To assess chief residents' preparedness for independent practice in advanced foregut and bariatric surgical procedures.
Approach:
Study Design: A national retrospective analysis of SIMPL evaluations of clinical postgraduate-year (PGY)-5 performance in foregut and bariatric procedures.
Data Collection: Operative case log data and evaluations from the SIMPL platform were collected from September 2015 to August 2025.
Evaluation Metrics: Evaluations included ratings of resident performance, autonomy, and case complexity, with performance rated on a 5-point scale and autonomy on a 4-point scale.
Key Findings:
The study utilized SIMPL evaluations to assess operative competency and autonomy among chief residents.
Data collection was voluntary and influenced by user choice and institutional participation patterns.
Performance and autonomy ratings were dichotomized to define readiness for independent practice.
Interpretation:
The findings aim to provide insights into the operative competency of graduating chief residents in foregut and bariatric surgery, highlighting potential training gaps.
Limitations:
Case selection was not standardized and depended on user choice.
The voluntary nature of SIMPL participation may affect the representativeness of the data.
Conclusion:
The study seeks to characterize chief resident performance in complex surgical procedures and assess their readiness for independent practice.
These 10 states make it more practical for physicians to participate in hospital ownership by aligning statutory structure, corporate practice of medicine rules, and population trends.
