{"id":"https://openalex.org/W2941418900","doi":"https://doi.org/10.1097/sla.0000000000003326","title":"The Millennials are Here and They Expect More From Their Surgical Educators!","display_name":"The Millennials are Here and They Expect More From Their Surgical Educators!","publication_year":2019,"publication_date":"2019-04-18","ids":{"openalex":"https://openalex.org/W2941418900","doi":"https://doi.org/10.1097/sla.0000000000003326","mag":"2941418900","pmid":"https://pubmed.ncbi.nlm.nih.gov/30998535"},"language":"en","primary_location":{"id":"doi:10.1097/sla.0000000000003326","doi":"https://doi.org/10.1097/sla.0000000000003326","is_oa":false,"landing_page_url":"https://doi.org/10.1097/sla.0000000000003326","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071648921","display_name":"Galinos Barmparas","orcid":"https://orcid.org/0000-0001-8309-6797","observed_orcids":["https://orcid.org/0000-0001-8309-6797"]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Galinos Barmparas","raw_affiliation_strings":["Department of Surgery, Division of Acute Care Surgery and Surgical Critical Care Cedars-Sinai Medical Center, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Acute Care Surgery and Surgical Critical Care Cedars-Sinai Medical Center, Los Angeles, CA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065935214","display_name":"Taryne A. Imai","orcid":"https://orcid.org/0000-0003-4427-7418","observed_orcids":["https://orcid.org/0000-0003-4427-7418"]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Taryne A. Imai","raw_affiliation_strings":["Department of Surgery, Division of Thoracic Surgery Cedars-Sinai Medical Center, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Division of Thoracic Surgery Cedars-Sinai Medical Center, Los Angeles, CA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078965606","display_name":"Bruce L. Gewertz","orcid":"https://orcid.org/0000-0001-5724-1460","observed_orcids":["https://orcid.org/0000-0001-5724-1460"]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bruce L. Gewertz","raw_affiliation_strings":["Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA","institution_ids":["https://openalex.org/I1282927834"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5071648921"],"corresponding_institution_ids":["https://openalex.org/I1282927834"],"apc_list":null,"apc_paid":null,"fwci":5.2244,"has_fulltext":false,"cited_by_count":13,"citation_normalized_percentile":{"value":0.94201606,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"270","issue":"6","first_page":"962","last_page":"963"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14088","display_name":"Generational Differences and Trends","score":0.9613999724388123,"subfield":{"id":"https://openalex.org/subfields/3319","display_name":"Life-span and Life-course Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T14088","display_name":"Generational Differences and Trends","score":0.9613999724388123,"subfield":{"id":"https://openalex.org/subfields/3319","display_name":"Life-span and Life-course Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.0348999984562397,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11756","display_name":"Mentoring and Academic Development","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/millennials","display_name":"millennials","score":0.871999979019165},{"id":"https://openalex.org/keywords/generational-differences","display_name":"generational differences","score":0.7580000162124634},{"id":"https://openalex.org/keywords/surgical-residency-training","display_name":"surgical residency training","score":0.843999981880188},{"id":"https://openalex.org/keywords/surgical-training","display_name":"surgical training","score":0.8040000200271606},{"id":"https://openalex.org/keywords/mentoring","display_name":"mentoring","score":0.746999979019165},{"id":"https://openalex.org/keywords/collective-individualism","display_name":"collective individualism","score":0.781000018119812},{"id":"https://openalex.org/keywords/performance-anxiety","display_name":"performance anxiety","score":0.6000000238418579},{"id":"https://openalex.org/keywords/clinical-competence","display_name":"clinical