Paul E. Wise
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View article: Awareness and Perceptions of Flexibility in Surgical Training: Insights From a National Survey of Surgical Fellowship Program Directors
Awareness and Perceptions of Flexibility in Surgical Training: Insights From a National Survey of Surgical Fellowship Program Directors Open
Most fellowship PDs favorably perceive incorporating greater flexibility into the structure of GS residency training but lack awareness of the FIST paradigm. While participation in FIST is not prioritized in evaluating fellowship applicant…
View article: Situational Judgment Tests Offer an Unbiased and Effective Tool to Assess Competencies in General Surgery Residency Applicants
Situational Judgment Tests Offer an Unbiased and Effective Tool to Assess Competencies in General Surgery Residency Applicants Open
SurgSJT offers a reliable and objective tool for evaluating competencies relevant to residency training. When used in conjunction with traditional metrics, SurgSJT can enhance the equity and effectiveness of the general surgery residency s…
View article: Evaluating the Quality of AI-Written Scenarios for Virtual Oral Surgical Board Preparatory Examination
Evaluating the Quality of AI-Written Scenarios for Virtual Oral Surgical Board Preparatory Examination Open
AI-written clinical scenarios were comparable to faculty-written scenarios in terms of complexity and appropriateness for senior surgical residents when used in a virtual mock oral board examination, highlighting the potential utility of A…
View article: Understanding How General Surgery Applicants Use the “Impactful Experiences” Field in Their Residency Applications
Understanding How General Surgery Applicants Use the “Impactful Experiences” Field in Their Residency Applications Open
Less than half of applicants capitalize on the opportunity provided by the impactful experiences question. Amongst those who did, many duplicated information from their PS. Additional research is needed to understand why many applicants ch…
View article: Striking a Balance: A Qualitative Thematic Analysis of General Surgery Residents’ Perceptions of their Role as Medical Student Educators
Striking a Balance: A Qualitative Thematic Analysis of General Surgery Residents’ Perceptions of their Role as Medical Student Educators Open
Our proposed framework demonstrates that GS residents experience teaching MS as a dynamic balance of multiple professional roles and responsibilities. They view themselves as mentors and cultural liaisons, along with educators. However, co…
View article: ‘Piggy-Back’ Short-Term Engagements in Global Health for Surgical Residents: A Rapid Qualitative Analysis
‘Piggy-Back’ Short-Term Engagements in Global Health for Surgical Residents: A Rapid Qualitative Analysis Open
Purpose: Supportive policy changes from graduate medical education bodies have prompted growing development of short-term experiences in global health (STEGHs), particularly in resource-limited settings. Due to a lack of internal global su…
View article: Revealing hyperactivated IFN-γ pathways in perianal fistulizing Crohn’s disease using single-cell and spatial multi-omics
Revealing hyperactivated IFN-γ pathways in perianal fistulizing Crohn’s disease using single-cell and spatial multi-omics Open
Up to 40% patients with Crohn's disease suffer from perianal disease, a debilitating complication with unclear etiology. This study identified unique pathophysiology which may help develop novel therapies.
View article: A staged approach to resecting a large rectal polyp using endoscopic mucosal resection and trans-anal endoscopic microsurgery: a case report
A staged approach to resecting a large rectal polyp using endoscopic mucosal resection and trans-anal endoscopic microsurgery: a case report Open
Large rectal adenomatous polyps are not uncommon. Proctectomy sparing interventions are favored when feasible. We present a case of a 62-year-old woman, who presented with diarrhea for several years. Colonoscopy revealed a very large 60 mm…
View article: Flexibility in Surgical Training Does Not Affect American Board of Surgery Board Eligibility or Certification: Long-term Outcomes from a Prospective, Multi-Institutional Study of General Surgery Residents
Flexibility in Surgical Training Does Not Affect American Board of Surgery Board Eligibility or Certification: Long-term Outcomes from a Prospective, Multi-Institutional Study of General Surgery Residents Open
Despite spending more time on subspecialty-focused flexible rotations, residents participating in FIST perform similarly to their peers in multiple measures, including on the ABS QE and CE. Incorporating integrated subspecialty training wi…
View article: Single-Cell and Spatial Multi-omics Reveal Interferon Signaling in the Pathogenesis of Perianal Fistulizing Crohn’s Disease
Single-Cell and Spatial Multi-omics Reveal Interferon Signaling in the Pathogenesis of Perianal Fistulizing Crohn’s Disease Open
Background & Aims Perianal fistulizing Crohn’s disease (PCD) is a common and debilitating complication with elusive pathophysiology. We examined mucosal cells from patients with PCD and related conditions using a multi-omics approach. Meth…
View article: Listen Up: A Systematic Review of the Utilization and Efficacy of Podcasts for Medical Education
Listen Up: A Systematic Review of the Utilization and Efficacy of Podcasts for Medical Education Open
Background Podcasts are increasingly utilized in medical education due to ease of use and ability for remote and asynchronous learning. Despite their uptake and learner satisfaction, literature regarding their efficacy is limited, and no p…
View article: Short‐Course TNT Improves Rectal Tumor Downstaging in a Retrospective Study of the US Rectal Cancer Consortium
Short‐Course TNT Improves Rectal Tumor Downstaging in a Retrospective Study of the US Rectal Cancer Consortium Open
Background and Objectives The RAPIDO trial showed promising rates of pathologic complete response (pCR) after neoadjuvant short‐course radiation with consolidation chemotherapy (total neoadjuvant therapy [SC TNT]) for rectal cancer. Only s…
View article: Promoting Surgical Resident Well-being Through Therapist-Facilitated Discussion Groups: A Quantitative and Qualitative Analysis
Promoting Surgical Resident Well-being Through Therapist-Facilitated Discussion Groups: A Quantitative and Qualitative Analysis Open
Therapist-facilitated discussion groups can improve aspects of trainees' mental well-being and help foster relatedness, community, and shared problem solving with peers. Residency programs should consider incorporating similar programs int…
View article: Extrapolative Validity Evidence of the Anastomosis Objective Structured Assessment of Technical Skill (A-OSATS) for Robotic Ileocolic Anastomosis
Extrapolative Validity Evidence of the Anastomosis Objective Structured Assessment of Technical Skill (A-OSATS) for Robotic Ileocolic Anastomosis Open
We provide extrapolative validity evidence for the A-OSATS instrument by comparing A-OSATS score to time to sew, provocative leak test, and discrimination between PGY-4s and PGY-5s. Generalizability validity evidence is provided by test-re…
View article: Implementation of Flexible Days Off Improves Surgical Resident Attendance of Personal Health Appointments, Perceived Wellbeing, and Sense of Control
Implementation of Flexible Days Off Improves Surgical Resident Attendance of Personal Health Appointments, Perceived Wellbeing, and Sense of Control Open
"Flex" days offer surgical residents improved schedule control and the ability to schedule essential personal appointments. They are feasible, even within large training programs, with significant uptake in our sample.
