Clinical Surgery in General

Clinical supervisor evaluations during general surgery clerkships.

BACKGROUND Clerkship performance is commonly evaluated by consultant surgeons who seldom supervise medical students directly. In contrast, surgical residents and interns frequently supervise students and provide essential teaching but are not tasked with evaluating them. AIM To prospectively investigate and compare the accuracy of general surgery clerkship performance evaluations by clinical ...

Surgical competence in general surgery assistance: a brief report

Clinical pathways in general surgery. Development, implementation, and evaluation.

OBJECTIVES To emphasize the importance of the view of business process management for development and implementation of clinical pathways, and to evaluate their effectiveness in reducing cost and effort as well as enhancing patient satisfaction. METHODS We describe the development and implementation of pathways with methods of process management and the design and realization of an evaluation...

Surgery in General

INTRODUCTION Pre-operative limb preparation (PLP) usually involves lifting the limb and holding it in a fixed ‘static’ posture for several minutes. This is hazardous to theatre staff. Furthermore, ‘painting’ the limb can be time consuming and difficult areas such as between toes and fingers may remain unsterile. We demonstrate the time efficiency and asepsis achieved using the ‘sterile bag’ pre...

Can moral reasoning predict general surgery residents' clinical competence?

BACKGROUND When selecting residents for residency programs, there has been little success using standard academic criteria to predict their clinical performance. However, numerous studies in the past have found linkages between the nonstandard variable moral reasoning as measured by the instrument Defining Issues Test (Version 2; DIT-2) and clinical decision making with higher levels of moral r...