competence","score":0.3370000123977661},{"id":"https://openalex.org/keywords/academic-surgeons","display_name":"academic surgeons","score":0.41200000047683716},{"id":"https://openalex.org/keywords/work-life-balance","display_name":"work-life balance","score":0.5120000243186951},{"id":"https://openalex.org/keywords/team-based-learning","display_name":"team-based learning","score":0.4519999921321869},{"id":"https://openalex.org/keywords/leadership-development","display_name":"leadership development","score":0.7950000166893005},{"id":"https://openalex.org/keywords/professional-development","display_name":"professional development","score":0.39100000262260437},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.3569999933242798}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9651972055435181},{"id":"https://openalex.org/C3019611579","wikidata":"https://www.wikidata.org/wiki/Q6641956","display_name":"Surgical procedures","level":2,"score":0.523979127407074},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.429416298866272},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3633732795715332},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3130905032157898},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009042","descriptor_name":"Motivation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013337","descriptor_name":"Students, Medical","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D013502","descriptor_name":"General Surgery","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/sla.0000000000003326","doi":"https://doi.org/10.1097/sla.0000000000003326","is_oa":false,"landing_page_url":"https://doi.org/10.1097/sla.0000000000003326","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},{"id":"pmid:30998535","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30998535","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Quality education","score":0.6164000034332275,"id":"https://metadata.un.org/sdg/4"},{"display_name":"Good health and well-being","score":0.5683000087738037,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W2052110486","https://openalex.org/W2090429322","https://openalex.org/W2122619854","https://openalex.org/W2399168037","https://openalex.org/W2531837003","https://openalex.org/W3122305242"],"related_works":["https://openalex.org/W2960875171","https://openalex.org/W3036751554","https://openalex.org/W2151951588","https://openalex.org/W2354682807","https://openalex.org/W2937359186","https://openalex.org/W3195126728","https://openalex.org/W4288058748","https://openalex.org/W2939910849","https://openalex.org/W2323562903","https://openalex.org/W4250202665"],"abstract_inverted_index":{"Surgical":[0,719,787,883,1039],"residency":[1,238,296,1258,1312],"programs":[2,240,1259],"are":[3,13,26,68,103,123,137,178,202,241,442,466,534,703,885,985,1076,1294,1304],"currently":[4],"populated":[5],"by":[6,16,140,267,1257,1317],"residents":[7,257,530,586,729,1171,1207],"from":[8,19,820,906,1139,1168,1217],"the":[9,20,187,206,220,224,252,259,271,284,321,331,380,393,451,455,478,513,588,663,680,829,864,868,876,927,979,1001,1018,1079,1146,1164,1192,1222,1267,1274],"millennial":[10,256,373,529,699,1169],"generation1":[11],"who":[12,201,473,1319],"being":[14,182,327,444],"trained":[15,1316],"academic":[17,290,1229],"surgeons":[18,55,1318],"two":[21],"previous":[22,509,527],"generations.":[23,510],"These":[24],"mentors":[25,1107],"largely":[27],"\u201cbaby":[28],"boomers\u201d":[29],"(known":[30,43],"for":[31,430,644,749,994,1152,1180,1333],"their":[32,64,166,213,277,324,489,577,728,796,818,821,992,1005,1009,1062,1082,1112,1115,1121,1124,1195,1218,1228,1310,1325],"strong":[33],"work":[34,402,1116],"ethic,":[35],"competitiveness,":[36],"self-assurance,":[37],"and":[38,40,50,56,79,107,120,147,171,209,258,313,330,349,376,392,414,436,439,460,468,482,536,554,572,583,601,609,624,692,698,732,774,781,799,811,836,859,891,896,924,963,988,1011,1047,1070,1092,1103,1108,1118,1158,1211,1220,1231,1247,1260,1281,1284,1323],"resourcefulness)":[39],"\u201cGeneration":[41],"X\u2019ers\u201d":[42],"to":[44,70,83,114,168,204,243,264,288,299,309,363,399,516,561,579