View article: Comparison of outcomes of abdominoperineal resection vs low anterior resection in very-low rectal cancer
Comparison of outcomes of abdominoperineal resection vs low anterior resection in very-low rectal cancer Open
We observed no significant difference in disease-free survival or overall survival between patients undergoing APR or LAR for very-low rectal cancer. This analysis supports the treatment of very-low rectal cancer, without sphincter involve…
View article: The PAncreatic Surgery Composite Endpoint PACE – Development and Validation of a Clinically Relevant Endpoint Requiring Lower Sample Sizes
The PAncreatic Surgery Composite Endpoint PACE – Development and Validation of a Clinically Relevant Endpoint Requiring Lower Sample Sizes Open
Background Single endpoints in prospective and randomized studies have become impractical due to their low frequency and the marginal benefit of new interventions. Aims To provide a composite endpoint in pancreatic surgery. Methods Data fr…
View article: Prophylactic defunctioning stomas improve clinical outcomes of anastomotic leak following rectal cancer resections: An analysis of the US Rectal Cancer Consortium
Prophylactic defunctioning stomas improve clinical outcomes of anastomotic leak following rectal cancer resections: An analysis of the US Rectal Cancer Consortium Open
Purpose Anastomotic leak (AL) is a complication of low anterior resection (LAR) that results in substantial morbidity. There is immense interest in evaluating immediate postoperative and long-term oncologic outcomes in patients who undergo…
View article: “Watch-and-wait” or “Lost to follow-up”? Real-World Adherence with Surveillance for Nonoperative Management of Rectal Cancer
“Watch-and-wait” or “Lost to follow-up”? Real-World Adherence with Surveillance for Nonoperative Management of Rectal Cancer Open
Purpose Due to potential for local regrowth in patients undergoing nonoperative management (NOM) of rectal adenocarcinoma, current guidelines recommend close surveillance as part of any “watch-and-wait” paradigm. These regimens require man…
View article: Geldof Expert Consensus Classification of Perianal Fistulizing Crohn’s Disease: A Real-World Application in a Serial Fistula MRI Cohort
Geldof Expert Consensus Classification of Perianal Fistulizing Crohn’s Disease: A Real-World Application in a Serial Fistula MRI Cohort Open
Background and Aims Perianal fistulizing Crohn’s disease (CD-PAF) is an aggressive phenotype of Crohn’s disease (CD) defined by frequent relapses and disabling symptoms. A novel consensus classification system was recently outlined by Geld…
View article: Intraoperative Methadone Use in Patients Undergoing Minimally Invasive Colorectal Surgical Procedures
Intraoperative Methadone Use in Patients Undergoing Minimally Invasive Colorectal Surgical Procedures Open
Background: Postoperative pain control is an important aspect in the recovery of patients. Recent literature suggests that the extended half-life of methadone may reduce overall opioid utilization in postoperative patients. However, there …
View article: Surgical Decision-Making in Familial Adenomatous Polyposis
Surgical Decision-Making in Familial Adenomatous Polyposis Open
Familial adenomatous polyposis (FAP) is an autosomal dominant disorder affecting patients with germline mutations of the adenomatous polyposis coli (APC) tumor suppressor gene. The surgical treatment of colorectal disease in FAP, which has…
View article: Discharge Prescribing Protocol Decreases Opioids in Circulation and Does Not Increase Refills After Colorectal Surgery
Discharge Prescribing Protocol Decreases Opioids in Circulation and Does Not Increase Refills After Colorectal Surgery Open
BACKGROUND: Up to 10% of patients develop new, persistent opioid use after surgery. We aimed to assess our prescribing practices and patient utilization of opioids after colorectal surgery. OBJECTIVE: This study aimed to implement an opioi…
View article: FDG-PET/MRI for Nonoperative Management of Rectal Cancer: A Prospective Pilot Study
FDG-PET/MRI for Nonoperative Management of Rectal Cancer: A Prospective Pilot Study Open
Nonoperative management (NOM) is increasingly utilized for rectal cancer patients with a clinical complete response (cCR) following total neoadjuvant therapy (TNT). The objective of this pilot study was to determine whether FDG-PET/MRI alt…
View article: Perioperative Complications After Proctectomy for Rectal Cancer: Does Neoadjuvant Regimen Matter?
Perioperative Complications After Proctectomy for Rectal Cancer: Does Neoadjuvant Regimen Matter? Open
In rectal cancer patients treated with SC-TNT and proctectomy, we found no significant association with POM compared to patients undergoing CRT. SC-TNT does not significantly increase the risk of POM compared to CRT.