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• W2756915382 abstract "INTRODUCTION Many plastic surgery training programs are eliminating their independent training track or transitioning independent positions into integrated ones.1–4 Examining differences between independent and integrated residents may help programs determine the value in maintaining their independent training pathways. This study aimed to differentiate between integrated (PGY4-PGY6) and independent (PGY1-PGY3) plastic surgery residents regarding their operative competency. This comparison evaluates whether any discrepancy exists between independent and integrated residents’ surgical skills during their plastic surgery training and when independent residents catch up if so. METHODS We compared independent and integrated plastic surgery residents at our institution using operative performance data from the Operative Entrustability Assessment (OEA), a validated assessment tool that provides residents with real-time feedback regarding their operative performance and documents that performance at point-of-care.5 Independent PGY1, PGY2, and PGY3 were categorized as PGY4, PGY5, and PGY6, respectively. We analyzed OEA evaluator scores for the 2 groups over time, using Wilcoxon rank-sum test to compare groups. RESULTS Between September 2013 and October 2016, 2,570 OEAs were completed for PGY4-6 level residents. Of these, 1,389 (54.1%) were logged by independent and 1,181 (46%) by integrated residents. OEA evaluator scores were slightly lower for independent track residents throughout the first 3 quarters of PGY4 (P < 0.001, P < 0.001, and P = 0.029, respectively). However, this difference was no longer statistically significant during the fourth quarter of PGY4 (P = 0.220). As residents progressed in their training, this difference also was not detectable at PGY 5 (P = 0.781) or PGY 6 (P = 0.524) levels. CONCLUSIONS OEA data show that independent plastic surgery residents demonstrate slightly lower operative competency than their integrated colleagues during the first 3 quarters of their first year. However, they consistently demonstrate a statistically comparable level of competency after this period. This indicates minimal drawbacks exist in incorporating independent residents with integrated residents in plastic surgery training programs. ACKNOWLEDGMENTS Michael Cohen assisted with data extraction for Operative Entrustability Assessment data. He was not compensated for this contribution. We thank the residents and faculty at the Johns Hopkins School of Medicine Department of Plastic and Reconstructive Surgery in making use of and continuously providing feedback on the Operative Entrustability Assessment." @default.
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• W2756915382 date "2017-09-01" @default.
• W2756915382 modified "2023-09-27" @default.
• W2756915382 title "Plastic Surgery Resident Operative Performance Trends" @default.
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• W2756915382 doi "https://doi.org/10.1097/gox.0000000000001463" @default.
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