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In This Issue of JAMA Surgery
March 2015


JAMA Surg. 2015;150(3):191. doi:10.1001/jamasurg.2014.2493

Abdominal wall hernia is one of the most common conditions encountered by general surgeons. Rising rates of abdominal wall hernia repair have been described; however, population-based evidence concerning incidence rates of emergent hernia repair is unknown. Beadles et al performed a retrospective analysis using National Center for Health Statistics data from 2001 to 2010 and examined trends in rates of emergent abdominal hernia repair. They found that there is an increasing trend in overall emergent hernia repair in the United States, particularly incisional hernia repair among older men.

During emergencies, surgeons work in interprofessional teams and may need to perform emergency procedures; thus, resident training is needed. Forty-three surgical residents were evaluated during simulated clinical scenarios with an interdisciplinary team. Residents reported improved procedural confidence after training. Interprofessional simulation sessions resulted in improved communication, leadership, teamwork, and procedural ability scores. Nicksa et al conclude that interprofessional simulation provides a valuable means of educating surgical residents and evaluating their skills in real-life clinical scenarios.