Advertisement

Implementation, evaluation, and modification of a near-peer learning group in graduate surgical education

Published:November 22, 2022DOI:https://doi.org/10.1016/j.amjsurg.2022.11.027
      Given demands on resident time, it is critical that formal didactic curricula for general surgery residents be effective and efficient.
      • Webb T.P.
      Protected block curriculum enhances learning during general surgery residency training.
      General surgery residents are required to master a vast amount of material while also providing safe clinical care, conducting research, and serving as educators to medical students and junior residents.
      • Frank J.R.
      • Danoff D.
      The CanMEDS initiative: implementing an outcomes-based framework of physician competencies.
      In the past ten years, work-hour restrictions, recognition of new non-clinical knowledge gaps, medicolegal regulations, and an evolving emphasis on resident well-being have brought new time demands to surgical training.
      • Damewood R.B.
      • Blair P.G.
      • Park Y.S.
      • Lupi L.K.
      • Newman R.W.
      • Sachdeva A.K.
      Taking training to the next level”: the American college of surgeons committee on residency training survey.
      In response, various programs have implemented protected block curricula to cover the Surgical Council on Resident Education (SCORE) curriculum, an outline of topics that should be covered in a five-year general surgery residency program.
      • Fields R.C.
      • Bowman M.C.
      • Freeman B.D.
      • Klingensmith M.E.
      Implementation of an “after hours” resident educational program in a general surgery residency: a paradigm for increasing formal didactic training outside of the hospital setting in the era of the 80-hour workweek.
      However, clinical duties often preclude full resident participation even in the setting of protected sessions. One solution to address gaps in surgical education is to implement a supplemental near-peer learning group.
      • Lockspeiser T.M.
      • O'Sullivan P.
      • Teherani A.
      • Muller J.
      Understanding the experience of being taught by peers: the value of social and cognitive congruence.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Webb T.P.
        Protected block curriculum enhances learning during general surgery residency training.
        Arch Surg. 2009 Feb 16; 144: 160
        • Frank J.R.
        • Danoff D.
        The CanMEDS initiative: implementing an outcomes-based framework of physician competencies.
        Med Teach. 2007 Sep; 29: 642-647
        • Damewood R.B.
        • Blair P.G.
        • Park Y.S.
        • Lupi L.K.
        • Newman R.W.
        • Sachdeva A.K.
        Taking training to the next level”: the American college of surgeons committee on residency training survey.
        J Surg Educ. 2017 Dec; 74: e95-e105
        • Fields R.C.
        • Bowman M.C.
        • Freeman B.D.
        • Klingensmith M.E.
        Implementation of an “after hours” resident educational program in a general surgery residency: a paradigm for increasing formal didactic training outside of the hospital setting in the era of the 80-hour workweek.
        J Surg Educ. 2009 Dec; 66: 340-343
        • Lockspeiser T.M.
        • O'Sullivan P.
        • Teherani A.
        • Muller J.
        Understanding the experience of being taught by peers: the value of social and cognitive congruence.
        Adv Health Sci Educ Theory Pract. 2008 Aug; 13: 361-372
        • Lin J.A.
        • Farrow N.
        • Lindeman B.M.
        • Lidor A.O.
        Impact of near-peer teaching rounds on student satisfaction in the basic surgical clerkship.
        Am J Surg. 2017 Jun; 213: 1163-1165
        • Thomas P.
        • Kern D.
        • Hughes M.
        • Chen B.
        Curriculum Development for Medical Education: A Six-step Approach.
        third ed. Johns Hopkins Press, 2016
        • Roediger H.L.
        • Butler A.C.
        The critical role of retrieval practice in long-term retention.
        Trends Cognit Sci. 2011 Jan; 15: 20-27
        • McAuliffe J.C.
        • McAuliffe R.H.
        • Romero-Velez G.
        • Statter M.
        • Melvin W.S.
        • Muscarella P.
        Feasibility and efficacy of gamification in general surgery residency: preliminary outcomes of residency teams.
        Am J Surg. 2020 Feb; 219: 283-288