Journal of Surgical Research

Article	Citations
Cover 4: AAS Join Journal Ad	221
AAS Join Journal Ad Print	76
Letter Regarding: Perioperative Music Therapy in Colorectal Surgery: A Review of Cost-Effectiveness and Clinical Impact	62
Circulating sFasL Levels Predict the Severity and Outcome of Burn Injury: A Prospective Observational Study	57
Featured Articles	56
Assessment of Conflicts of Interest in the Transcarotid Artery Revascularization Literature	50
Editorial Board	39
Female Patient Perceptions on Financial Incentives to Promote Follow-Up After Bariatric Surgery	37
Characterization of Epidural Analgesia Interruption and Associated Outcomes After Esophagectomy	36
Subscription Information	36
Erratum to “Prehospital Narrow Pulse Pressure Predicts Need for Resuscitative Thoracotomy and Emergent Intervention after Trauma” [Journal of Surgical Research 268 (2021) 284–290]	30
The Prevalence of Benign Pathology Following Major Pulmonary Resection for Suspected Malignancy	30
Corrigendum to High Mitotic Rate Predicts Sentinel Lymph Node Involvement in Thin Melanomas	29
Penetrating Trauma in Baltimore: An Analysis of the Effect of a Rise in Localized Violence by Age Group	28
Manipulation of Nitric Oxide Levels via a Modified Hydroxyethyl Starch Molecule	28
Surgeon Factors Have a Larger Effect on Vascular Access Type and Outcomes than Patient Factors	28
Young Age as a Predictor of Chemotherapy Recommendation and Treatment in Breast Cancer: A National Cancer Database Study	27
Weekend Discharge Is Not Associated With Increased Readmission After Hyperthermic Intraperitoneal Chemotherapy	27
Management of the Pregnant Trauma Patient: A Systematic Literature Review	26
How Accurate Are Surgeons at Assessing the Quality of Their Critical View of Safety During Laparoscopic Cholecystectomy?	25
Association Between Race, Gender, and Pediatric Postoperative Outcomes: An Updated Retrospective Review	25
Letter Regarding: Long-Term Outcomes of Cricothyroidotomy Versus Endotracheal Intubation in Military Personnel: A Retrospective Comparative Analysis Cohort Study	25
Serum Amyloid P Attenuates Hypertrophic Scarring in Large Animal Models	24
Can Artificial Intelligence Coach Faculty to Utilize Growth Mindset Language? A Qualitative Analysis of Feedback Statements	23
To PEG or not to PEG: Trends in Gastrostomy Tube Needs in Patients Requiring Tracheostomy	23

Mortality and Morbidity in Rib Fracture Surgery: Pulmonary Contusion Versus Extrathoracic Trauma	23
Quality Review Committee Audit Improves Thoracic Enhanced Recovery After Surgery Protocol Compliance	23
Law Enforcement and Patient Privacy Among Survivors of Violence: A Nationwide Mixed-Methods Study	23
Letter Regarding: Utilizing Relative Citation Ratio to Compare Academic Productivity by Gender in Plastic Surgery	22
Are We Underestimating the Morbidity of Single Rib Fractures?	22
Angiotensin-Converting Enzyme Inhibitor Reduces Radiation-Induced Periprosthetic Capsular Fibrosis	22
Endovascular Perfusion Augmentation After Resuscitative Endovascular Balloon Occlusion of the Aorta Improves Renal Perfusion and Decreases Vasopressors	21
COLQ and ARHGAP15 are Associated with Diverticular Disease and are Expressed in the Colon	21
Development and Feasibility Testing of a Decision Aid for Acute Appendicitis	21
“The Itsy-Bitsy Water Bead Went Down the Baby's Mouth. Will Drinking Gastrografin Help to Flush It Out?”	21
Exploring Limited English Proficiency in the Clinical Outcomes of Pediatric Burn Patients	21
Prevalence of and Risk Factors for Incidental Colonic Diverticulosis	21
COVID-19 and Mortality in the Global Surgical Population: A Systematic Review and Meta-Analysis	20
Complications Following Splenic Embolization for Trauma: Have Things Changed Over Time?	20
