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It has been estimated that the probability of a physician being involved in a medical litigation by 65 years of age ranges from 76 to 98% depending on specialty. We hypothesized that a mock deposition held by a medico-legal expert attorney could effectively increase awareness of the importance of accurate and complete medical documentation. Pre and post-lecture and mock deposition surveys were analyzed and the contents evaluated. Residents and attendings from the surgical, medical and OB-GYN departments participated. Results were analyzed through frequency distribution. A total of 62 participants attended, 42 completed the pre-survey, while 24 completed the post-survey. Majority had no prior experience in malpractice lawsuits. After the post-survey, 95.8% believed that incorporating the mock deposition may reduce documentation error. Based on the results of the surveys we concluded that a mock deposition exercise provides a means for education residents regarding the importance of medical documentation.

The field of telemedicine has grown tremendously over the last decade. We present a systematic review of publications on telemedicine as it pertains to surgery, addressing six facets: 1) telerobotics, 2) telementoring, 3) teleconsulting, 4) telemedicine in post-operative follow-up, 5) tele-education, and 6) current technology. A search of relevant literature querying PubMed, Web of Science, and Science Direct was performed using the following keywords: telecommunication, telemedicine, telehealth, virtual health, virtual medicine, general surgery, surgery, surgical or surgical patients. Telemedicine is being used to care for patients in remote areas, to help expert surgeons assist other specialists in the office or novice surgeons in the operating room, as well as to help teach the next generation of surgeons. There are many opportunities for surgeons to utilize this technology to optimize their practice. •Telesurgery can help overcome geographic and resource constraints.•Telementoring is an effective method of transfering surgical knowledge and expertise.•Technologic advancements have facilitated education, consultation, and remote telesurgery. The use of telemedicine in surgical care has seen substantial growth over the last decade. This article provides a descriptive review of some significant innovations in the following areas pertaining to surgery: 1) telerobotics, 2) telementoring, 3) teleconsulting, 4) telemedicine in post-operative follow-up, 5) tele-education, and 6) current technology.

Climate change will affect most populations in the next decades and put the health of billions of people at risk. Health care facilities represent a significant source of pollution around the world and contribute to environmental changes. To address this topic, we performed a review of the available literature on tactics to reduce operating room (OR) waste and the potential of these strategies to impact the environment. A literature search was performed querying PubMed, Web of Science, and Science Direct. No comparative data were found; most were opinion papers, white papers, and case studies. For this reason, we proceeded with a narrative review, which provides an overview of the evidence on this topic and identifies areas for future research. This systematic review summarizes the available literature on the 5 “Rs” of waste management: reduction, reusing, recycling, rethinking, and renewable energies. Surgery has a unique opportunity to transition to more environmentally-friendly operating room strategies, which may help decrease waste and lessen the impact of climate change. •Surgical waste is contributing to landfill mass and climate change.•Strategies such as repurposing and anesthetic gas reclaiming are potential strategies to address surgical waste.•Donation of unused or repurposed surgical supplies may help global surgery efforts while decreasing surgical waste.

General surgery residents log operative case experience as “first assist” (FA) or “primary surgeon” (PS). This study will evaluate their quantitative and qualitative case log practices. Modified Delphi technique was used to create a questionnaire and distributed online to institutions via the APDS. Descriptive analyses and example operative scenarios for resident case logging habits were ascertained. There were 363 residents from university (60%) and non-university (40%) programs; 94% did not know the definition of primary surgeon. Over 50% stated they had been encouraged to log a case as surgeon that they did not feel was warranted. Only 4% felt the current logging system is “very accurate.” Given an operative scenario, residents varied how they chose to log the case. General surgery residents do not know the current definition of PS. Case logging should be an objective measure of resident operative exposure, but may actually be more complex than previously recognized. •Almost all surgery residents surveyed do not know the current definition of “primary surgeon”.•More than half of residents have heard of a resident “over-reporting” case logs.•Over-reporting is prompted by institutional case volume and lack of operative autonomy.•When given an operative scenario, less than half of residents agreed how they would log the case.•Only 4% of residents say the case log system “very accurately” reflects their operative experience.