,606,611,648,661,672,688,705,730,740,791,842,888,913,938,952,958,1003,1034,1050,1053,1059,1097,1110,1155,1173,1183,1185,1272,1314],"be":[45,161,194,205,428,580,653,673,683,706,745,754,840,889,900,936,967,999,1048,1129,1156,1179,1315,1338],"independent":[46],"thinkers,":[47],"self-reliant,":[48],"skeptical,":[49],"adaptable).":[51],"All":[52],"developed":[53],"as":[54,145,446,494,506,508,747,763,824,901,1067,1233],"teachers":[57,472],"in":[58,173,198,361,389,450,564,596,783,846,911,923,970,1008,1030,1199,1214,1277,1327],"an":[59,1328],"environment":[60,849,1329],"that":[61,74,159,219,251,317,343,369,421,532,543,557,639,679,709,725,1094,1132,1194,1240,1248,1289],"embraced":[62],"exactly":[63],"values.":[65,377],"Now,":[66],"they":[67,175,177,286,305,344,480,544,568,575,590,733,785,825,831,851,997,1190,1234],"required":[69,297],"train":[71],"a":[72,156,294,521,649,674,684,690,757,764,771,908,1031,1200,1341],"generation":[73,93],"has":[75,80,229,384,1024],"distinctly":[76],"different":[77],"values":[78,136],"been":[81,358,631,1026],"acclimated":[82],"previously":[84],"unimagined":[85],"educational":[86,541,1012,1113,1202,1215,1279],"resources.":[87],"Although":[88,190,567,665],"summative":[89,775],"characterizations":[90],"of":[91,97,101,118,130,181,212,222,232,255,262,334,372,395,457,587,594,616,633,795,855,879,926,941,946,1081,1100,1145,1163,1224,1269],"any":[92],"imply":[94],"serious":[95,315],"risks":[96],"oversimplification,":[98],"certain":[99],"characteristics":[100,192,254,724],"millennials":[102,113,279,465,640,1307],"often":[104,138,179,281,974],"prominently":[105],"expressed":[106],"frequently":[108],"draw":[109],"contention.":[110],"Psychologists":[111],"find":[112,169],"demonstrate":[115],"high":[116],"levels":[117,593],"confidence":[119],"optimism.1":[121],"They":[122,539,549],"generally":[124],"highly":[125,986],"collaborative,":[126],"seeking":[127,470],"team":[128],"instead":[129],"personal":[131,435,1068,1282],"success.":[132,291,1285],"Paradoxically,":[133],"these":[134,153,191,265,424,1015,1054,1074,1106,1186],"positive":[135],"confounded":[139],"what":[141,174,955,1306],"older":[142],"generations":[143],"perceive":[144],"individualistic":[146],"self-centered":[148],"behaviors.":[149],"Millennials":[150,702,778,816,835,984,1058],"effectively":[151],"combine":[152],"traits":[154],"into":[155,293],"hybrid":[157],"construct":[158],"can":[160,248,474,545,710,738,814,966,1095],"called":[162],"\u201ccollective":[163],"individualism.\u201d2":[164],"In":[165,378,833,1204],"effort":[167,487],"meaning":[170,782],"purpose":[172,780],"do,3":[176],"accused":[180],"\u201cdreamers,\u201d":[183],"not":[184,502,670,899,935,1251,1337],"understanding":[185,423,854],"\u201chow":[186],"world":[188,383],"works.\u201d":[189],"may":[193,501,726,826,839,898,1087,1104,1128,1178,1243,1250],"less":[195,338],"strongly":[196],"manifested":[197],"surgical":[199,227,237,268,295,431,452,658,696,822,837,1125,1140,1148,1170,1181,1206,1262,1311],"residents,":[200],"thought":[203],"most":[207,225,711,1119,1165],"competitive":[208],"goal":[210,865],"oriented":[211],"cohort,":[214],"there":[215],"is":[216,341,637,669,716,930,956,1021,1065,1150,1172,1313,1331],"no":[217,1290,1298],"question":[218],"phenotype":[221],"even":[223,273],"hard-core":[226],"trainees":[228],"shifted.":[230],"Independent":[231],"this":[233,364,666,714,737,847,862,873,971,1036,1153,1225],"generational":[234,365,1101],"change,":[235],"modern":[236],"training":[239,390],"challenged":[242,308],"ensure":[244],"clinical":[245,803],"competencies.4":[246],"One":[247],"only":[249,1138],"suspect":[250],"current":[253,1147],"possible":[260],"lack":[261,940,1268],"adaptation":[263],"changes":[266],"educators":[269,578,659,697,720,788,838,884,1040,1182,1219],"complicate":[270],"problem":[272],"further.":[274],"Before":[275],"starting":[276,686],"training,":[278],"were":[280,306,326,337],"\u201cspoon":[282],"fed\u201d":[283],"information":[285,479],"needed":[287],"achieve":[289],"Transition":[292],"them":[298,477,505,560,793,1322],"start":[300],"thinking":[301],"more":[302,359,406,525,656,762,772,1043],"critically,":[303],"while":[304],"simultaneously":[307],"develop":[310],"technical":[311],"skills":[312,627],"make":[314,792],"decisions":[316],"affect":[318],"lives.":[319],"For":[320,511],"first":[322],"time,":[323],"performances":[325],"carefully":[328],"scrutinized":[329],"traditional":[332],"metrics":[333],"standardized":[335,1302],"tests":[336,1303],"important.":[339],"It":[340,636,1127],"understandable":[342],"would":[345,427],"experience":[346,459],"performance":[347],"anxiety4":[348],"concern":[350],"regarding":[351],"future":[352],"job":[353],"prospects.":[354],"Other":[355],"industries":[356],"have":[357,629,641,852,1191],"effective":[360],"adjusting":[362],"shift,":[366],"embracing":[367],"strategies":[368,1276],"take":[370],"advantage":[371],"learning":[374],"habits":[375],"specific,":[379],"nonmedical":[381],"corporate":[382],"demonstrated":[385],"much":[386,507],"greater":[387],"flexibility":[388],"paradigms":[391],"functionalities":[394],"human":[396],"resource":[397],"services":[398],"create":[400],"successful":[401,1254],"environments.":[403],"This":[404,813,1335],"includes":[405],"\u201cflex":[407],"time,\u201d":[408],"better":[409,422,563,827,843],"recreational":[410],"facilities":[411],"at":[412],"work,":[413],"structured":[415,761,914,1089],"collaborative":[416],"social":[417],"activities.":[418],"We":[419,1238,1286],"suggest":[420],"adaptive":[425],"responses":[426],"useful":[429],"training,5":[432],"especially":[433,1072,1188],"when":[434,1189],"professional":[437,634],"divide":[438],"burn":[440],"out":[441,925,954],"increasingly":[443,800],"acknowledged":[445],"real":[447],"problems":[448],"with":[449,462,485,504,978,991,1017,1045,1078,1123],"field.6\u20138":[453],"On":[454],"basis":[456],"our":[458,463,1133,1241],"discussion":[461],"colleagues,":[464],"unabashedly":[467],"unapologetically":[469],"transformational":[471],"efficiently":[475],"provide":[476],"need":[481,660,993],"do":[483,1287],"so":[484,1339],"limited":[486],"on":[488,756,1061,1227,1245],"part.":[490],"Traditional":[491],"concepts":[492],"such":[493,645],"\u201cpatient":[495,880],"ownership\u201d":[496],"or":[497,948,1296],"\u201crespect":[498],"your":[499],"senior\u201d":[500],"resonate":[503],"them,":[512],"old-time":[514],"advice":[515],"just":[517,638],"\u201cread":[518],"more\u201d":[519],"represents":[520],"brush":[522],"off.":[523],"Much":[524],"than":[526,770],"trainees,":[528],"demand":[531],"expectations":[533,643,819,1167],"clear":[535],"well":[537],"defined.":[538],"expect":[540,576,600,1308],"structures":[542],"navigate":[546],"through":[547],"quickly.":[548],"desire":[550],"frequent":[551],"constructive":[552],"criticism":[553],"precise":[555],"feedback":[556,752],"will":[558,874,904,1028],"allow":[559],"perform":[562],"specific":[565,620],"areas.":[566],"value":[569,1212],"evidence-based":[570],"medicine":[571],"didactic":[573,915],"material,":[574],"both":[581],"self-assured":[582],"open-minded.":[584],"Like":[585],"past,":[589],"appreciate":[591,1252],"appropriate":[592],"independence":[595],"patient":[597],"care":[598,1320],"but":[599,950],"rely":[602,1244],"upon":[603],"adequate":[604],"supervision":[605],"avoid":[607],"misadventures":[608],"harm":[610],"patients.":[612],"The":[613,751,960],"basic":[614],"principles":[615],"ensuring":[617],"structure,":[618],"defining":[619],"goals,":[621],"providing":[622],"feedback,":[623],"teaching":[625,1093],"practical":[626,919],"one-on-one":[628],"always":[630,1025],"elements":[632],"education.":[635],"taken":[642],"personalized":[646],"instruction":[647],"new":[650,848,877,1301],"level.":[651],"To":[652],"successful,":[654],"we":[655,677,1265],"\u201cmature\u201d":[657],"embrace":[662,722],"challenge.":[664],"opinion":[667],"paper":[668],"intended":[671],"\u201chow-to\u201d":[675],"manual,":[676],"believe":[678,1288],"following":[681],"could":[682],"good":[685],"point":[687,953],"rebuild":[689],"fruitful":[691],"productive":[693],"relationship":[694,1122,1154],"between":[695,767],"residents:":[700],"(1)":[701],"eager":[704],"successful.":[707],"Feedback":[708],"practically":[712],"facilitate":[713],"success":[715,731],"particularly":[717,931,968],"valued.":[718,902],"should":[721