The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Our Trainees’ Confidence: Results From a National Survey of 4136 US General Surgery Residents
Abstract
Objectives To characterize factors shaping surgery resident confidence and determine whether confidence is associated with future specialty training. Design Cross-sectional study. Setting Survey administered at the 2008 American Board of Surgery In-Service Training Examination. Participants All categorical general surgery residents. Interventions National Study of Expectations and Attitudes of Residents in Surgery survey. Participants reported demographics and level of agreement for 46 items regarding confidence, training, and professional plans. Main outcomes measures Survey items "My operating skill level is appropriate" and "I may not feel confident enough to perform procedures independently before training completion." We compared demographics and responses among residents who did/not feel confident. Results Response rate was 77.4%. Residents who were female, single, or without children and at a lower postgraduate year had less confidence in their operating skill, as did residents at larger, university-based programs, in the northeastern United States. Residents worried about competence were more likely to believe specialty training was needed (71.2% vs 60.2%; P Conclusions Sex, marital status, children, and postgraduate year are predictors of confidence, as are program location, type, and size. Residency programs may target modifiable factors contributing to low surgical confidence.
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In the citing paper
“Progression of surgery residency training depends on the development of confidence [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Women must make more sacrifices during residences such as marriage and childbearing [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Residents are concerned about their performance [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“The most common benefit for female surgery residents and practicing general surgeons is formal maternity leave [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Senior medical students in surgery improve their confidence during residency [12,18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Confidence is better in community programs, programs with fewer chief residents, and programs without fellowships [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Practical learning experiences increase confidence [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Normally, confidence increases with progression of residency training culminating with the ability of a chief or senior resident to function as a junior attending and ultimately to practice general surgery independently. [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Decreased confidence is associated with the need to pursue further training in a fellowship [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
In the citing paper
“Female surgery residents worry about their performance more than males and often this results in quitting residency [18].”
From How Can We Reduce Attrition in General Surgery Residents? (2018) · cites this paper as [18]
Citations
Cites
Attitudes, Training Experiences, and Professional Expectations of US General Surgery Residents
Yeo, H., Viola, K. V., Berg, D. N., Lin, Z., Nuñez-Smith, M., Cammann, C., Bell, R. H., Sosa, J. A., Krumholz, H. M., & Curry, L. A. (2009) · JAMA · doi:10.1001/jama.2009.1386 · Cited by 307
Borman, K. R., Vick, L. R., Biester, T. W., & Mitchell, M. E. (2008) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2007.12.012 · Cited by 266
O’Toole, R. V., Playter, R. R., Krummel, T. M., Blank, W., Cornelius, N., Roberts, W. R., Bell, W. J., & Raibert, M. H. (1999) · Journal of the American College of Surgeons · doi:10.1016/s1072-7515(99)00076-9 · Cited by 191
(2010) · doi:10.1097/sla.0b013e3181f2789c · Cited by 191
Self-citationEffect of the 80-hour work week on resident operative experience in general surgery
Carlin, A. M., Gasevic, E., & Shepard, A. D. (2007) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2006.09.014 · Cited by 163
Esterl, R. M., Henzi, D. L., & Cohn, S. M. (2006) · Current Surgery · doi:10.1016/j.cursur.2006.03.004 · Cited by 148
A Surgical Skills Elective Can Improve Student Confidence Prior to Internship
Peyre, S. E., Peyré, C. G., Sullivan, M. E., & Towfigh, S. (2006) · Journal of Surgical Research · doi:10.1016/j.jss.2006.02.022 · Cited by 140
Irani, J., Mello, M. M., Ashley, S. W., Whang, E. E., Zinner, M. J., & Breen, E. M. (2005) · Surgery · doi:10.1016/j.surg.2005.06.010 · Cited by 106
Preparing medical students to enter surgery residencies
Naylor, R. A., Hollett, L. A., Castellvi, A. O., Valentine, R. J., & Scott, D. J. (2009) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2009.09.003 · Cited by 94
Gender-Related Attrition in a General Surgery Training Program
Bergen, P. C., Turnage, R. H., & Carrico, C. J. (1998) · Journal of Surgical Research · doi:10.1006/jsre.1998.5335 · Cited by 79
The State of General Surgery Residency in the United States
Neumayer, L. A., Cochran, A. L., Melby, S. J., Foy, H. M., & Wallack, M. K. (2002) · Archives of Surgery · doi:10.1001/archsurg.137.11.1262 · Cited by 66
Simulation enhances resident confidence in critical care and procedural skills.
