Graded operative autonomy in emergency appendectomy mirrors case-complexity: surgical training insights from the SnapAppy prospective observational study

  1. Young, Nathalie
  2. Ahl Hulme, Rebecka
  3. Forssten, Maximilian Peter
  4. Kaplan, Lewis Jay
  5. Walsh, Thomas Noel
  6. Cao, Yang
  7. Mohseni, Shahin
  8. Bass, Gary Alan
  9. Biloslavo, Alan
  10. Kurihara, Hayato
  11. Martinez-Casas, Isidro
  12. Pereira, Jorge
  13. Pourlotfi, Arvid
  14. Ryan, Éanna J.
  15. Tolonen, Matti
  16. Louri, Nayef
  17. Nedham, Fatema
  18. Walsh, Thomas Noel
  19. Hashem, Jamal
  20. Corbally, Martin
  21. Farhan, Abeer
  22. Al Hamad, Hamad
  23. Elhennawy, Rawan
  24. AlKooheji, Mariam
  25. AlYusuf, Manar
  26. Aknouche, Wissal
  27. Zeidan, Anas A
  28. Alsaffar, Yusuf S.
  29. Lipping, Edgar
  30. Talving, Peep
  31. Saar, Sten
  32. Graumann, Katrina
  33. Kibuspuu, Liis
  34. Harkov, Eduard
  35. Aaltonen, Gisele
  36. Sillman, Iines S.
  37. Haapanen, Sami
  38. Lampela, Hanna
  39. Sammalkorpi, Henna
  40. Eskola, Sofia
  41. Laakso, Altti
  42. Back, Johan
  43. Kettunen, Ulla
  44. Nummi, Antti M.
  45. Szwedyc, Anika
  46. Nykänen, Taina
  47. Rantala, Rolle
  48. Mäkäräinen-Uhlbäck, Elisa J.
  49. Meriläinen, Sanna A.
  50. Huhta, Heikki I.
  51. Rintala, Jukka M. J
  52. Laitakari, Kirsi E. M
  53. Lietzen, Elina
  54. Salminen, Paulina
  55. Rapola, Risto K. A
  56. Zangouri, Vahid
  57. Karami, Mohammad Y
  58. Tahmasebi, Sedigheh
  59. Akrami, Majid
  60. Golchini, Alireza
  61. Bahrami, Faranak
  62. Johnston, Sean M.
  63. Lim, Sean T
  64. Ahonkhai, Irele Ifijeh
  65. Eltagani, Eltahir
  66. Ryan, Odhran K.
  67. O’Driscoll-Collins, Ailbhe
  68. O’Neill, Aine
  69. Penny, Zakiya
  70. Kelly, Orlaith
  71. Cullinane, Carolyn
  72. Reynolds, Ian
  73. Heneghan, Helen
  74. Martin, Sean
  75. Winter, Des
  76. Davey, Matthew
  77. Alkhattab, Maha
  78. Lowery, Aoife J.
  79. Kerin, Michael J.
  80. Hogan, Aisling M.
  81. Davey, Martin S
  82. Oh, Ke En
  83. Kabir, Syed Mohammad Umar
  84. Huan, Huilun
  85. Aziz, Charlotte
  86. Sugrue, Michael
  87. Ryan, Jessica M
  88. Connelly, Tara M
  89. Alhazmi, Mohammad
  90. Al-Mukhaizeem, Youssef
  91. Cooke, Fiachra
  92. Neary, Peter M
  93. Hill, Arnold D. K
  94. Boland, Michael R
  95. Lloyd, Angus J.
  96. Fallon, Frances
  97. Cleere, Eoin F.
  98. Toale, James
  99. Boland, Patrick A.
  100. Devine, Michael
  101. Keady, Conor
  102. Hunter, Sarah
  103. Kevin Barry, M.
  104. Kelly, Michael E.
  105. O’Dowling, Aidan T.
  106. Creavin, Ben
  107. Kavanagh, Dara O.
  108. Neary, Paul
  109. Ridgway, Paul F.
  110. McCarrick, Cathleen A.
  111. Bolger, Jarlath
  112. Maguire, Barry
  113. Keogh, Cian
  114. Chawla, Surbhi
  115. Conneely, John
  116. McCormack, Emilie
  117. Shanahan, Ben
  118. Raftery, Nicola
  119. Rice, Darragh
  120. McInerney, Niall
  121. Stakelum, Aine
  122. Mares, Jan
  123. Tan, Jonavan
  124. Hanna, Mark
  125. Balasubramanian, Ishwarya
  126. Fleming, Christina
  127. Barsky, Guy
  128. Shaked, Gad
  129. Giudici, Simone
  130. Ceolin, Martina
  131. Mei, Simona
  132. Mazzarella, Francesca
  133. Zucca, Annalisa
