{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:07:47Z","timestamp":1784041667866,"version":"3.55.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1007\/s00464-026-12951-x","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T15:48:07Z","timestamp":1781279287000},"page":"6236-6242","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopy training under the SIMPL lens: insights on resident competency and autonomy"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4266-2291","authenticated-orcid":false,"given":"Alex I.","family":"Halpern","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie H.","family":"Vu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamila K.","family":"Picart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aloysius J.","family":"Hora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliet","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khashayar","family":"Vaziri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hope T.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salem I.","family":"Noureldine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"12951_CR1","doi-asserted-by":"publisher","first-page":"7673","DOI":"10.1007\/S00464-022-09083-3","volume":"36","author":"H Carmichael","year":"2022","unstructured":"Carmichael H, Samuels JM, Velopulos CG, Jones EL (2022) Geographic distribution of colonoscopy providers in the United States: an analysis of Medicare claims data. Surg Endosc 36:7673\u20137678. https:\/\/doi.org\/10.1007\/S00464-022-09083-3","journal-title":"Surg Endosc"},{"key":"12951_CR2","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1503\/CJS.015914","volume":"58","author":"D Skubleny","year":"2015","unstructured":"Skubleny D, Switzer N, Karmali S, De Gara C (2015) Endoscopy services and training: a national survey of general surgeons. Can J Surg 58:330\u2013334. https:\/\/doi.org\/10.1503\/CJS.015914","journal-title":"Can J Surg"},{"key":"12951_CR3","doi-asserted-by":"publisher","DOI":"10.21037\/ALES.2019.06.09","author":"RD Fanelli","year":"2019","unstructured":"Fanelli RD, Sultany MS (2019) Surgeons performing endoscopy: why, how, and when? Ann Laparosc Endosc Surg. https:\/\/doi.org\/10.21037\/ALES.2019.06.09","journal-title":"Ann Laparosc Endosc Surg"},{"key":"12951_CR4","doi-asserted-by":"publisher","DOI":"10.21037\/ALES.2019.04.07","author":"JS Winder","year":"2019","unstructured":"Winder JS, Juza RM (2019) Flexible endoscopy: surgical education. Ann Laparosc Endosc Surg. https:\/\/doi.org\/10.21037\/ALES.2019.04.07","journal-title":"Ann Laparosc Endosc Surg"},{"key":"12951_CR5","doi-asserted-by":"publisher","first-page":"3050","DOI":"10.1007\/S00464-015-4597-8","volume":"30","author":"AK Gardner","year":"2016","unstructured":"Gardner AK, Willis RE, Dunkin BJ, Van Sickle KR, Brown KM, Truitt MS, Uecker JM, Gentry L, Scott DJ (2016) What do residents need to be competent laparoscopic and endoscopic surgeons? Surg Endosc 30:3050\u20133059. https:\/\/doi.org\/10.1007\/S00464-015-4597-8","journal-title":"Surg Endosc"},{"key":"12951_CR6","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1016\/j.jsurg.2014.05.016","volume":"71","author":"MA Cooper","year":"2014","unstructured":"Cooper MA, Tinmouth JM, Yong E, Walsh CM, Carnahan H, Grover SC, Ritvo P (2014) Surgical residents\u2019 perceptions on learning gastrointestinal endoscopy: more hours and more standardization wanted. J Surg Educ 71:899\u2013905. https:\/\/doi.org\/10.1016\/j.jsurg.2014.05.016","journal-title":"J Surg Educ"},{"key":"12951_CR7","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.amjsurg.2009.09.013","volume":"199","author":"G Subhas","year":"2010","unstructured":"Subhas G, Gupta A, Mittal VK (2010) Necessity for improvement in endoscopy training during surgical residency. Am J Surg 199:331\u2013335. https:\/\/doi.org\/10.1016\/j.amjsurg.2009.09.013","journal-title":"Am J Surg"},{"key":"12951_CR8","doi-asserted-by":"publisher","first-page":"4451","DOI":"10.1007\/S00464-018-6190-4","volume":"32","author":"AA Guzzetta","year":"2018","unstructured":"Guzzetta AA, Weis JJ, Hennessy SA, Willis RE, Wilcox V, Dunkin BJ, Hogg DC, Scott DJ (2018) Proficiency-based preparation significantly improves FES certification performance. Surg Endosc 32:4451\u20134457. https:\/\/doi.org\/10.1007\/S00464-018-6190-4","journal-title":"Surg Endosc"},{"key":"12951_CR9","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000353","volume":"4","author":"JB Zwischenberger","year":"2023","unstructured":"Zwischenberger JB, Hatchett SP, Rahman NA, Chadha P, Sebok-Syer SS, George BC (2023) Implementing workplace-based assessments at scale: the SIMPL approach. Ann Surg Open 4:e353. https:\/\/doi.org\/10.1097\/AS9.0000000000000353","journal-title":"Ann Surg Open"},{"key":"12951_CR10","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1016\/j.jvs.2023.04.039","volume":"78","author":"ML Cox","year":"2023","unstructured":"Cox ML, Weaver ML, Johnson C, Chen X, Carter T, Yee CC, Coleman DM, Sgroi MD, George BC, Smith BK (2023) Early findings