,734,744,753,789,866,934,998,1041,1208,1336],"individual":[723,1253],"lead":[727,739,1096],"understand":[735,828,1174,1221,1324],"how":[736,1022,1175,1292,1300],"collective":[741,995],"individualism.":[742],"Negatives":[743],"presented":[746],"opportunities":[748,1075,1086],"improvement.":[750],"provided":[755],"regular":[758],"basis,":[759],"preferably":[760],"formative":[765],"\u201cchat":[766],"colleagues\u201d":[768],"rather":[769,951],"formal":[773],"evaluation.":[776],"(2)":[777],"seek":[779],"whatever":[784],"do.":[786],"attempt":[790],"part":[794],"own":[797,1063,1196],"changing":[798],"demanding":[801],"reality:":[802],"workload,":[804],"regulations,":[805],"documentation,":[806],"performance,":[807],"outcomes,":[808],"billing,":[809],"research,":[810],"funding.":[812],"help":[815],"refine":[817],"educators,":[823],"challenges":[830],"face.":[832],"addition,":[834,1205],"able":[841,1049],"define":[844],"\u201cautonomy\u201d":[845],"if":[850,1073],"mutual":[853],"each":[856],"party's":[857],"needs":[858,1326],"expectations.":[860],"Through":[861],"process,":[863],"remain":[867,1159],"same:":[869],"patient-centered":[870],"care.":[871],"With":[872],"come":[875],"definition":[878],"ownership.\u201d":[881],"(3)":[882],"now":[886],"expected":[887],"resourceful":[890],"ingenious.":[892],"Outdated":[893],"\u201cslide\u201d":[894],"presentations":[895],"lectures":[897],"Teachers":[903],"profit":[905],"using":[907],"problem-solving":[909],"approach":[910],"preference":[912],"presentations.":[916],"Receiving":[917],"focused":[918],"tips":[920],"(\u201cclinical":[921],"pearls\u201d)":[922],"operating":[928],"room":[929],"prized.":[932],"Questions":[933],"asked":[937],"highlight":[939],"knowledge":[942],"(the":[943],"classic":[944],"style":[945],"\u201croundsmanship\u201d":[947],"\u201cpimping\u201d)":[949],"important":[957,969,1166],"know.":[959],"voice":[961],"tone":[962],"language":[964],"used":[965],"regard.":[972],"As":[973],"said,":[975],"\u201cyou":[976],"fuse":[977],"words":[980],"you":[981],"use.\u201d":[982],"(4)":[983],"creative":[987],"imaginative.":[989],"Combined":[990],"individualism,":[996],"given":[1000],"opportunity":[1002,1033],"apply":[1004],"inspired":[1006],"ideas":[1007],"working":[1010],"environment.":[1013],"Blocking":[1014],"initiatives":[1016],"excuse":[1019],"\u201cthis":[1020],"it":[1023,1177,1249],"done\u201d":[1027],"result":[1029,1198],"missed":[1032],"improve":[1035,1111],"valued":[1037],"relationship.":[1038],"become":[1042,1235],"comfortable":[1044],"change":[1046],"adapt":[1051,1184],"quickly":[1052],"changes.":[1055],"(5)":[1056],"Allowing":[1057],"build":[1060],"experiences":[1064],"perceived":[1066,1131],"validation":[1069],"success,":[1071],"associated":[1077],"development":[1080,1232],"leadership":[1083],"skills.":[1084],"Such":[1085],"include":[1088],"peer":[1090],"mentorship":[1091],"further":[1098],"mitigation":[1099],"differences":[1102],"empower":[1105],"mentees":[1109],"experience,":[1114],"environment,":[1117],"importantly,":[1120],"educators.":[1126,1141,1263],"easily":[1130],"proposed":[1134],"interventions":[1135],"require":[1136],"commitment":[1137],"However,":[1142],"full":[1143],"engagement":[1144],"learners":[1149],"necessary":[1151],"rebuilt":[1157],"fruitful.":[1160],"Perhaps":[1161],"one":[1162],"challenging":[1176,1332],"changes,":[1187],"perception":[1193],"practices":[1197,1216,1255],"measured":[1201],"effectiveness.":[1203],"expect,":[1209],"accept,":[1210],"variation":[1213,1226],"impact":[1223],"growth":[1230],"mature":[1236],"surgeons.":[1237],"acknowledge":[1239,1266],"perspective":[1242],"generalizations":[1246],"adopted":[1256],"committed":[1261],"Furthermore,":[1264],"scientific":[1270],"evidence":[1271],"support":[1273],"above":[1275],"securing":[1278],"effectiveness":[1280],"satisfaction":[1283],"matter":[1291,1299],"curricula":[1293],"revamped":[1295],"updated,":[1297],"configured,":[1305],"during":[1309],"about":[1321],"which":[1330],"them.":[1334],"hard":[1340],"task.":[1342]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":4},{"year":2020,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-05-03T00:00:00"}