  134. Terranova, Susanna
  135. de Manzini, Nicolo
  136. Visconti, Diego
  137. Doria, Emanuele
  138. Santarelli, Mauro
  139. Scotton, Giovanni
  140. Notte, Francesca
  141. Bertelli, Giacomo
  142. Malpaga, Anna
  143. Armatura, Giulia
  144. Frena, Antonio
  145. Tartaglia, Dario
  146. Coccolini, Federico
  147. Cremonini, Camilla
  148. Cicuttin, Enrico
  149. Mazzoni, Alessio
  150. Chiarugi, Massimo
  151. Azevedo, Constança M
  152. Mendes, Filipa D
  153. Faria, Luis Q.
  154. Nazario, Carlos
  155. Machado, Daniela
  156. Semiao, Miguel
  157. Pereira, Jorge
  158. Casimiro, Carlos
  159. Pinto, Jose
  160. Pavão, Tiago
  161. Pereira, Raquel
  162. Barbosa, Bruno
  163. Tenreiro, Nadia
  164. Ferreira, Catia
  165. Guidi, Goncalo
  166. Martins, Daniela C
  167. Leal, Clara
  168. Vieira, Bruno B.
  169. Castro, Luís S.
  170. Faria, Aldara
  171. Figueira, Alberto
  172. Sousa, Mauro
  173. Rodrigues, Pedro
  174. Roquette, Rodrigo
  175. Ribeiro, Ricardo
  176. Cardoso, Paulo
  177. Domingues, Joana
  178. Manso, Maria Isabel
  179. Pereira, Rute
  180. Revez, Tatiana
  181. Dumbrava, Bogdan D.
  182. Turcu, Florin
  183. Hutopila, Ionut
  184. Banescu, Bogdana
  185. Filip, Gerald
  186. Copaescu, Catalin
  187. Valmorisco, Marcos Alba
  188. Martín, Isabel Manzano
  189. de Arboleya, Rocio Martín García
  190. Seda, José Ortega
  191. González, Pablo Rodríguez
  192. Toro, Jose Antonio Becerra
  193. Lara, Enrique Rodríguez
  194. Minchón, Jose Antonio González
  195. Segura-Sampedro, Juan José
  196. Jerí-McFarlane, Sebastián
  197. Gil-Catalán, Alejandro
  198. Craus-Miguel, Andrea
  199. Fernández-Vega, Laura
  200. González-Argenté, Xavier
  201. Estaire-Gómez, Mercedes
  202. Fernández-Pacheco, Borja Camacho
  203. Vitón-Herrero, Rebeca
  204. Jimenez-Higuera, Elisa
  205. Barbero, Alejandro
  206. Valverde, José M
  207. Colás-Ruiz, Enrique
  208. del Mar Escales-Oliver, Maria
  209. Claramonte-Bellmunt, Olga
  210. Castro-Suárez, Marta
  211. Pagés-Valle, Naila
  212. Cifuentes-Ródenas, José Andrés
  213. Alvarez, Marta Merayo
  214. Campos, Jose Luis Michi
  215. González, Luis Alejandro García
  216. Aguilera, Beatriz Carrasco
  217. Menéndez, Jaime Iturbe
  218. Miravalles, Jose Luis Rodicio
  219. Haro, Carmen Rodríguez
  220. O’Sullivan, Sara Núñez
  221. Virosta, Mariana García
  222. O’Reilly, María Hernández
  223. Balciscueta-Coltell, Izaskun
  224. Lorenzo-Perez, Javier
  225. Martinez-Alcaide, Sonia
  226. Martinez-Ramos, Susana
  227. Sebastian-Fuertes, Maria
  228. Gomez-Romer, Laura
  229. Pelloni, Maria M.
  230. Rahy-Martín, Aida Cristina
  231. Yepes-Cano, Andrés Felipe
  232. Reguera-Rosal, Julio
  233. Lopez-Ruiz, Jose A.
  234. Marenco, Beatriz
  235. Retamar-Gentil, Marina
  236. Romero-Vargas, Estela
  237. Gil-Olarte, Angeles
  238. Landaluce-Olavarria, Aitor
  239. Estraviz-Mateos, Begoña
  240. De Francisco-Rios, Jose-Mario
  241. Sainz-Lete, Aitor
  242. Emaldi-Abasolo, Ane
  243. Leon-Valarezo, Manolo
  244. Moreira, Claudia C. Lopes
  245. Perez, Aintzane Lizarazu
  246. Gonzalez, Araceli Rodriguez
  247. Ponce, Iñigo Augusto
  248. Iglesias, Ignacio Maria Goena