and strategies for successful implementation of SIMPL workplace-based assessments within vascular surgery residency and fellowship programs. J Vasc Surg 78:806-814.e2. https:\/\/doi.org\/10.1016\/j.jvs.2023.04.039","journal-title":"J Vasc Surg"},{"key":"12951_CR11","doi-asserted-by":"publisher","first-page":"S247","DOI":"10.1016\/J.JAMCOLLSURG.2020.07.376","volume":"231","author":"RA Verm","year":"2020","unstructured":"Verm RA, Trial JL, Sullivan ME, Kiankhooy A (2020) How the systems for improving and measuring procedural learning (SIMPL) application demonstrates changing expectations of surgery residents in surgical education. J Am Coll Surg 231:S247\u2013S248. https:\/\/doi.org\/10.1016\/J.JAMCOLLSURG.2020.07.376","journal-title":"J Am Coll Surg"},{"key":"12951_CR12","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1097\/JU.0000000000001874","volume":"206","author":"RS Wang","year":"2021","unstructured":"Wang RS, Daignault-Newton S, Ambani SN, Hafez K, George BC, Kraft KH (2021) SIMPLifying urology residency operative assessments: a pilot study in urology training. J Urol 206:1009\u20131018. https:\/\/doi.org\/10.1097\/JU.0000000000001874","journal-title":"J Urol"},{"key":"12951_CR13","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.05.057","volume":"177","author":"JE Williams","year":"2025","unstructured":"Williams JE, Sinha A, Pitt SC, Hughes DT, Underwood HJ (2025) It\u2019s not that SIMPL\u2014Identifying deficiencies in general surgery trainees\u2019 autonomy and competence performing parathyroidectomy and thyroidectomy. Surgery 177:108857. https:\/\/doi.org\/10.1016\/j.surg.2024.05.057","journal-title":"Surgery"},{"key":"12951_CR14","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1016\/j.surg.2017.10.011","volume":"163","author":"HP Stride","year":"2018","unstructured":"Stride HP, George BC, Williams RG, Bohnen JD, Eaton MJ, Schuller MC, Zhao L, Yang A, Meyerson SL, Scully R, Dunnington GL, Torbeck L, Mullen JT, Mandell SP, Choti M, Foley E, Are C, Auyang E, Chipman J, Choi J, Meier A, Smink D, Terhune KP, Wise P, DaRosa D, Soper N, Zwischenberger JB, Lillemoe K, Fryer JP (2018) Relationship of procedural numbers with meaningful procedural autonomy in general surgery residents. Surgery 163:488\u2013494. https:\/\/doi.org\/10.1016\/j.surg.2017.10.011","journal-title":"Surgery"},{"key":"12951_CR15","doi-asserted-by":"publisher","first-page":"e90","DOI":"10.1016\/j.jsurg.2014.06.018","volume":"71","author":"BC George","year":"2014","unstructured":"George BC, Teitelbaum EN, Meyerson SL, Schuller MC, Darosa DA, Petrusa ER, Petito LC, Fryer JP (2014) Reliability, validity, and feasibility of the Zwisch scale for the assessment of intraoperative performance. J Surg Educ 71:e90\u2013e96. https:\/\/doi.org\/10.1016\/j.jsurg.2014.06.018","journal-title":"J Surg Educ"},{"key":"12951_CR16","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1016\/j.jsurg.2021.09.009","volume":"79","author":"J Williams","year":"2022","unstructured":"Williams J, Thelen AE, Luckoski J, Chen X, George BC (2022) How do resident surgeons identify operative case complexity? An analysis of resident versus attending perceptions. J Surg Educ 79:469\u2013474. https:\/\/doi.org\/10.1016\/j.jsurg.2021.09.009","journal-title":"J Surg Educ"},{"key":"12951_CR17","doi-asserted-by":"publisher","first-page":"1522","DOI":"10.1016\/j.jsurg.2020.05.023","volume":"77","author":"GJ Kim","year":"2020","unstructured":"Kim GJ, Clark MJ, Meyerson SL, Bohnen JD, Brown KM, Fryer JP, Szerlip N, Schuller M, Kendrick DE, George B (2020) Mind the gap: the autonomy perception gap in the operating room by surgical residents and faculty. J Surg Educ 77:1522\u20131527. https:\/\/doi.org\/10.1016\/j.jsurg.2020.05.023","journal-title":"J Surg Educ"},{"key":"12951_CR18","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/j.amjsurg.2020.10.024","volume":"221","author":"DJ Cassidy","year":"2021","unstructured":"Cassidy DJ, McKinley SK, Ogunmuyiwa J, Mullen JT, Phitayakorn R, Petrusa E, Kim MJ (2021) Surgical autonomy: a resident perspective and the balance of teacher development with operative independence. Am J Surg 221:336\u2013344. https:\/\/doi.org\/10.1016\/j.amjsurg.2020.10.024","journal-title":"Am J Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-12951-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-026-12951-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-12951-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:43:47Z","timestamp":1784040227000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-026-12951-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["12951"],"URL":"https:\/\/doi.org\/10.1007\/s00464-026-12951-x","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,12]]},"assertion":[{"value":"10 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Alex I. Halpern, Stephanie Vu, Dr. Jamila K. Picart, Aloysius J. Hora, Dr. Juliet Lee, Dr. Khashayar Vaziri, Dr. Hope T. Jackson, and Dr. Salem I. Noureldine have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}