Table 1 Items’ results
Item’s ID | Mean | SD | Total percent | |
|---|---|---|---|---|
Preoperative Items | ||||
Q1 | A detailed clinical history is written for the surgical patient. (Including the chief complaint, a detailed description of the complaint, the patient’s medical history, and social habits) | 4.27 | 0.78 | 85.41 |
Q2 | A thorough physical examination is conducted for the surgical patient. (For example, the examination is performed to assess the presence of surgical signs, such as rebound tenderness). | 4.62 | 0.61 | 92.43 |
Q3 | Diagnostic investigations, both invasive and noninvasive, are requested with equal priority to establish a final diagnosis. (For example, requesting a CT scan before an ultrasound to diagnose gallstones) * | 4.30 | 0.93 | 85.32 |
Q4 | The resident should be able to comprehend the treatment plan options proposed for the patient. (That means he understands the advantages and disadvantages of both conservative and surgical management ) | 3.19 | 1.11 | 63.78 |
Q5 | The management plan for the admitted patient is formulated in consultation with the supervisor. (That means the supervisor is the final decision-maker regarding the treatment plan). | 4.027 | 0.99 | 80.54 |
Q6 | The resident demonstrates respect for patient confidentiality. (For example, the patient’s health condition or medical records are not disclosed to individuals other than the healthcare team.) | 4.027 | 1.17 | 80.54 |
Q7 | The resident effectively explains to the patient the steps of diagnosis and management. (For example, Explanation of the diagnostic and management approach for appendicitis.) | 3.62 | 0.99 | 72.43 |
Q8 | The resident deals with patients and their families with compassion and care. (For example, the resident kindly requests the patient to sit down if he is standing while having a conversation.) | 3.65 | 1.08 | 72.97 |
Q9 | The resident strictly adheres to the department’s treatment plan policies. (For example, The trauma management protocol). | 3.80 | 1.03 | 75.95 |
Q10 | The resident strictly adheres to infection control policies. (For example, using hand sanitizers) | 2.77 | 1.24 | 55.41 |
Perioperative Items | ||||
Q11 | The supervisor usually participates as a first assistant in basic operations (For example he is involved in cholecystectomy). | 2.47 | 1.04 | 49.46 |
Q12 | The supervisor is always involved in advanced operations | 4.36 | 0.99 | 87.30 |
Q13 | (For example, the supervisor is the primary surgeon in colon cancer surgery) | 3.08 | 1.07 | 61.62 |
Q14 | The supervisor asks questions during the surgical procedure (For example, the supervisor may ask questions related to the steps of the surgical procedure ( | 2.05 | 1.26 | 41.08 |
Q15 | The resident remains wearing the surgical scrub outside the operating room. (For example, the resident may walk around the hospital while wearing the surgical scrub) * | 4.45 | 0.78 | 88.92 |
Q16 | The supervisor is present physically during emergency surgeries. (That means, the supervisor can be found either in the operating theater or the resting area (room)). | 3.76 | 0.99 | 75.14 |
Q17 | The residents are responsible for documenting the operation data in real-time. (That means, the operation data is promptly documented immediately after the completion of the surgery.) | 4.11 | 1.04 | 82.16 |
Postoperative items | ||||
Q18 | The discharge plan is discussed with the supervisor to provide the best health care. (That means the patient’s follow-up plan and medication are reviewed with the supervisor.) | 3.81 | 1.06 | 76.22 |
Q19 | The patient is discharged electronically. (That means the patient data is electronically documented, and upon discharge, he is provided with a copy of the summary of his current medical file.) | 4.43 | 0.68 | 88.65 |
Q20 | The residents practice the cost-effective medicine. (For example, in cases where the patient can tolerate oral medications, intravenous medications are omitted. ) | 3.74 | 1.10 | 74.86 |
Q21 | There is a clear “case log” of surgical operations during the training period. (That means the resident must participate in a defined number of surgical procedures to be qualified for the final examination. For example, meeting the qualification criteria for the Arab Board.) | 2.53 | 1.30 | 50.54 |
Q22 | The latest version of the Enhanced Recovery After Surgery (ERAS) guidelines is implemented in every specialty. | 2.35 | 1.16 | 47.03 |
Q23 | The residents conduct a morning round with the supervisor to visit the patients. | 3.07 | 1.29 | 61.35 |
Q24 | The residents conduct an evening round with the supervisor to visit the patients. | 2.49 | 1.23 | 49.73 |
Q25 | The resident is trained on how to break bad news (BBN) to the patients and their relatives. (For example, conveying news of a patient’s death) | 2.62 | 1.16 | 52.43 |
Q26 | The concern is taken to provide the best healthcare to the patient while also aiming to minimize the hospital stay duration. | 3.77 | 1.01 | 75.41 |
Evidence-based quality clinical training in the department of surgery Items | ||||
Q27 | Scientific sessions are held to discuss the latest recommendations according to each specialty. | 3.32 | 1.18 | 66.49 |
Q28 | Morbidity and mortality meetings are conducted periodically within the surgical department. (For example, cases of complications and deaths are presented for discussion.) | 2.46 | 1.25 | 49.19 |
Q29 | Documented patient data is used to conduct research. (For example, the hospital’s patient database is utilized for master’s research studies(. | 3.42 | 1.06 | 68.38 |
Q30 | The resident undergoes at least one training in the field of continuing medical education (CME) within his specialty annually. (For example, a surgical resident attends an Advanced trauma life support (ATLS) course). | 2.30 | 1.17 | 45.95 |
Q31 | The residents participate in presenting clinical cases in the Department of Surgery. (For example, residents present clinical cases under the guidance of supervisors in monthly meetings.) | 4.38 | 0.86 | 87.57 |
Q32 | The residents request feedback and evaluation from their supervisor regarding their medical practice. | 3 | 1.29 | 60.00 |
Q33 | The consultants from other local universities attend the final residency interviews. | 1.85 | 1.25 | 37.03 |
Q34 | The consultants from other universities outside the country attend the final residency interviews. | 1.65 | 1.21 | 32.97 |
Q35 | The residents are involved in the training of medical students at the hospital. (For example, the residents are actively involved in presenting the clinical cases to medical students ) | 3.42 | 1.29 | 68.38 |
Q36 | The residents share concise information only when it is evidence-based. (For example, attributing the mentioned information to a reference, or scientific research) | 3.04 | 1.18 | 60.81 |
Q37 | The Department of Surgery organizes social activities to enhance interpersonal skills among the residents. (For example, arranging groups to attend a surgical conference.) | 2.46 | 1.38 | 49.19 |
Q38 | There is a well-defined system for evaluating performance, granting rewards, and imposing penalties | 1.99 | 1.38 | 38.38 |
Q39 | There are virtual reality simulators available for training on surgical procedures. (For example, three-dimensional glasses.) | 1.49 | 1.14 | 29.73 |
Q40 | The residents demonstrate an understanding of basic sciences. (For example, anatomy and physiology) | 2.97 | 1.01 | 59.46 |
Total SCTM score | 131.42 | 22.64 | 65.71 | |