Letter Regarding: The Use of Inflammatory Markers for Treatment Response Monitoring in Acute Cholangitis: A Retrospective Cohort Study	20
Assessing Fall Mortality by Field-Relevant Categories at an Urban Level I Trauma Center	19
Discreet Values of Shock Index Pediatric Age-Adjusted (SIPA) to Predict Intervention in Children With Blunt Organ Injuries	19
Association of High BMI With Morbidity and Mortality in Common Emergency General Surgery Procedures	19
Bile Spillage as a Prognostic Factor for Gall Bladder Cancer: A Systematic Review and Meta-Analysis	19
The Impact of COVID-19 Pandemic Upon Non-elective Admissions and Surgery at a Safety-Net Hospital	19
Determining Outcomes in Nonpenetrating Trauma With qSOFA	19
Assessing the Association Between Endoscopic Tattooing and Lymph Node Yield in Rectal Cancer	19
Investigating the Association Between Type 2 Diabetes Mellitus and Pathological Responses Among Breast Cancer Patients Receiving Neoadjuvant Chemotherapy	19
Admission Triage With Pain, Inspiratory Effort, Cough Score can Predict Critical Care Utilization and Length of Stay in Isolated Chest Wall Injury	19
Discharge to Skilled Nursing Facility Is a Risk Factor for Readmission: A Nationwide Propensity-Matched Study	19
Drugs, Delirium, and Trauma: Substance Use and Incidence of Delirium After Traumatic Brain Injury	19
Peritoneal Metastases After Intraductal Papillary Mucinous Neoplasm Resection: How Common are They?	18
Pharmacological Approaches for the Prevention of Breast Implant Capsular Contracture	18
Referral of Burn Patients in the Absence of Guidelines: A Rwandan Study	18
Identification of Clinical Risk Factors Affecting Patient-Physician Communication	18
Annual Structured Communication Skills Training for Surgery Residents	18
COVID Stressed, but Not due to the Virus	17
Letter Regarding: Surgery Interest Groups in Medical Schools: Mentoring Factory	17
Influence of Race, Insurance, and Rurality on Equity of Breast Cancer Care	17
Vascular Graft Infections Treated With Bioabsorbable Antibiotic Beads	17
Timing to Rib Fixation in Patients With Flail Chest	17
Platelet and White Cell Reactivity to Top-Load Intravenous Perfluorocarbon Infusion in Healthy Sheep	17
Instilling Resiliency in Surgical Education: The Benefits of Longitudinal Medical Student Learning	17
A Comparative Analysis of Zip Code Discordance in Pediatric Gunshot Wounds	17
Evaluation of Medicare Reimbursement and Surgical Patterns for Male and Female Colorectal Surgeons	17
Acquisition of Surgical Skills in Medical Students via Telementoring: A Randomized Controlled Trial	17
Trends in Management of Index Adhesive Small Bowel Obstruction in Children	16
Incidence and Mortality of Pediatric Abdominal Compartment Syndrome	16
The Importance of General Surgery Residency Program’s Online Presence Varies Among Applicant Groups	16
Association Between Conduit Type and Outcomes After Open Repair of Popliteal Artery Aneurysms	16
Association of Economic Recession and Social Distancing With Pediatric Non-accidental Trauma During COVID-19	16
Firearm Violence Surrounding the COVID-19 Pandemic: A Reopening Phenomenon	16
Outcomes of Transfusion With Whole Blood, Component Therapy, or Both in Adult Civilian Trauma Patients: A Systematic Review and Meta-Analysis	16
Adapting Surgical Coaching: Feasibility and Perceptions of Intraoperative Resident Peer Coaching	16
Mastering Stress: Mental Skills and Emotional Regulation for Surgical Performance and Life	16

A Statewide Analysis of Pediatric Liver Injuries Treated at Adult Versus Pediatric Trauma Centers	16
The COVID-19 Era Is Associated With Delays in Esophageal Cancer Diagnosis and Treatment	16
Is REBOA the Last Card to Control a Massive Gastrointestinal Bleeding?	16
Implementation of a Breast Intraoperative Oncoplastic Form to Aid Management of Oncoplastic Surgery	16
