2024
The persistent benefits of decreasing default pill counts for postoperative narcotic prescriptions
Coppersmith N, Sznol J, Esposito A, Flom E, Chiu A, Yoo P. The persistent benefits of decreasing default pill counts for postoperative narcotic prescriptions. PLOS ONE 2024, 19: e0304100. PMID: 38833500, PMCID: PMC11149874, DOI: 10.1371/journal.pone.0304100.Peer-Reviewed Original ResearchConceptsOxycodone 5-mg tabletsPill countSurgical proceduresOpioid naive patientsOpioid prescribing habitsPostoperative narcotic prescriptionsQuantity of opioidsPercentage of patientsDay of surgeryClinicians' prescribing practicesElectronic medical record systemOpiate requirementsMorphine equivalentsChi-square testPostoperative opioidsOpioid prescriptionsNarcotic prescriptionsPrescription quantitiesOpioidAffiliated HospitalPrescribing habitsPatientsPrescribing practicesPersistent benefitsAcademic healthcare system
2023
Should Obtaining Informed Consent Be Considered an Entrustable Professional Activity? Insights From Whether and How Attendings Entrust Surgical Trainees
White E, Esposito A, Yoo P. Should Obtaining Informed Consent Be Considered an Entrustable Professional Activity? Insights From Whether and How Attendings Entrust Surgical Trainees. Academic Medicine 2023, 99: 897-903. PMID: 38113443, DOI: 10.1097/acm.0000000000005587.Peer-Reviewed Original ResearchConceptsConsent conversationsAssessment of competenceProfessional activityEthical dutyConsent processConsentProfessional obligationsGrant responsePatient relationshipEntrustmentResident competencyUniversity-based health care systemAmerican Association of Medical CollegesHealth care systemMedical school graduatesObligationsHypothetical clinical scenariosAssessment of residentsCompetencePracticeAffiliated teaching hospitalsEntrustable professional activitiesDutyIncrease resident competencyAttendants' knowledgeHow Did We Get Here and Where Are We Going? Career Trajectories of United States General Surgery Residency Program Directors
Coppersmith N, Chung M, Esposito A, Flom E, Dent D, Morris-Wiseman L, Rosenkranz K, Terhune K, Yoo P. How Did We Get Here and Where Are We Going? Career Trajectories of United States General Surgery Residency Program Directors. Journal Of Surgical Education 2023, 80: 1653-1662. PMID: 37355404, DOI: 10.1016/j.jsurg.2023.05.023.Peer-Reviewed Original ResearchManagement of Anal Incontinence With Implantable Sacral Neuromodulation
Esposito A, Mongiu A. Management of Anal Incontinence With Implantable Sacral Neuromodulation. Diseases Of The Colon & Rectum 2023, 66: 758-762. PMID: 36989061, DOI: 10.1097/dcr.0000000000002890.Peer-Reviewed Original ResearchSo You Want to be a Program Director? Career Paths of Colon and Rectal Surgery Residency Program Directors
Esposito A, Coppersmith N, Flom E, Chung M, Reddy V, Leeds I, Longo W, Pantel H, Yoo P, Mongiu A. So You Want to be a Program Director? Career Paths of Colon and Rectal Surgery Residency Program Directors. Journal Of Surgical Education 2023, 80: 588-596. PMID: 36658062, DOI: 10.1016/j.jsurg.2022.12.009.Peer-Reviewed Original ResearchUpdate on the Financial Well-Being of Surgical Residents in New England.