  249. González-Prado, Cristina
  250. Cabriada, Guillermo
  251. López, Beatriz
  252. Otero, Michelle C.
  253. Muñoz-Plaza, Nerea
  254. Palomo, Alberto
  255. Mendoza-Moreno, Fernando
  256. Díez-Alonso, Manuel
  257. García-Moreno-Nisa, Francisca
  258. Matías-García, Belén
  259. Ovejero-Merino, Enrique
  260. Quiroga-Valcárcel, Ana
  261. Sánchez-Guillén, Luis
  262. Oller-Navarro, Inmaculada
  263. Soler-Silva, Álvaro
  264. Sanchís-López, Antonio Francisco
  265. Blanco-Antona, Francisco
  266. Muñoz-Bellvis, Luis
  267. López-Sánchez, Jaime
  268. Garrosa-Muñoz, Sonsoles
  269. Barón-Salvador, Beatriz
  270. Nieto-Arranz, Juan Manuel
  271. Campos-Serra, Andrea
  272. Gràcia-Roman, Raquel
  273. Muñoz-Campaña, Anna
  274. Zerpa-Martin, Carla
  275. Torrecilla-Portoles, Andrea
  276. Landa, Tessa
  277. Muñoz-Cruzado, Virginia Durán
  278. Pareja-Ciuró, Felipe
  279. Aparicio-Sánchez, Daniel
  280. del Pozo, Eduardo Perea
  281. Dios-Barbeito, Sandra
  282. García-Sánchez, Carlos
  283. García-Moriana, Antonio Jesús
  284. Turrado-Rodriguez, Victor
  285. Termes-Serra, Roser
  286. Gonzalez-Atienza, Paula
  287. Morales-Sevillano, Xavier
  288. Torroella, Alba
  289. Ginestà, César
  290. Escartín, Alfredo
  291. Gomez, Ferney
  292. Pinillos, Ana
  293. Ortega, Jaume
  294. Lopez, Guillermo
  295. Gutierrez, Eric
  296. Membrilla-Fernandez, Estela
  297. Ocho-Segarra, Francisco
  298. González-Castillo, Ana María
  299. Pelegrina-Manzano, Amalia
  300. Guzmán-Ahumada, Juan
  301. Sancho-Insenser, Juan Jose
  302. García-Jiménez, María Lourdes
  303. Castro-Diez, Laura
  304. González-Bermúdez, Manuel
  305. Torres-Díaz, Mónica
  306. Pena, Carla Madarro
  307. Rodríguez, Angélica Blanco
  308. Trivedi, Dhanisha
  309. Reda, Souheil
  310. Edvardsson, Hans
  311. Strömmer, Lovisa
  312. Caragounis, Eva-Corina
  313. Sillén, Karin
  314. Warfvinge, Sofia
  315. Bergstedt, Fredrik
  316. Enström, Philip
  317. Olsson, Harald
  318. Rosemar, Anders
  319. Young, Nathalie
  320. Popowicz, Agnieszka
  321. Lerström, Johanna
  322. Jäderbo, Johanna
  323. Hammarqvist, Folke
  324. Zacharias, Hanna
  325. Wikström, Maria B.
  326. Hurtsén, Anna Stene
  327. Bayadsi, Haytham
  328. Jansson, Emma
  329. Brunstrom, Nils
  330. Malers, Ellen B
  331. Loftås, Per I.
  332. Möller, Anders
  333. Atanasova, Elena
  334. Zwicky, Simone N.
  335. Schnüriger, Beat
  336. Rutka, Olga
  337. Kattakayam, Arjun T.
  338. Alam, Mushfique
  339. Taylor, John V.
  340. Mihailescu, Andrei
  341. Karip, Eszter T.
  342. Zeb, Ehtisham
  343. O’Connor, Adam
  344. Pokusevski, Goran
  345. Khan, Mansoor
  346. Florance, Charlotte
  347. Swaminathan, Christie
  348. Jaunoo, Shameen
  349. Sajid, Mohammed
  350. Duffy, Caoimhe C.
  351. Rees, John
  352. Seamon, Mark J.
  353. Martin, Niels D.
  354. McCurry, Ian J.
  355. Vail, Emily A.
  356. Bormann, Bradford C.
  357. Cullinane, Daniel C.
  358. Sawhney, Jaswin S.
  359. Dreifus, Jonathan
  360. Sheppard, Forest R.
  361. Coimbra, Raul
  362. Albini, Paul
  363. Edward, Sara
  364. ESTES SnapAppy Group
  365. Mostrar todos los/as autores/as +
Revista:
European Journal of Trauma and Emergency Surgery