Prophylactic Sartorius Flap Reconstruction is Associated With Reduced Vascular Graft Infection	15
Omission of Routine Chest X-Rays After Chest Tube Removal Is Safe and Feasible After Thoracic Surgery: A Single Institution Quality Improvement Initiative	15
Assessment of Amniotic Fluid as a Preservation Solution in Pig Livers Undergoing Machine Perfusion	15
Journal of Surgical Research	15
Protective Effect of Topiroxostat on Myocardial Injury Induced by Lipopolysaccharide	15
Table of Contents	15
AI-Based Video Segmentation: Procedural Steps or Basic Maneuvers?	15
Analysis of Surgical Residents’ Salaries and Associated Funding During Eight Residency Training Cycles: Toward Improving Future Residents’ Benefits and Compensation	15
Benefit of Kidney Transplantation for Post Lung Transplantation Renal Failure	15
Insurance Status and Travel Distance to Single Treatment Facility Predictive of Mastectomy	15
AAS Get involved JSR Ad	15
Editorial Board	15
A Novel Color-Coded Liver Metastasis Mouse Model to Distinguish Tumor and Adjacent Liver Segment	15
Accuracy of National Surgical Quality Improvement Program Risk Calculator Among Elderly Patients Undergoing Pancreas Resection	15
Association of Psychosocial Factors and Hospital Complications with Risk for Readmission After Trauma	15
Association Between Psychiatric Illness and Short-Term Outcomes Among Patients With Hepatobiliary and Pancreatic Cancer	15
Acute Pancreatitis: Presentation and Outcomes at a Safety Net Hospital	15
Psychiatric Consults Associated With Longer Length of Stay in Trauma Patients—A Retrospective Study	15
Table of Contents	15
Oncologic Efficacy of Robotic Compared to Open Total Pancreatectomy for Pancreatic Cancer	15
The Relationship Between Nodal Metastases and Primary Location in Stage I Non-Small Cell Lung Cancer	14
Trisomy 21 Children With Duodenal Atresia or Anorectal Malformation: NSQIP-P Surgical Outcomes Study	14
Occupational Exposures During Emergency Department Thoracotomies	14
On The Cover	14
Predicting Unilateral Aldosterone Secretion in Primary Aldosteronism	14
Identifying Young Adults at High Risk for Weight Gain Using Machine Learning	14
Readmissions After Surgical Aortic Valve Replacement: Influence of Prosthesis Type	14
Getting Started in Leadership: Mindsets and Skillsets for Leading in Complex Systems	14
Why Interested Surgeons Are Not Choosing Rural Surgery: What Can We Do Now?	14
Antibiotic Prophylaxis in Breast Cancer Surgery: A Multicontinental Survey Study	14
Letter Regarding: Adenosine 2A Receptor Agonism Improves Survival in Extracorporeal Cardiopulmonary Resuscitation	14
Are 99mTC-Sestamibi Single Photon Emission Computed Tomography Scan Results Associated to the Parathyroid Cell Type in Primary Hyperparathyroidism?	14
Overlapping Surgeries From the Patient's Perspective	14
Geriatric Motorcycle-Related Outcomes: A Pennsylvania Multicenter Study	14
Combination Therapy of Niacin and Apocynin Attenuates Lung Injury During Sepsis in Rats	14
Machine Learning to Predict Early Death Despite Pancreaticoduodenectomy	14
On the Cover	14
Modern Impact of Surgery Journals: Associations Between Impact Factor, H5-Index, and Altmetric Score	14
Correlation Between Postoperative Complications and Number of Colorectal Liver Metastases Resected	14
Pediatric Patient and Caregiver Agreement on Perioperative Expectations and Self-Reported Outcomes	14
The Effect of Tension on Gene Expression in Primary Nerve Repair via the Epineural Suture Technique	14
The Impact of Concurrent Multi-Service Coverage on Quality and Safety in Trauma Care	13
The Correlation Between Altmetric Score and Traditional Bibliometrics in Orthopaedic Literature	13
Adverse Effects of Chronic Steroid use Following Thyroidectomy	13
Clinical Comparative Analyses of Thymectomy Between Subxiphoid and Subcostal Arch Thoracoscopic Resection and Median Sternotomy for the Treatment of Thymoma With Myasthenia Gravis in Chinese Patients	13
Associations of Fatty Liver Disease With Recovery After Traumatic Injury	13
Predictors of Cytomegalovirus Recurrence Following Cessation of Posttransplant Prophylaxis	13
Implementation of an Intensive Surgical Simulation Week for Medical Students in Rwanda	13
Avoiding Overtreatment of Women ≥70 With Early-Stage Breast Cancer: A Provider-Level Deimplementation Strategy	13
Effects of Lycopene in Intestinal Ischemia Reperfusion Injury via Intestinal Immunoglobulin A	13
Mortality Trends in Contemporary Abdominal Aortic Aneurysm Repairs Among Veterans	13
Comparison of Instructor-Led and Video-Based Instruction in Teaching Suturing to Medical Students	13
Expression of the Calcium-Sensing Receptor on Normal and Abnormal Parathyroid and Thyroid Tissue	13
Interests and Barriers to Medical Students Participation in a Dedicated Global Surgery Curriculum	13
Complication Timing, Failure to Rescue, and Readmission After Inpatient Pediatric Surgery	13
Aspirin Administration Mitigates Platelet Hyperaggregability After Splenectomy in a Murine Model	13
How to Optimize Your Research During a Pandemic – A Summary of Discussions From the Association for Academic Surgery Town Hall and Lessons Learned From 2020	13
Postoperative Pancreatic Fistula Following Traumatic Splenectomy: A Morbid and Costly Complication	13
Lyticase Facilitates Mycobiome Resolution Without Disrupting Microbiome Fidelity in Primates	13
Implementation Requires Evaluation of Adoption: Lessons From a Multimodal Pain Regimen Order Set	13
Renal Dysfunction at Discharge and Long-Term Survival in Acute Type A Aortic Dissection	13
Ex Vivo Comparison of the Elastic Properties of Vascular Substitutes Used for Pulmonary Artery Replacement	12
Does Long-Term Bowel Function Change After Colectomy for Colon Malignancy?	12
Using Human-Centered Design to Improve a Surgery Resident Well-Being Program	12
Nondestructive Evaluation of Mechanical and Histological Properties of the Human Aorta With Near-Infrared Spectroscopy	12
Cardiothoracic Surgery Interviews and Selection in a Pandemic Era – Lessons to Learn	12
Immersive Virtual Reality for Surgical Training: A Systematic Review	12
Registration and Reporting Quality of Systematic Reviews on Surgical Intervention: A Meta-epidemiological Study	12
TREO Aortic Endograft Demonstrates Superior Aneurysmal Sac Regression Over Mid-Term Follow-Up	12
Response Regarding: Surgical Residencies Need in Person Interviews	12
Syndecan-1 as the Effect or Effector of the Endothelial Inflammatory Response?	12
Predictive Modeling for One-Year Lower Extremity Endovascular Revascularization Failure in Black Persons	12
Pediatric Sickle Cell Disease Patients on Hydroxyurea Have Higher Rates of Surgical Splenectomy	12
Enhancing Surgical Teaching Effectiveness: A Needs Assessment Study Using a Modified Delphi Process	12
Tolerance and Outcomes of Neoadjuvant Chemotherapy in Geriatric Breast Cancer Patients	12
Age-Adjusted Modified Frailty Index: Association With Hip Fracture Discharge Functional Dependence	12

Trends in Integrated Plastic Surgery Applicant, Resident, and Junior Attending Research Productivity	12
Insurance Not Socioeconomic Status is Associated With Access to Postacute Care After Injury: A Multicenter Cohort Study	12
Timing of Pediatric Incarcerated Inguinal Hernia Repair: A Review of Nationwide Readmissions Data	12
What is Known About Burns in East Africa? A Scoping Review	12
Implantation of an Impedance Sensor for Early Detection of Gastrointestinal Anastomotic Leaks	12
Predictors of Receiving Mental Health Services in Trauma Patients With Positive Drug Screen	12
Alcohol-Containing Versus Aqueous-Based Solutions for Skin Preparation in Abdominal Surgery: A Systematic Review and Meta-analysis	12