Cooke, J., Larsen, J. K., Hamstra, S. J., & Andreatta, P. (2008) · PubMed · Cited by 57
Trauma Surgeon Personality and Job Satisfaction: Results from a National Survey
Foulkrod, K. H., Field, C. A., & Brown, C. V. R. (2010) · The American Surgeon · doi:10.1177/000313481007600422 · Cited by 50
Focused Surgical Skills Training for Senior Medical Students and Interns
Klingensmith, M. E., & Brunt, L. M. (2010) · Surgical Clinics of North America · doi:10.1016/j.suc.2010.02.004 · Cited by 47
Hassett, J. M., Zinnerstrom, K. H., Nawotniak, R. H., Schimpfhauser, F. T., & Dayton, M. T. (2006) · Surgery · doi:10.1016/j.surg.2006.07.014 · Cited by 40
The development of physician confidence during surgical and medical internship
Binenbaum, G., Musick, D. W., & Ross, H. M. (2006) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2006.07.009 · Cited by 32
Copeland, E. M. (2010) · Yearbook of Surgery · doi:10.1016/s0090-3671(09)79596-5 · Cited by 24
Practical training for postgraduate year 1 surgery residents
Marshall, R. L., Gorman, P. J., Verne, D., Culina-Gula, S., Murray, W. B., Haluck, R. S., & Krummel, T. M. (2000) · The American Journal of Surgery · doi:10.1016/s0002-9610(00)00305-6 · Cited by 18
Effect of the 80-hour work week on resident operative experience in general surgery
Copeland, E. M. (2008) · Yearbook of Surgery · doi:10.1016/s0090-3671(08)79015-3 · Cited by 9
Student Attitudes about Medical Care and Choice of a Career in Surgery
Linn, B. S., & Zeppa, R. (1985) · Annals of Surgery · doi:10.1097/00000658-198511000-00011 · Cited by 3
Cited by
Sorted by citations
Effectiveness of Immersive Virtual Reality in Surgical Training—A Randomized Control Trial
Pulijala, Y., Ma, M., Pears, M., Peebles, D., & Ayoub, A. (2018) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2017.10.002 · Cited by 264
Teman, N. R., Gauger, P. G., Mullan, P. B., Tarpley, J. L., & Minter, R. M. (2014) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2014.04.019 · Cited by 232
Operative Experience of Surgery Residents: Trends and Challenges
Malangoni, M. A., Biester, T. W., Jones, A. T., Klingensmith, M. E., & Lewis, F. R. (2013) · Journal of surgical education · doi:10.1016/j.jsurg.2013.09.015 · Cited by 194
Confidence Crisis Among General Surgery Residents
Elfenbein, D. M. (2016) · JAMA Surgery · doi:10.1001/jamasurg.2016.2792 · Cited by 159
Preparedness of Obstetrics and Gynecology Residents for Fellowship Training
Guntupalli, S. R., Doo, D. W., Guy, M. S., Sheeder, J. L., Omurtag, K. R., Kondapalli, L. A., Valea, F. A., Harper, L. M., & Muffly, T. M. (2015) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000999 · Cited by 139
Metadata
- Authors
- Bucholz, E. M.
- Affiliations
- Yale University (US)
- Corresponding author
- Bucholz, Emily M.
- ORCID
- Bucholz, Emily M.
- Venue
- Archives of Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 2011-08-01
- Volume
- 146
- Issue
- 8
- Pages
- 907
- ISSN
- 0004-0010 (ISSN-L)
- OpenAlex
- W1985393754
- Cited by
- 244
- References
- 20
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 11 · 2023: 31 · 2022: 23 · 2021: 19 · 2020: 37 · 2019: 12 · 2018: 16 · 2017: 12 · 2016: 7 · 2015: 20 · 2014: 14 · 2013: 11 · 2012: 7
- FWCI
- 10.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- Topics
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Keywords
- operating skills, surgical proficiency, gender differences, marital status, postgraduate year, residency program size, program location, fellowship training, help-seeking, resident satisfaction
- MeSH terms
- Adult, Attitude of Health Personnel, Career Choice, Cross-Sectional Studies, Female, Humans, Internship and Residency, Male, Self Concept, Specialties, Surgical, General Surgery
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