Surgical confidence when operating among residents in surgery - a cross-sectional study (SCAR study)

Self-confidence, is one of the critical variables influencing surgical resident's abilities, and lack of confidence maybe a reason for not entering medical practice immediately. Measuring the level of confidence of senior surgical residents (SSRs) is a crucial step in assessing preparedness to...

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Published in:	BMC medical education Vol. 23; no. 1; p. 414
Main Authors:	Awlia, Alaa M, Alotaibi, Shomokh F, Hawsa, Asya A, Sultan, Abdullah O, Trabulsi, Nora H, Akeel, Nouf Y, Malibary, Nadim H, Saleem, Abdulaziz M, Samkari, Ali A, Alburakan, Ahmed A, Kadi, Mai S, Alkhatieb, Maram T, Shabkah, Alaa A, Farsi, Ali H
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 06-06-2023 BioMed Central BMC
Subjects:	Activity Units Career development Careers Confidence Content Validity Cross-sectional studies Endoscopy Evaluation General surgery residency and practice Hospitals Laparoscopy Laparotomy Literature Reviews Lymphatic system Marital Status Mastectomy Medical education Medical students Ostomy Patients Questionnaires Research Committees Skills Statistical Analysis Surgeons Surgery Surgical residents and confidence Surgical residents and trauma exposure Teaching Methods Training Trauma Validity Saudi Arabia United States > US Europe General surgery residency and practice Surgical residents and trauma exposure Surgical residents and confidence
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Summary:	Self-confidence, is one of the critical variables influencing surgical resident's abilities, and lack of confidence maybe a reason for not entering medical practice immediately. Measuring the level of confidence of senior surgical residents (SSRs) is a crucial step in assessing preparedness to practice. In this study, we aim to measure their confidence level and the factors that might contribute to it. Cross-sectional survey conducted at King Abdulaziz University Hospital on SSRs in Saudi Arabia (SA). We approached 142 SSRs, 127 responded. Statistical analysis was performed using RStudio v 3.6.2. Descriptive statistics were performed using counts and percentages for categorical variables and using mean ± standard deviation for continuous variables. Multivariate linear regression (t-statistics) was used to assess the factors associated with confidence in performing essential procedures, while the association between demographics and residency-related factor with the number of completed cases was tested using Chi-square. The level of significance was determined as 0.05. Response rate was 89.4%. Among surveyed residents, 66% had completed < 750 cases as a primary surgeon. More than 90% of SSRs were confident in performing appendectomy, open inguinal hernia repair, laparoscopic cholecystectomy, and trauma laparotomy, while 88% were confident in being on-call in level-I trauma center. No difference was noted in confidence level in relation to the number of performed cases. Residents from the Ministry of Health accounted for 56.3% of the study population and showed a higher confidence level compared to others. 94% of SSRs plan to pursue fellowship training program. The study showed that the confidence of SSRs in performing common general surgery procedures was as expected. However, it's important to recognize that confidence doesn't necessarily reflect competence. Considering the majority of SSRs planned to pursue fellowship training programs, it may be time to consider changing the structure of surgical training in SA to a modular format to allow earlier and more intensive exposure.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1472-6920 1472-6920
DOI:	10.1186/s12909-023-04389-9