Resident perceptions and evaluations of fellow-led and resident-led surgical services

Aaron M. Williams, Umar F. Bhatti, Meredith Barrett, Vahagn C. Nikolian, Britta Han, Niki Matusko, Randall S. Sung, Rishindra M. Reddy, Erika A. Newman, Kenneth J. Woodside, Gurjit Sandhu

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The impact of fellowship training on general surgery residency has remained challenging to assess. Surgical resident perceptions of fellow-led and resident-led surgical services have not been well described. Methods: Retrospective cross-sectional data were collected from residents’ service evaluations from 7/2014 through 7/2017. Surgical services were categorized as resident-led or fellow-led. 31 variables were evaluated and collapsed into 7 factors including clinical experience, educational experiences, clinical staff, workload, feedback, treatment of residents, and overall rotation. Results: Among all PGY levels, fellow-led surgical services were rated significantly higher (p < 0.05) regarding clinical experience, clinical staff, treatment of residents, and overall rotation. PGY1-2 residents rated resident-led services significantly higher in the area of educational experiences, while PGY 3 residents rated resident-led services higher in the area of workload. However, PGY4-5 residents rated fellow-led services significantly higher in all 7 categories. Individual fellow-led services were rated significantly higher for various categories at different PGY levels. Conclusions: Surgical residents appear to value the educational experiences of fellow-led services. Each fellow-led service may ultimately provide unique educational opportunities and resources for different PGY levels.

Original languageEnglish (US)
Pages (from-to)373-381
Number of pages9
JournalAmerican journal of surgery
Volume217
Issue number2
DOIs
StatePublished - Feb 2019
Externally publishedYes

Keywords

  • Fellow-led services
  • General surgery
  • Resident evaluations
  • Resident perceptions
  • Resident-led services

ASJC Scopus subject areas

  • Surgery

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