CME Evaluation

CME Questions

This section provides a review. Mark each statement according to the factual material contained in this issue and the opinions of the authors. A score of 70% is required to qualify for CME credit.

Article One (pp. 127–133)

1. When given the option, medical students prefer passive learning methods. True or False?

2. The objectives of medical simulation can include all of the following except:

   • Evaluation of learning

   • Skill training

   • Reading aptitude

   • Team training

   Article Two (pp. 134–142)

3. The traditional Halstedian model of surgical education is currently used in most modern surgical residency programs. True or False?

4. What is the least eff ective method for teaching professionalism to surgical residents?

   • Lecturing

   • Mentoring

   • Simulations

   • Role modeling

   Article Three (pp. 143–150)

5. The ACGME Outcome Project plans to link competencyrelated educational activities with resident performance measures and external patient care measures. True or False?

6. Resident duty hour limits have led directly to improved patient safety and better patient outcomes. True or False?

   Article Four (pp. 151–155)

7. Most aspects of surgical practice lend themselves to an evidence-based approach. True or False?

8. What are potential obstacle(s) to applying an evidencebased approach to surgical problems?

   • Complex technical issues involving multiple steps

   • Ethical issues

   • Difficulty in enrolling patients in randomized studies

   • Relative lack of frequency of some problems

   • All of the above

9. Surgical trainees show little interest in acquiring critical appraisal skills and relying on evidence-based decision making. True or False?

   Article Five (pp. 156–165)

10. Although virtual reality simulation training has shown to improve technical skills, it has not been shown to improve technical skills in the live operating room. True or False?

11. Simulation training using bench-top models:

    • Is often expensive and requires specialized equipment

    • Has not been shown to improve technical skills

    • Has been used in a variety of surgical specialties

    • Has little research interest given newer high-fidelity virtual reality trainers

12. Which of the following is true regarding simulation for nontechnical skills?

    • Crisis resource management ensures that a hierarchy is maintained within the team for the leader to maintain control.

    • Standardized patients are considered to be a component of simulation training.

    • Crisis resource management training has not shown to improve team functioning or patient outcomes.

    • Nontechnical skills, although important, should only be incorporated into a surgical training program after the establishment of a solid technical skills curriculum.

    Article Six (pp. 166–170)

13. Certification by the American Board of Colon and Rectal Surgery requires certification by the American Board of Surgery. True or False?

14. Maintenance of certification is an ongoing demonstration of commitment to lifelong learning and improvement in quality care. True or False?

    Article Seven (pp. 171–176)

15. Multiple exposures and multiple techniques increase the chance that a continuing medical education (CME) activity will accomplish its objective. True or False?

16. Simulation as a means to acquire new skills has been proven to be eff ective. True or False?

17. Cultural barriers inhibit best educational practices centered on mastery learning and deliberate practice. True or False?

18. Maintenance of certification through the American Board of Surgery involves all of the following except:

    • Maintaining a full and unrestricted license

    • 50 hours of category I CME over a 3-year cycle

    • Documenting an operative log 12 months prior to applying for the 10-year interval exam

    • Participation in outcomes databases or quality assessment programs

19. The introduction of laparoscopic colectomy was more successful than the introduction of laparoscopic cholecystectomy because all of the following changes occurred except for:

    • A registry to track early experience with laparoscopic colectomy was established.

    • The American Society of Colon and Rectal Surgeons (ASCRS) issued a statement that laparoscopic cancer operations should be undertaken only after the surgeon has completed 20 laparoscopic colon resections with anastomosis for benign or metastatic disease.

    • For practicing surgeons, certification pathways exist to develop new technical skills.

    • Surgeons and industry have combined to provide better training for the initiation and application of new technology.

    Article Eight (pp. 177–180)

20. According to the 2010 Patient Protection and Aff ordable Care Act there will be:

    • An increase in the number of residency positions

    • An increase in GME funding

    • A redistribution of unused residency positions

    • Medicare no longer funding IGME

21. Prior to 1997 GME was primarily funded by:

    • The institutions (hospitals)

    • The federal government

    • The insurance industry

    • Universities

    Article Nine (pp. 181–184)

22. The ASCRS provides educational opportunities that prepare its members to meet all the requirements for maintenance of certification. True or False?

23. All of the following educational activities provide participants with category I CME credits except:

    • Attendance at the ASCRS annual scientific meeting

    • Reading Diseases of the Colon & Rectum every month

    • Participating in CARSEP (Colon and Rectal Surgery Educational Program)

    • Participating in the Evidence-Based Reviews in Surgery (EBRS)

24. The ASCRS has updated its educational opportunities to reflect the ACGME Core Competencies. True or False?

    ANSWERS: You will receive a graded copy of your post-test along with the answer key when you are mailed your CME certificate from the Ochsner Clinic Foundation.