Are EPAs Actually Working? An Honest Look at Competency-Based Surgical Training

Are EPAs Actually Working? An Honest Look at Competency-Based Surgical Training

Two years into the EPA era — are we actually training surgeons differently, or just checking new boxes? In this episode, Behind the Knife co-director and Duke Trauma Surgeon Dr. Patrick Georgoff and Behind the Knife surgical education fellows Dr. Agnes Premkumar and Dr. Emma Burke sit down with Dr. Ruchi Thanawala, thoracic surgeon at OHSU, informatician, and founder of Firefly Labs, to get an honest look at the state of competency-based surgical education. We dig into why surgery is uniquely hard to assess, what the data are actually showing (spoiler: significant skewing, and we're not ready to make promotion decisions off it yet), and why collecting assessments is only 25% of the work. If you've ever wondered whether EPAs are moving the needle or just adding noise, this one's for you

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Episoder(500)

EPA Playbook: Small Bowel Obstruction

EPA Playbook: Small Bowel Obstruction

Join Drs. Georgoff, Burke, and Premkumar in this episode of EPA Playbook, where we tackle the evaluation and management of small bowel obstruction. Through a realistic series of scenarios, we walk ste...

6 Jul 24min

EPA Playbook: Inguinal Hernia

EPA Playbook: Inguinal Hernia

In this episode of EPA Playbook, Drs. Jason Bingham, Emma Burke, and Agnes Premkumar discuss the evaluation and management of inguinal hernias through a case-based approach that reinforces key EPA con...

5 Jul 21min

EPA Playbook: Perioperative Care of Critically Ill Patient

EPA Playbook: Perioperative Care of Critically Ill Patient

In this episode of EPA Playbook, Drs. Kevin Kniery, Emma Burke, and Agnes Premkumar discuss management of critically ill surgical patients, using case-based discussions to reinforce core principles of...

4 Jul 24min

EPA Playbook: Benign or Malignant Colon

EPA Playbook: Benign or Malignant Colon

Join Drs. Steele, Burke, & Premkumar in this episode of EPA Playbook, where we tackle a core general surgery EPA: the evaluation and management of benign and malignant colon disease. From common prese...

3 Jul 27min

Intraoperative Cholangiography Guidelines: Routine, Selective, or Never?

Intraoperative Cholangiography Guidelines: Routine, Selective, or Never?

In this episode, we use the recent SAGES guidelines to tackle one of the most common and controversial questions in general surgery. Through a case-based discussion, our experts review the evidence fo...

29 Jun 34min

Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

Join our Hernia Team for a review of the current controversy around preoperative optimization and the practical implications.Hosts: Dr. Maggie Bosley - @MBosleyMD Dr. Sean Orenstein - @OrensteinSean D...

25 Jun 34min

Rectal Cancer in the Young and Pregnant: Fertility and Management Considerations

Rectal Cancer in the Young and Pregnant: Fertility and Management Considerations

As colorectal cancer rates rise among younger adults, surgeons are increasingly caring for patients with rectal cancer who are pregnant or hoping to preserve future fertility. With more individuals de...

22 Jun 27min

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