📄 medicine

Reliability and Feasibility of a Multi-Source, Competency-Based Evaluation System for Surgical Sub-Internship Students: A Single-Institution Pilot Study

This single-institution pilot study demonstrates that a brief, multi-source, competency-based evaluation system for surgical sub-interns achieves strong inter-rater reliability and feasibility with minimal evaluator burden, supporting its potential for high-stakes residency selection.

Anthony Onde Morada, Jessica L Becker, Michael J Furey, Christian Hailey Summa, Kristen R Richards, Ajmal Baray, Megan L (…)2026-07-01
📄 medicine

Factors Associated with Self-Reported Surgical Skill Comfort in a Longitudinal Integrated Clerkship

This study of medical students in a longitudinal integrated clerkship found that both a post-clerkship interest in a surgical career and a greater breadth of direct clinical exposure to surgical disease topics were significantly associated with higher self-reported comfort in foundational surgical skills.

Dalton Hegeholz, Ting Sun, Gabrielle Moore, M. Libby Weaver, Kirstyn E. Brownson, Motaz Selim, Katie Glasgow, Kshama Jai (…)2026-07-01
📄 medicine

A National Survey of Preliminary versus Categorical General Surgery Residents’ Personal and Professional Experiences

A national survey reveals that preliminary general surgery residents experience significantly worse quality of life, mentorship, professional trajectory, and workplace mistreatment compared to their categorical counterparts, with these disparities persisting even after adjusting for demographic factors.

Sarah Lund, Kaiser Sadiq, Xinyi Luo, Rebecca Moreci, Justine Broecker2026-07-01
📄 medicine

Resident Perceptions of Entrustable Professional Activities and Faculty Engagement

This study demonstrates that surgical residents who perceive high levels of faculty engagement in feedback report significantly more frequent feedback, greater exposure to Entrustable Professional Activities (EPAs), and higher satisfaction with both feedback and EPAs compared to those with low perceived engagement, suggesting EPAs serve as an effective mechanism for enhancing faculty feedback.

Daniela D. Muñoz Wilson, Lauren McLeod, M Chandler McLeod, Andrew Jones, George A. Sarosi, Karen J. Brasel, Carol Barry (…)2026-07-01
📄 medicine

Structuring Self-Regulated Learning in Surgical Training: A Pilot Study of Paired Forethought and Reflection Instruments in Laparoscopic Cholecystectomy

This pilot study demonstrates that a theory-informed, paired preoperative forethought and postoperative reflection instrument for laparoscopic cholecystectomy is feasible, acceptable to residents, and can be integrated into routine surgical workflows without interfering with patient care, though modest completion rates highlight the need for further controlled research to evaluate its impact on learning and performance.

José Ignacio Rui-Wamba Barra, Bernardita Becker, Cristóbal Vildósola, Matias Aguilera, María Inés Gaete, Lorena Isbej, M (…)2026-07-01
📄 medicine

First-Cohort Micro-Credentialing in Thoracentesis and Paracentesis: Feasibility, Uptake, Retention, and Early Implementation Barriers in Procedural Training

This prospective program evaluation demonstrates the feasibility of a four-level micro-credentialing pathway for thoracentesis and paracentesis training, reporting moderate uptake and successful retention among a first cohort while identifying the need for further evaluation of peer-assessor scalability and long-term impact.

Matías Aguilera, Felipe Riquelme, Mateo Ferrer, Felipe Araya, Vlada Vasilyeva, María Inés Gaete, Gabriel Escalona, Franc (…)2026-07-01
📄 medicine

Locally Led, Globally Impactful: A Simulation-Based Laparoscopic Skills Curriculum for Surgeons and Trainees in Ethiopia

A short, locally led, simulation-based curriculum delivered by in-country faculty in Ethiopia significantly improved laparoscopic knowledge and technical skills among surgeons and trainees, demonstrating that sustainable, locally owned training models can effectively expand minimally invasive surgery capacity in low-resource settings.

Nathnael Abera Woldehana, Hilkiah Suga, Jochebed Suga, Zachary Enumah, Filagot Bizuneh Mikru, Ebenezer Fanta, Philimon G (…)2026-07-01
📄 medicine

Disagreement as a signal: an auditable dual-LLM and human-arbitrated workflow for methodological quality assessment in preclinical complex-intervention evidence

This study introduces an auditable, human-arbitrated dual-LLM workflow for methodological quality assessment in preclinical complex-intervention research, demonstrating that leveraging LLM disagreement as a signal for targeted human review effectively identifies systematic methodological weaknesses while ensuring transparency and accuracy.

Jianpeng Hou, Changhui Wen, Kunpeng Lin, Lingao Xing, Xinyue Yu, Weiyu Liu, Xinyu Li, Yang Li2026-07-01
📄 medicine

Evaluation of the Effect of Thickness on the Translucency of Super-high Translucent Zirconia & Zirconia Reinforced Lithium Disilicate

This in vitro study demonstrates that zirconia-reinforced lithium disilicate exhibits superior translucency compared to super-high-translucent zirconia at both 0.9 mm and 1.3 mm thicknesses, despite both materials showing reduced translucency as thickness increases.

Rajesh Shetty, Faseela Thenukutty, Shrimaa Kateel, Sanath Kumar Shetty, Mohammed Zahid2026-07-01
📄 medicine

Clinical and genomic predictors of sipuleucel-T outcomes in men with metastatic androgen pathway modulator resistant prostate cancer

This retrospective study of 429 men with metastatic androgen pathway modulator-resistant prostate cancer treated with sipuleucel-T identifies *MYC* gain as the strongest independent genomic predictor of poor overall survival, alongside clinical factors such as extensive bone metastases, older age, and elevated alkaline phosphatase.

Andrew Armstrong, Tara Seibert, Jane McKenzie, Lauren Howard, Bilal Ashraf, Jasmine Lu, Kallie White, Daniel George, Jef (…)2026-07-01