Johnson Wali R, Mainali Bigyan B, Chen Xiaodong, Alobuia Wilson, Anderson Erik M, Martin Rebecca, Caldwell Katharine E, Dawson-Amoah Kwesi, Doyle Kathleen, Ellis Danielle, Fazzone Brian, Ghio Michael, Godfrey Caroline M, Gomes Camilla, Hoefer Lea, Kearse LaDonna, Niehaus Hannah, Phelps Hannah, Riner Andrea N, Sharon Cimarron, Shin Thomas H, Yelorda Kirbi, Coleman Julia R
Vanderbilt University Medical Center, Nashville, TN.
Wake Forest University School of Medicine, Winston-Salem, NC.
Ann Surg. 2025 Jan 1;281(1):40-45. doi: 10.1097/SLA.0000000000006483. Epub 2024 Aug 7.
This study aims to appraise recommendations from an expert panel of surgical educators on optimizing surgical education and training in the setting of contemporary challenges.
The Blue Ribbon Committee (BRC II), a group of surgical educators, was convened to make recommendations to optimize surgical training, considering the current changes in the landscape of surgical education. Surgical trainees were recruited to assess their impressions of the recommendations.
A mixed-methods study design was employed, with a survey, followed by focus group interviews. Participating residents and fellows were recruited through a purposeful sampling approach. Descriptive statistics were applied to analyze the survey data, and a thematic data analysis on interview transcripts was employed.
The majority of trainee respondents (n=16) thought that all of the subcommittee recommendations should be included in the final BRC II recommendations and paper. According to the interviews, overall, the feedback from the trainees was positive, with particular excitement around work-life integration, education support and faculty development, and funding pitfalls. Some themes about concerns included a lack of clarity about the recommendations, concern about some recommendations being in conflict with one another, and a disconnect between the initial BRC II survey and the subsequent recommendations.
The residents gathered for this focus group were encouraged by the thought, effort, and intention that gathered the surgical leaders across the country to make the recommendations. While the trainees wanted clarity on some areas, the overall opinion was in agreement with the recommendations.
本研究旨在评估外科教育工作者专家小组就应对当代挑战优化外科教育与培训提出的建议。
外科教育工作者组成的蓝丝带委员会（BRC II）召开会议，考虑到外科教育领域当前的变化，就优化外科培训提出建议。招募外科住院医师以评估他们对这些建议的看法。
采用混合方法研究设计，先进行调查，随后进行焦点小组访谈。通过目的抽样法招募参与研究的住院医师和专科住院医师。运用描述性统计分析调查数据，并对访谈记录进行主题数据分析。
大多数受训者受访者（n = 16）认为所有小组委员会的建议都应纳入BRC II的最终建议和报告中。根据访谈，总体而言，受训者的反馈是积极的，尤其对工作与生活的融合、教育支持与师资发展以及资金陷阱方面感到兴奋。一些担忧的主题包括建议不够清晰、担心某些建议相互冲突，以及BRC II的初始调查与后续建议之间存在脱节。
参加此次焦点小组的住院医师对召集全国外科领军人物提出这些建议的想法、努力和意图感到鼓舞。虽然受训者希望在某些方面更加明确，但总体意见与这些建议一致。