ISSN: 1863-9933,  1863-9941

Año de publicación: 2023

Volumen: 49

Número: 1

Páginas: 33-44

Tipo: Artículo

DOI: 10.1007/S00068-022-02142-3 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: European Journal of Trauma and Emergency Surgery

Referencias bibliográficas

  • Wright JR Jr, Schachar NS. Necessity is the mother of invention: William Stewart Halsted’s addiction and its influence on the development of residency training in North America. Can J Surg J Can Chir. 2020;63(1):E13–9.
  • Rostami K, Khadjooi K. The implications of Behaviorism and Humanism theories in medical education. Gastroenterol Hepatol Bed Bench Gastroenterol Hepatol Bed Bench. 2010;3:65–70.
  • Wigton RS, Patil KD, Hoellerich VL. The effect of feedback in learning clinical diagnosis. J Med Educ. 1986;61(10):816–22.
  • Gilbody J, Prasthofer AW, Ho K, Costa ML. The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review. Ann R Coll Surg Engl. 2011;93(5):347–52.
  • Palter VN, Grantcharov TP. Individualized deliberate practice on a virtual reality simulator improves technical performance of surgical novices in the operating room: a randomized controlled trial. Ann Surg. 2014;259(3):443–8.
  • Shaker D. Cognitivism and psychomotor skills in surgical training: from theory to practice. Int J Med Educ. 2018;28(9):253–4.
  • Allan H, Vig S. Making the most of surgical training. Bull R Coll Surg Engl. 2009;91(5):164–7.
  • Mackrill D, Allison S. Laparoscopic appendicectomy: an operation for all trainees but does the learning curve continue into consultanthood? ANZ J Surg. 2015;85(5):349–52.
  • Bass GA, Kaplan LJ, Ryan ÉJ, Cao Y, Lane-Fall M, Duffy CC, et al. The snapshot audit methodology: design, implementation and analysis of prospective observational cohort studies in surgery. Eur J Trauma Emerg Surg. 2022. https://doi.org/10.1007/s00068-022-02045-3.
  • Crandall ML, Agarwal S, Muskat P, Ross S, Savage S, Schuster K, et al. Application of a uniform anatomic grading system to measure disease severity in eight emergency general surgical illnesses. J Trauma Acute Care Surg. 2014;77(5):705–8.
  • Shafi S, Aboutanos M, Brown CVR, Ciesla D, Cohen MJ, Crandall ML, et al. Measuring anatomic severity of disease in emergency general surgery. J Trauma Acute Care Surg. 2014;76(3):884–7.
  • Vasileiou G, Ray-Zack M, Zielinski M, Qian S, Yeh DD, Crandall M. Validation of the American Association for the Surgery of Trauma emergency general surgery score for acute appendicitis-an EAST multicenter study. J Trauma Acute Care Surg. 2019;87(1):134–9.
  • Bass GA, Mohseni S, Ryan EJ, Forssten MP, Tolonen M, Cao Y, and Kaplan LJ. Clinical practice selectively follows acute appendicitis guidelines. Eur J Trauma Emerg Surg. 2023.
  • Zhang Z. Multiple imputation with multivariate imputation by chained equation (MICE) package. Ann Transl Med. 2016;4(2):30.
  • Weinberg SL, Harel D, Abramowitz SK. Statistics using R: an integrative approach. Cambridge: Cambridge University Press; 2020.
  • Joshi A, Borraez-Segura B, Anwer M, Ladipo-Ajayi O, Schlottmann F, Le DNN, et al. An International Collaborative Study on Surgical Education for Quality Improvement (ASSURED): a Project by the 2017 International Society of Surgery (ISS/SIC) Travel Scholars International Working Group. World J Surg. 2020;44(5):1400–11.
  • Fanti P, Banks E, Smith H. How do differences in resident surgical autonomy affect surgical confidence? Obstet Gynecol [Internet]. 2015;126. https://journals.lww.com/greenjournal/Fulltext/2015/10001/How_Do_Differences_in_Resident_Surgical_Autonomy.81.aspx
  • Sachs TE, Pawlik TM. See one, do one, and teach none: resident experience as a teaching assistant. J Surg Res. 2015;195(1):44–51.
  • Teman NR, Gauger PG, Mullan PB, Tarpley JL, Minter RM. Entrustment of general surgery residents in the operating room: factors contributing to provision of resident autonomy. J Am Coll Surg. 2014;219(4):778–87.
