title: Resident designed intern orientation to address the new ACGME Common Program Requirements for resident supervision.
abstract: OBJECTIVE
  To design an orientation for surgical interns to meet the new Accreditation Council for Graduate Medical Education Common Program Requirements regarding supervision, to test patient-management competencies, and to assess confidence on skills and tasks pre-orientation and post-orientation.
  
  
  METHODS
  Twenty-seven incoming surgical interns participated in a two-day orientation to clinical duties. Activities included a pre-test, lectures, simulation, oral examination, intern shadowing, and a post-test. Incoming interns were surveyed before and after orientation and two months later for confidence in patient-management and surgical intern skills. Paired t-tests were used to determine if confidence improved pre-orientation and post-orientation, and two months following orientation.
  
  
  METHODS
  The study took place at an academic training hospital.
  
  
  METHODS
  All (n = 27) postgraduate year-1 (PGY-1) surgical residents at our institution, which included the categorical and nondesignated preliminary general surgery, urology, orthopedic surgery, otolaryngology, and neurosurgery programs.
  
  
  RESULTS
  All interns passed the oral and written examinations, and were deemed able to be indirectly supervised, with direct supervision immediately available. They reported increased confidence in all areas of patient management addressed during orientation, and this confidence was retained after two months. In surgical and floor-related tasks and skills, interns reported no increase in confidence directly following orientation. However, after two months, they reported a significant increase in confidence, particularly in those tasks that are performed often.
  
  
  CONCLUSIONS
  New requirements for resident supervision require creative ways of verifying resident competency in basic skills. This type of orientation is an effective way to address the new requirements of supervision and teach interns the tasks and skills that are necessary for internship.
authors.affiliation: Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA. kristy.rialon@post.harvard.edu
authors.forename: Kristy L
authors.initials: KL
authors.lastname: Rialon
authors.forename: Michael E
authors.initials: ME
authors.lastname: Barfield
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Elfenbein
authors.forename: Keri E
authors.initials: KE
authors.lastname: Lunsford
authors.forename: Elisabeth T
authors.initials: ET
authors.lastname: Tracy
authors.forename: John
authors.initials: J
authors.lastname: Migaly
mesh_terms: D000068:Accreditation; D000328:Adult; D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D008297:Male; D014481:United States