Track topics on Twitter Track topics that are important to you
Due to a number of factors, including power differentials and adverse events, residents are susceptible to mistreatment (i.e., discrimination, harassment, and abuse) and toxic outcomes (i.e., burnout, attrition, and suicide). Our subsequent work following the FIRST Trial identified considerable variation in program-level rates of resident-reported burnout, severe stress, gender discrimination, racial discrimination, sexual harassment, and verbal abuse. To investigate these issues, the SECOND Trial will include a national mixed-methods analysis of and a pragmatic randomized trial to improve resident program culture and wellness.
The prospective, pragmatic randomized trial will include approximately 262 surgical residency programs across the United States. Participating programs will be randomized to the intervention or usual care arm. The intervention arm (vs. usual care) will receive program-specific cultural outcomes reports and a Surgical Culture Toolkit at the start of the trial as well as participate in Coaching Calls and In-Person Meetings to help facilitate and support intervention uptake throughout the trial period.
To assess the individual efficacy of the reports in regards to decreasing rates of mistreatment and toxic outcomes, the reports will be given to programs approximately 2 months to 6 months prior to toolkit dissemination. Prior to toolkit dissemination, programs will have the opportunity to fully review the report, form internal teams to address the issues, and mobilize necessary resources in preparation of receiving the toolkit. A comprehensive list of all activities performed after report dissemination will be kept at a program level. Toolkit dissemination to intervention programs will occur within 6 months of report dissemination. Coaching Calls and In-Person Meetings will be held at a variety of time points during the trial. The usual care arm will continue to perform their normal quality improvement activities.
Subsequently, the investigators will compare multiple postoperative outcomes between the two study arms using data collected from an annual resident survey.
Surgical Residency Workplace Culture
Resource allocation to improve general surgery residency program culture
Not yet recruiting
Published on BioPortfolio: 2018-11-18T20:06:25-0500
The objective of this study is to identify the difficulties when first applying for a first Resource Allocation (Personal autonomy allowance - APA) by beneficiaries and their relatives thr...
Residency training includes positive and negative aspects. Well-trained doctors must be educated, but the process may bring additional risks to patients. Anesthesiologists' performance whe...
More than 50 residents in surgical specialities (OB&G, General surgery and Urology) from a single university in Italy will be randomized into two groups, after a stratification based on re...
The purpose of this study is to determine whether a specialized, technology-based training program in tobacco prevention is more effective than standard training for pediatric residents wh...
The investigators will examine the association between preoperative frailty and postoperative outcomes and resource utilization after emergency general surgery.
The internet is a valuable resource for residency and fellowship applicants when deciding where to apply or interview, yet program websites have shown critical deficiencies in accessibility and conten...
The Review Committee for Surgery requires a minimum program director (PD) tenure of 6 years. The impact of PD turnover on the performance of program graduates is unknown. We hypothesize that (1) the m...
There are 28 integrated thoracic surgery residency programs. Program growth has plateaued, and training evolutions are anticipated.
The Accreditation Council for Graduate Medical Education Common Residency Program Requirements stipulate that each faculty member's performance be evaluated annually. Feedback is essential to this pro...
Societal or individual decisions about the equitable distribution of available resources.
A range of healthcare related training designed to reduce MEDICAL ERRORS and improve PATIENT SAFETY by emphasizing TEAMWORK and human factors (see HUMAN ENGINEERING).
Alternating sets of exercise that work out different muscle groups and that also alternate between aerobic and anaerobic exercises, which, when combined together, offer an overall program to improve strength, stamina, balance, or functioning.
Using certified ELECTRONIC HEALTH RECORDS technology to improve quality, safety, efficiency, and reduce HEALTHCARE DISPARITIES; engage patients and families in their health care; improve care coordination; improve population and public health; while maintaining privacy and security.
Culture of an isolated organism free from any other associating or contaminating organisms.
Stress is caused by your perception of situations around you and then the reaction of your body to them. The automatic stress response to unexpected events is known as 'fight or flight'. Discovered by Walter Cannon in 1932, it is the release of h...
The World Health Organization (WHO) definition of sexual health; "the state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction and infirmity. Sexual health requires a posit...
Surgery is a technology consisting of a physical intervention on tissues. All forms of surgery are considered invasive procedures; so-called "noninvasive surgery" usually refers to an excision that does not penetrate the structure being exci...