Esposito A, Coppersmith N, White E, Papageorge M, DiSiena M, Hess D, LaFemina J, Larkin A, Miner T, Nepomnayshy D, Palesty J, Rosenkranz K, Seymour N, Trevisani G, Whiting J, Oliveira K, Longo W, Yoo P. Update on the Financial Well-Being of Surgical Residents in New England. Journal Of The American College Of Surgeons 2023, 236: 953-960. PMID: 36622076, DOI: 10.1097/xcs.0000000000000544.Peer-Reviewed Original Research
2022
Do Cultures From Percutaneously Drained Intra-abdominal Abscesses Change Treatment? A Retrospective Review
Esposito A, Zhang Y, Nagarkatti N, Laird W, Coppersmith N, Reddy V, Leeds I, Mongiu A, Longo W, Hao R, Pantel H. Do Cultures From Percutaneously Drained Intra-abdominal Abscesses Change Treatment? A Retrospective Review. Diseases Of The Colon & Rectum 2022, 66: 451-457. PMID: 36538708, DOI: 10.1097/dcr.0000000000002644.Peer-Reviewed Original ResearchConceptsIntra-abdominal abscessPercutaneous drainAntimicrobial therapyLos pacientesAbdominal abscessSingle university-affiliated institutionRetrospective medical record reviewEmpiric antibiotic regimensSolid organ transplantsMedical record reviewUniversity-affiliated institutionCulture dataAntibiotic coursesAbdominal infectionAntibiotic regimensActive smokersMedian ageActive chemotherapyRecord reviewEvidence-based practiceMedian lengthUtility of cultureFemale sexIntraoperative culturesInclusion criteriaHow I Learned is How I Teach – Perspectives on How Faculty Surgeons Approach Informed Consent Education
White EM, Esposito AC, Kurbatov V, Wang X, Caty MG, Laurans M, Yoo PS. How I Learned is How I Teach – Perspectives on How Faculty Surgeons Approach Informed Consent Education. Journal Of Surgical Education 2022, 79: e181-e193. PMID: 36253332, DOI: 10.1016/j.jsurg.2022.09.001.Peer-Reviewed Original ResearchConceptsInformed consentDepartment of SurgeryHealth care systemKruskal-Wallis testingTeaching hospitalCritical careGeneral surgeonsClinical practiceSurgeon demographicsCare systemSurgeonsChi-squarePrivate practiceResident competencySignificant heterogeneityPatientsFaculty surgeonsAttendingsConsentClinical facultyDemographicsSpecialtiesExperiences residentsResidentsHigh levelsSurgical Residents’ Awareness of the Costs of Common Operating Room Supplies
White E, Hernandez A, Coppersmith N, Esposito A, Paranjpe A, Yoo P. Surgical Residents’ Awareness of the Costs of Common Operating Room Supplies. The American Surgeon 2022, 89: 4640-4643. PMID: 36113130, DOI: 10.1177/00031348221126953.Peer-Reviewed Original ResearchUpdate on the Personal and Professional Well-Being of Surgical Residents in New England.
Esposito AC, Coppersmith NA, White EM, Papageorge MV, DiSiena M, Hess DT, LaFemina J, Larkin AC, Miner TJ, Nepomnayshy D, Palesty J, Rosenkranz KM, Seymour NE, Trevisani G, Whiting JF, Oliveira KD, Longo WE, Yoo PS. Update on the Personal and Professional Well-Being of Surgical Residents in New England. Journal Of The American College Of Surgeons 2022, 235: 510-518. PMID: 35588528, DOI: 10.1097/xcs.0000000000000276.Peer-Reviewed Original ResearchConceptsPrimary care providersGeneral surgery residentsHealth maintenanceCare providersSurgery residentsSurgical residentsMinutes/weekPersonal health maintenanceMulti-institutional surveyHealth screeningPercent of residentsProgram directorsResponse rateResident wellbeingFurther studiesSurgical cultureAttendingsFirst studyYearsPersonal appointmentsResidentsBurnout ratesHigh levelsProvidersEmotional exhaustionLearning Environment is the Prevailing Factor in Surgical Residents’ Favorite Rotations
Esposito AC, Brandt WS, Coppersmith NA, White EM, Chung M, Rujeedawa T, Yoo PS. Learning Environment is the Prevailing Factor in Surgical Residents’ Favorite Rotations. Journal Of Surgical Education 2022, 79: 1454-1464. PMID: 35907699, DOI: 10.1016/j.jsurg.2022.07.009.Peer-Reviewed Original ResearchDo You Get What You Pay For? The Relationship of Price and Quality in Hospital Provided Procedures
Esposito AC, Laird WD, Zhang Y, Cerullo M, Li AX, Coppersmith NA, Reddy V, Leeds I, Mongiu A, Longo W, Pantel H. Do You Get What You Pay For? The Relationship of Price and Quality in Hospital Provided Procedures. Journal Of Surgical Research 2022, 278: 140-148. PMID: 35598497, DOI: 10.1016/j.jss.2022.04.035.Peer-Reviewed Original ResearchThe Potential Application of Mindset Theory to Surgical Education
Coppersmith NA, Esposito AC, Yoo PS. The Potential Application of Mindset Theory to Surgical Education. Journal Of Surgical Education 2022, 79: 845-849. PMID: 35474256, DOI: 10.1016/j.jsurg.2022.03.008.Peer-Reviewed Original ResearchConceptsMindset theorySurgical educationHealth professions educationRange of beliefsEducation researchProfessions educationRisk studentsSecondary educationMindset interventionSurgical learningEducationMindsetInteresting lensLimited bodySocioeconomic statusStudentsResearchLearningSkillsAchievementLow socioeconomic statusMore researchBeliefsTheoryIntellectProxy Detection of Resident Burnout by Program Directors and Domestic Partners.
