The impact of a novel resident leadership training curriculum

Am J Surg. 2004 Nov;188(5):481-4. doi: 10.1016/j.amjsurg.2004.07.024.


Background: Today's complex health care environment coupled with the 80-hour workweek mandate has required that surgical resident team interactions evolve from a military command-and-control style to a collaborative leadership style.

Methods: A novel educational curriculum was implemented with objectives of training the residents to have the capacity/ability to create and manage powerful teams through alignment, communication, and integrity integral tools to practicing a collaborative leadership style while working 80 hours per week. Specific strategies were as follows: (1) to focus on quality of patient care and service while receiving a high education-to-service ratio, and (2) to maximize efficiency through time management.

Results: This article shows that leadership training as part of a resident curriculum can significantly increase a resident's view of leadership in the areas of alignment, communication, and integrity; tools previously shown in business models to be vital for effective and efficient teams.

Conclusion: This curriculum, over the course of the surgical residency, can provide residents with the necessary tools to deliver efficient quality of care while working within the 80-hour workweek mandate in a more collaborative style environment.

Publication types

  • Comparative Study

MeSH terms

  • Clinical Competence*
  • Curriculum*
  • Education, Medical, Graduate / methods
  • Female
  • Humans
  • Internship and Residency*
  • Leadership*
  • Male
  • Probability
  • Sampling Studies
  • Surveys and Questionnaires
  • Texas