational experiencesCare teamInterprofessional collaborationCare providersCare professionalsHealth systemTeam-building exercisesWorkflow issuesInterdisciplinary communicationResident educationMeaningful educationSystem issuesSystems-basedResidents
2014
Cumulative sum: a proficiency metric for basic endoscopic training
Hu Y, Jolissaint J, Ramirez A, Gordon R, Yang Z, Sawyer R. Cumulative sum: a proficiency metric for basic endoscopic training. Journal Of Surgical Research 2014, 192: 62-67. PMID: 24976441, PMCID: PMC4188705, DOI: 10.1016/j.jss.2014.05.056.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceCompetency-Based EducationEducational MeasurementEndoscopyGastrostomyHumansInternship and ResidencyLearningModels, EducationalConceptsPercutaneous endoscopic gastrostomyCUSUM analysisProcedure duration >Postgraduate year 1 surgery residentsPercutaneous endoscopic gastrostomy insertionSensitivity to relapseProcedure durationExpert endoscopistsEndoscopic gastrostomyRelapseSurgical residentsHour restrictionsSurgical traineesTrainee proficiencyLikert-scale surveyFailure rateTask failureTraining backgroundOperator experienceEndoscopy