Esposito AC, White EM, Coppersmith NA, Huot SJ, Asnes AG, Yoo PS, Solomon DG. Proxy Detection of Resident Burnout by Program Directors and Domestic Partners. Journal Of The American College Of Surgeons 2022, 234: 1111-1117. PMID: 35703807, DOI: 10.1097/xcs.0000000000000169.Peer-Reviewed Original ResearchConceptsSelf-reported burnout rateEmotional exhaustionResident burnoutBurnout ratesMaslach Burnout InventoryPersonal accomplishmentBurnout InventoryBurnoutImportant target audienceDomestic partnersRespondent typeDepersonalizationResident spousesPartner predictionsExhaustionSpousesModerate correlationPartnersIncidence of depressionTarget audienceMaking leadership a priority in surgical residency
Papageorge MV, DeWane MP, Esposito AC, Oliveira K, Longo W, Yoo PS. Making leadership a priority in surgical residency. The American Journal Of Surgery 2022, 224: 641-642. PMID: 35094833, DOI: 10.1016/j.amjsurg.2022.01.016.Peer-Reviewed Original Research
2021
Video Coaching in Surgical Education: Utility, Opportunities, and Barriers to Implementation
Esposito AC, Coppersmith NA, White EM, Yoo PS. Video Coaching in Surgical Education: Utility, Opportunities, and Barriers to Implementation. Journal Of Surgical Education 2021, 79: 717-724. PMID: 34972670, DOI: 10.1016/j.jsurg.2021.12.004.Peer-Reviewed Original ResearchVideo Coaching: A National Survey of Surgical Residency Program Directors
Esposito AC, Yoo PS, Lipman JM. Video Coaching: A National Survey of Surgical Residency Program Directors. Journal Of Surgical Education 2021, 79: 708-716. PMID: 34952818, DOI: 10.1016/j.jsurg.2021.11.012.Peer-Reviewed Original ResearchConceptsNational surveySurgical residency program directorsVideo coachingIndependent t-testUseful adjunctProgram directorsSurgical attendingsFirst national surveyStudy designResidency program directorsSurgical residentsT-testResidency programsSurvey settingsResident feedbackWidespread implementationLikert scaleLiterature reviewResidentsGroupPatient privacyCoaching programEffect of Surgical Team Communication on Adherence to Opioid Discharge Guidelines in Post-Operative Inpatients
Esposito AC, White EM, Rohde SC, Chilakamarry S, Yoo PS. Effect of Surgical Team Communication on Adherence to Opioid Discharge Guidelines in Post-Operative Inpatients. Journal Of Surgical Education 2021, 79: 740-744. PMID: 34933817, DOI: 10.1016/j.jsurg.2021.11.010.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPost-operative inpatientsSurgical team communicationYale-New Haven HospitalSurgical residentsNew Haven HospitalPercent of participantsDischarge guidelinesOpioid prescriptionsPractice providersProvider typeKruskal-Wallis testSurgical teamGuidelines stateOpioidsResponse rateDrivers of adherenceProviders' understandingInpatientsAdherenceSpearman correlationTeam communicationElectronic surveySignificant differencesPatientsASO Author Reflections: The Utility of Overall Survival as an Outcome in the Study of Merkel Cell Carcinoma
Esposito AC, Jacobs D, Olino K. ASO Author Reflections: The Utility of Overall Survival as an Outcome in the Study of Merkel Cell Carcinoma. Annals Of Surgical Oncology 2021, 29: 425-426. PMID: 34523003, DOI: 10.1245/s10434-021-10791-8.Commentaries, Editorials and LettersMerkel Cell Carcinoma: Changing Practice Patterns and Impact on Recurrence-Free and Overall Survival at a Single Institution and Nationally
Esposito A, Jacobs D, Ariyan S, Galan A, Kluger H, Clune J, Weiss S, Tran T, Olino K. Merkel Cell Carcinoma: Changing Practice Patterns and Impact on Recurrence-Free and Overall Survival at a Single Institution and Nationally. Annals Of Surgical Oncology 2021, 29: 415-424. PMID: 34494169, PMCID: PMC8677689, DOI: 10.1245/s10434-021-10727-2.Peer-Reviewed Original ResearchConceptsDisease-specific survivalOverall survivalCT2 diseasePractice patternsSingle-institution retrospective reviewShorter disease-specific survivalActive cigarette smokersAdoption of immunotherapyMultivariable Cox regressionUse of immunotherapyUse of radiotherapyResultsOne hundred fiftyShorter overall survivalAggressive neuroendocrine carcinomaRisk of mortalitySurrogate outcome measureBackgroundMerkel cell carcinomaTreatment of MCCMCC managementImmunocompromised stateMCC patientsMedian ageUnknown primaryRetrospective reviewCigarette smokers