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Session Design Submission Review

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Duty-Hour Balance Meets Mastery Learning: The Clock-Smart Approach

Session TypePanel

Bryanna Stukes MD
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Duty-Hour Balance Meets Mastery Learning: The Clock-Smart Approach
Is this submission from an ASE Committee, Task Force, or Working Group?

Yes

Which Committee(s)/Task Force(s)/Working Group(s)?
  • Simulation
Session Information

Session Description

The reality of modern surgical training faces the paradox of duty-hour limits, increased patient safety expectations, and rising burnout risk all competing for the same finite resource of time. Simulation-based education has proven to enhance operative performance and improve patient outcomes, yet integrating simulation into residency curricula without exceeding duty hours or compromising wellness remains a major challenge.

This panel, led by simulation directors, program leaders, and education scientists, will explore strategies to align simulation, wellness, and duty-hour compliance within the modern residency framework. We will highlight data showing that proficiency-based progression (PBP) and mastery learning models lead to faster skill acquisition and better performance compared to time-based training. We will also review findings linking structured simulation curricula to improved patient safety outcomes.

Panelists will illustrate real-world scheduling innovations that optimize skill development within duty-hour boundaries. Attendees will participate in an interactive “design sprint” to create a mini-4-week “Clock-Smart” simulation plan tailored to their own institutions.

The discussion will also connect simulation with well-being and ACGME’s updated guidance on fatigue mitigation. By merging data-driven scheduling with evidence-based education, this session models a holistic approach to developing technically competent, psychologically resilient surgeons.

Attendees will leave with:
• Practical templates for time-efficient simulation integration
• Benchmarked metrics for skill acquisition, wellness tracking, and compliance
• A structured planning tool for implementing a “Clock-Smart” curriculum at their home program.

This panel embodies ASE’s mission to advance surgical education through innovation, collaboration, and actionable takeaways. Participants will engage directly through live polling, design exercises, and facilitated reflection to ensure an interactive session that moves beyond lecture to collective problem solving.

Course Objective 1

Design a simulation curriculum that aligns with ACGME duty-hour and wellness standards using evidence-based scheduling models.

Course Objective 2

Apply principles of proficiency-based progression and mastery learning to structure resident advancement based on competence rather than time.

Course Objective 3

Construct an institutional plan for simulation delivery that incorporates wellness checkpoints and measurable performance outcomes.

Session Objective 4

Evaluate the impact of simulation on operative skill, patient safety, and burnout using validated metrics.

Session Outline
Activity Order Title of Presentation or Activity Presenter/Faculty Name Presenter/Faculty Email Time allotted in minutes for activity

1

Welcome & Poll: Where Does Simulation Fit in Your Week?

Bryanna Stukes

bryanna.stukes@utsouthwestern.edu

5

2

Evidence Update: Simulation, Proficiency, and Patient Outcomes

Teodor Grantcharov

teodor@stanford.edu

10

3

Proficiency-Based Progression: Designing for Mastery, Not Minutes

Dimitrios Stefanidis

dimstefa@iu.edu

10

4

Duty-Hour Alignment and Scheduling Innovations

Angela Guzetta

angela.guzzetta@utsouthwestern.edu

10

5

Resident Wellness and Supportive Infrastructure

Daniel Scott

Daniel.scott@utsouthwestern.edu

10

6

Metrics That Matter in Surgical Education: Sensors to Significance

Carla Pugh

cpugh@stanford.edu

10

7

Interactive Design Sprint: Build Your “Clock-Smart” Plan

Bryanna Stukes

bryanna.stukes@utsouthwestern.edu

10

8

Summary & Call to Action

Bryanna Stukes

Bryanna.stukes@utsouthwestern.edu

5