title: Operative confidence of graduating surgery residents: a training challenge in a changing environment.
abstract: BACKGROUND
  Given the recent changes in general surgical training, this study was undertaken to assess the confidence of graduating general surgery residents in performing open operations and to determine factors that are associated with increased confidence.
  
  
  METHODS
  A survey was sent to the 5th-year general surgery residents in the Northeast. Respondents were queried regarding demographics, program characteristics and asked to rate their confidence in performing open operations. We compared those who indicated confidence with those who did not.
  
  
  RESULTS
  We received 232 responses: 74% male, 70% from university programs, and 50% from programs affiliated with a Veterans Affairs Hospital. Fifty-two percent expressed confidence in their ability to practice independently after residency. Operative confidence varied with sex, type of training program, affiliation to a Veterans Affairs Hospital, and surgical volume.
  
  
  CONCLUSIONS
  Graduating surgical residents indicated a significant lack of confidence in performing a variety of open surgical procedures. Analyzing and addressing this confidence deficit merits further study.
authors: Department of Surgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA. Electronic address: annabelle.fonseca@yale.edu.
authors: Annabelle L
authors: AL
authors: Fonseca
authors: Department of Surgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
authors: Vikram
authors: V
authors: Reddy
authors: Department of Surgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
authors: Walter E
authors: WE
authors: Longo
authors: Department of Surgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
authors: Robert
authors: R
authors: Udelsman
authors: Department of Surgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA.
authors: Richard J
authors: RJ
authors: Gusberg
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003625:Data Collection; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D008873:Mid-Atlantic Region; D015999:Multivariate Analysis; D009511:New England; D010820:Physicians / Q000523:psychology*; D020377:Self Efficacy; D057566:Self Report; D012647:Self-Assessment
keywords: Open surgery; Operative confidence; Resident confidence