Practical training for postgraduate year 1 surgery residents
Section snippets
Methods
Eleven incoming surgical interns participated in the simulated clinical calls course and served as the study subjects. None of the subjects had previous surgical training, although 1 subject had 3 years of postgraduate clinical experience as a General Medical Officer in the United States Navy. The resident’s specialties are as follows: 4 categorical general surgery, 2 urology, 1 otolaryngology, 1 neurosurgery, 2 orthopedic surgery, and 1 preliminary general surgery.
Fifteen simulated
Results
All 11 subjects completed the course and surveys. The cumulative mean trainee confidence measure (n = 11) increased significantly (P <0.03) from a precourse value of 6.73 ± SD 1.23 to a postcourse value of 8.35 ± SD 0.84 (1 = no confidence, 10 = full confidence; Figure 1). Each of the 11 trainee’s mean confidence measure increased postcourse. The difference between individual postcourse and precourse mean confidence ratings ranged from 1.04 to 3.23 with an average difference of 2.02. In terms
Comments
One goal of this study was to measure the effect of simulated clinical calls sessions on resident’s (trainee’s) self-ratings of confidence. Our results show that interns’ confidence levels rose postcourse in all cases and the group’s mean confidence level rose significantly from 6.73 precourse to 8.35 postcourse (P <0.03).
These data suggest one outcome of the training course may be its effect on intern self-efficacy. Self-efficacy refers to the individual’s confidence in his or her ability to
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