ABSTRACT
Jean Baptiste Lucien Baudens (1804-1857) was a French military surgeon. He served in numerous military conflicts throughout his career. Baudens was an innovator and a leader. Going against traditional dogma, he was the first to attempt laparotomy in the setting of trauma. Although the first patient died, his second survived without further complication. Despite this historical landmark, little is known or written about him within the English literature. Jean Baptiste Lucien Baudens was a pioneer of surgery and the father of trauma laparotomy. He was a passionate educator and dedicated to the training of future surgeons. His contributions to the field of surgery deserve recognition and appreciation.
ABSTRACT
Historically, abdominal trauma was managed nonoperatively with rest and local wound cares. Jean Baptiste Lucien Baudens (1804-1857) was a French military surgeon and performed the first 2 trauma laparotomies. The first patient died but the second survived. Laparotomy in trauma has since evolved, now a life-saving intervention and a fundamental tool in the management of abdominal trauma. Baudens documented these case reports in his 1836 work Clinical Reports of Gun Wounds (Clinique des Plaies D'Armes a Feu). The work of Baudens has been largely unrecognized and underappreciated in the English literature. This manuscript serves as the first translation of this event.
Subject(s)
Abdominal Injuries , Laparotomy , Humans , Abdominal Injuries/surgeryABSTRACT
Introduction: "Traditional teaching" models often fail to engage millennial residents. Multiple modern didactic methods have been employed. The most frequently used objective measure to assess the effectiveness of didactic formats has been American Board of Surgery In-Training Examination performance.Methods: A literature search was conducted searching PubMed, EMBASE, and JAMA Network from June 2011 to June 2021, in accordance with the PRISMA guidelines. Searches were performed for the terms "ABSITE" and "American Board of Surgery In-Training Examination." Only studies discussing didactic structures were included.Results: A final 16 studies were included. Modern methods such as a "flipped classroom," Team Based Learning (TBL), and "gamification" have all shown increased engagement and significantly improved ABSITE performance. Structured biostatistics reviews may be used to supplement research and statistics which are often missed by other resources.Discussion: Programs have a duty to promote excellent resident education. In addition to fostering individual study habits, didactics and program structures should be optimized for resident development. As opposed to focusing on the pure amount of scheduled protected time, programs may instead consider focusing on the quality of the didactic format used and modern didactic methods may be beneficial.
Subject(s)
General Surgery , Internship and Residency , Humans , United States , Educational Measurement , Educational Status , General Surgery/educationABSTRACT
INTRODUCTION: Performance on ABSITE is an important factor when monitoring resident progress. It predicts future performance and has lasting effects. Understanding the highest-yield preparation strategies can help residents in their study efforts and optimize performance. METHODS: A literature search was conducted searching PubMed, EMBASE and JAMA Network in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were performed for the terms "ABSITE" and "American Board of Surgery In-Training Examination". Only studies discussing individual study habits from May 2011 to May 2021 were included. RESULTS: 19 studies were included in qualitative synthesis. Year-round clinical study failed to show significant correlation to ABSITE performance although year-round ABSITE review was more consistently correlated. During a dedicated study period, increased time and increased total practice questions completed are associated with improved performance. The correlation of individual resources such as ABSITE review books, textbooks, audio podcasts and ABSITE preparatory courses to improved ABSITE performance was not proven. CONCLUSIONS: Residents should optimize study strategies based on methods that have consistently shown to improve performance. Recommendations for best preparation strategies are provided.