  • Smith BK, Rectenwald J, Yudkowsky R, Hirshfield LE. A framework for understanding the association between training paradigm and trainee preparedness for independent surgical practice. JAMA Surg. 2021;156(6):535–40.
  • Kolozsvari NO, Kaneva P, Vassiliou MC, Fried GM, Feldman LS. New dog, new tricks: trends in performance on the Fundamentals of Laparoscopic Surgery simulator for incoming surgery residents. Surg Endosc. 2012;26(1):68–71.
  • Morse CR, Mathisen DJ. Educational challenges of the operating room. Thorac Surg Clin. 2019;29(3):269–77.
  • Brunckhorst O, Challacombe B, Abboudi H, Khan MS, Dasgupta P, Ahmed K. Systematic review of live surgical demonstrations and their effectiveness on training. Br J Surg. 2014;101(13):1637–43.
  • Rice TC, Kassam AF, Lewis HV, Hobeika M, Cuffy MC, Ratner LE, et al. Changing education paradigms: training transplant fellows for high stake procedures. J Surg Educ. 2020;77(4):830–6.
  • Chiu CC, Wei PL, Wang W, Chen RJ, Chen TC, Lee WJ, et al. Role of appendectomy in laparoscopic training. J Laparoendosc Adv Surg Tech A. 2006;16(2):113–8.
  • Bohnen JD, George BC, Zwischenberger JB, Kendrick DE, Meyerson SL, Schuller MC, et al. Trainee autonomy in minimally invasive general surgery in the United States: establishing a national benchmark. J Surg Educ. 2020;77(6):e52-62.
  • Stride HP, George BC, Williams RG, Bohnen JD, Eaton MJ, Schuller MC, et al. Relationship of procedural numbers with meaningful procedural autonomy in general surgery residents. Surgery. 2018;163(3):488–94.
  • Advani V, Ahad S, Gonczy C, Markwell S, Hassan I. Does resident involvement effect surgical times and complication rates during laparoscopic appendectomy for uncomplicated appendicitis? An analysis of 16,849 cases from the ACS-NSQIP. Am J Surg. 2012;203(3):347–51 (discussion 351–352).
  • Lin YY, Shabbir A, So JBY. Laparoscopic appendectomy by residents: evaluating outcomes and learning curve. Surg Endosc. 2010;24(1):125–30.
  • Kim SY, Hong SG, Roh HR, Park SB, Kim YH, Chae GB. Learning curve for a laparoscopic appendectomy by a surgical trainee. J Korean Soc Coloproctol. 2010;26(5):324–8.
  • Jolley J, Lomelin D, Simorov A, Tadaki C, Oleynikov D. Resident involvement in laparoscopic procedures does not worsen clinical outcomes but may increase operative times and length of hospital stay. Surg Endosc. 2016;30(9):3783–91.
  • Kim CW, Jeon SY, Paik B, Bong JW, Kim SH, Lee SH. Resident learning curve for laparoscopic appendectomy according to seniority. Ann Coloproctol. 2020;36(3):163–71.
  • National Surgical Research Collaborative. Multicentre observational study of performance variation in provision and outcome of emergency appendicectomy. Br J Surg. 2013;100(9):1240–52.
  • Dickinson KJ, Bass BL, Graviss EA, Nguyen DT, Pei KY. Independent operating by general surgery residents: an ACS-NSQIP analysis. J Surg Educ. 2021;78(6):2001–10.
  • Do WS, Sheldon RR, Phillips CJ, Eckert MJ, Sohn VY, Martin MJ. Senior surgical resident autonomy and teaching assistant cases: a prospective observational study. Am J Surg. 2020;219(5):846–50.
  • Hiramatsu K, Toda S, Tate T, Fukui Y, Tomizawa K, Hanaoka Y, et al. Can laparoscopic appendectomy be safely performed by surgical residents without prior experience of open appendectomy? Asian J Surg. 2018;41(3):270–3.
  • Lee SL, Yaghoubian A, de Virgilio C. A multi-institutional comparison of pediatric appendicitis outcomes between teaching and nonteaching hospitals. J Surg Educ. 2011;68(1):6–9.
  • Ussia A, Vaccari S, Gallo G, Grossi U, Ussia R, Sartarelli L, et al. Laparoscopic appendectomy as an index procedure for surgical trainees: clinical outcomes and learning curve. Updat Surg. 2021;73(1):187–95.