Scholarly Activity
Residents are encouraged and expected to pursue scholarly activities during their
residency. These activities can take the form of quality improvement projects, assisting
with the writing of book chapters and other texts, traditional clinical or outcomes-based
research, or additional pursuits at the program director’s discretion.
Understanding the process of medical and surgical research is paramount for any surgeon.
While not every surgeon is expected to become a prolific research author, it remains
incredibly important to have some basic understanding and experience of research for
continued learning and development throughout your entire surgical career. For this
reason, research is a mandatory part of our residency training and supported in a
variety of ways.
Faculty interest in clinical and basic science investigation is diverse and all members welcome resident participation. Opportunities exist and residents are encouraged to develop their own particular research interests and design their own projects. The UofSC School of Medicine basic science divisions, in addition to the clinical faculty, offer substantial resources and expertise to assist the resident in bringing their ideas to fruition.
Any resident with an abstract accepted for presentation at a local, regional, or national conference has the full support of the department and is excused to present at that conference with departmental funding.
Some of the recent research topics by our current residents includes:
- Minimally invasive adrenalectomy outcomes
- ERAS opiate usage QI project
- Splenic and liver trauma guidelines for PHR website
- Acquired hemophilia case report
- Thoracostomy and antibiotic usage in reduction of empyema study
- MEN1, MEN2A and MEN2B syndromes
- Antibodies from multiple sclerosis brain identified Epstein-Barr virus nuclear antigen 1 & 2 epitopes which are recognized by
- oligoclonal bands
- Planned traffic patterns as a way to improve survival among the injured during mass casualty motorcycle rallies
- Melt-blown poly lactic acid as a tissue engineering scaffold
- Dual intragastric balloon for endoscopic weight loss
- Can PEWS be safely used to triage the traumatically injured pediatric patient
- Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease
- Removal of cervical collars in ethanol positive patients with negative CT scans
- Cryoablation as a pain control adjunct in surgical rib fixation
- Unplanned returns to the ICU QI project
- Review of blunt gastric injuries
- Tube feed use in hemodynamically unstable patients on high dose vasopressors
- Tissue expander infection
- Incorporating audio/visual learning into surgical training, residents as teachers
- Risk factors for delayed splenic bleeds in non-op management of splenic injuries
- Addressing opioid prescription patterns in our program
- Racial differences in severity and treatment of breast cancer
- Triple negative breast cancer, recurrence rates following positive margins following lumpectomy
Quality Improvement
Residents are expected to be continually engaged in quality improvement (QI) projects throughout their training. All residents complete the Institute for Healthcare Improvement (IHI) basic certificate during their intern year to achieve a baseline education on QI work. Additional education can be coordinated upon request through the hospital’s Lean training programs.
Many students and residents ask us “what’s the big deal with QI work, anyway?” An excellent question! During residency training, a large amount of time is devoted to studying and technical development. That said, we need to continually evaluate the work we are doing and learn to view our surgical care in the context of a system of healthcare delivery. How can we make that system safer? How can we make it more efficient? More effective? These are incredibly challenging questions to answer, but the tools needed to answer them are best developed during residency, and not at some yet-to-be-determined time in the future. Just like everything else in surgery, training QI work is a learned skill, and the more we practice it the better we will become at it.
Our residents and faculty have led numerous QI projects in the past, some in conjunction with the School of Medicine’s QUEST program (Quality Education and Systems Training) – an experiential training program that places multidisciplinary learners on active and mature QI teams. Some examples of recent projects include limiting opioid prescriptions after surgery, improving flow through the trauma bay, and reducing readmissions to the STICU.