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It is contrary to our expectations that the expert raters took as much time as the non-expert raters with the case presenting prototypical behavior, but our expectations are confirmed for the case with complex trainee behavior, with the experts taking significantly more time than the non-experts.
Whereas non-experienced raters seem to focus on providing a correct solution (i.e. judgments or performance scores) irrespective of the complexity of the observed behavior, expert raters take more time to monitor, gather and analyze the information before arriving at a decision on complex trainee performance.
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Others place the trainee in complex situations where host site and sending institution responsibilities affect trainees' experiences, such as in "Ensuring Sustainable and Appropriate Benefits" or "Recognizing Burdens".
4 5 7 Nevertheless, whether or not to assign patients with chronic or complex conditions to the trainee should be carefully weighed by trainers who can experience a conflict of interest since they are also responsible for the quality of healthcare provided.
This is likely to be because hysterectomy is more complex to undertake and trainees have less opportunities for supervised clinical training.
However, this strategy has not been tested among medical trainees with complex diagnostic problems.
CONCLUSIONS: Trainee participation in complex, oncologic surgery is associated with significantly higher rates of 30-day postoperative complications in NSQIP-participating howeverls; however, this effect is countered by overall lower 30-day mortality and improved rescue rate in preventing death among patients suffering complications.
Relationships with trainee involvement were complex: a high degree of trainee involvement (hands-on >50% of the case) was associated with higher success (OR 1.58) than not having a trainee, whereas low levels of trainee involvement were associated with failure.
These are complex but daily issues that trainees acquire experience in through the multidisciplinary care required for patients with HIV and non-HIV related infectious disease.
Supervisory visits to trainees involve a complex set of tasks.
Third year trainees mentioned more complex problems in the long loop.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com