Extracorporeal Membrane Oxygenation with Right Ventricular Assist Device for COVID-19 ARDS	12
Screening for Intimate Partner Violence After Traumatic Injury: A Community-Based Participatory Qualitative Research Study	12
Mild and Severe Blood Alcohol Concentration Effects on Trauma and Traumatic Brain Injury Outcomes	12
Propranolol Reduces p-tau Accumulation and Improves Behavior Outcomes in a Polytrauma Murine Model	11
AAS Join Journal Ad 2025	11
Preferences in Suture Skills Instruction: Virtual Versus In-Person Instruction	11
Comparison of Antimicrobial Activity Between Bacitracin-Soaked Sutures and Triclosan Coated Suture	11
Clinical Presentation Patterns and Survival Outcomes of Hispanic Patients With Gastric Cancer	11
“Do You Need a Doctor's Note?” Factors Leading to Delayed Return to Work after Blunt Chest Trauma	11
Editorial Board	11
The Impact of Simulation Training on Operative Performance in General Surgery: Lessons Learned from a Prospective Randomized Trial	11
Diagnostic Impact of Adrenal Vein Sampling in Adrenal Cushing's Syndrome	11
Assessing Adequacy: A Meta-Analysis of Rapid Onsite Evaluation of Thyroid Nodules	11
Junior Doctor Experiences and Challenges in Obtaining Surgical Informed Consent: A Qualitative Systematic Review and Meta-Ethnography	11
Wide Provider Variation in Cost for Thyroidectomy: Potential Benefits of Standardizing Practice?	11
Thyroid Cancer–Related Fear & Anxiety in Patients With Benign Thyroid Nodules: A Mixed-Methods Study	11
Letter Regarding: An In-Depth Analysis of the State Laws That License International Medical Graduates Without American Residency Training	11
Featured Articles 4C	11
Cover 1: Update	11
Self-Neglect is NOT Selfless	11
Cover 4: AAS_Job_Board_ad for JSR_2022	11
Specificity of Presepsin as a Biomarker of Bacterial Infection in Mouse Sepsis Models	11
dV-Trainer vs. da Vinci Simulator: Comparison of Virtual Reality Platforms for Robotic Surgery	11
Fragmentation of Care After Admissions for Burn: An Analysis of the National Readmissions Database	11
Design and Development of a Clot Burst Pressure Device to Investigate Resuscitation Strategies	11
Reconsidering the Role of Frozen Section in Sentinel Lymph Node Biopsy for Mastectomy Patients	11
Long Non-Coding RNA CASC2 Overexpression Ameliorates Sepsis-Associated Acute Kidney Injury by Regulating MiR-545-3p/PPARA Axis	11
The Association Between Risk Aversion of Surgeons and Their Clinical Decision-Making	11
Application of Component Separation and Short-Term Outcomes in Ventral Hernia Repairs	11
Letter Regarding: Academic Global Surgery Curricula: Current Status and a Call for a More Equitable Approach	11
Journal of Surgical Research	11
Treatment Options for Buerger Disease: A Systematic Review and Meta-Analysis of Outcomes	11
Modeling the COVID Pandemic: Do Delays in Surgery Justify Using Stereotactic Radiation to Treat Low-Risk Early Stage Non–Small Cell Lung Cancer?	11
Letter Regarding: “Alcohol-Containing Versus Aqueous-Based Solutions for Skin Preparation in Abdominal Surgery”	11
Extracorporeal Membrane Oxygenation Before 34 Wks’ Gestation: A Single-Center Experience	11
Human Adipose Derived Stem Cells Enhance Healing in a Rat Model of Esophageal Injury with Stent	11
Depression Is Associated With Non-Home Discharge After Coronary Artery Bypass Graft	11
Surgeon and Hospital Factors Associated With Outcomes in the New York State Database	11
Lost in Follow-Up: Predictors of Patient No-Shows to Clinic Follow-Up After Abdominal Injury	10
Lack of Enteral Feeding Associated with Mortality in Prematurity and Necrotizing Enterocolitis	10
Text Messaging, Telephone, or In-Person Outpatient Visit to the Surgical Clinic: A Randomized Trial	10
Valproic Acid Protects Against Acute Kidney Injury in Hemorrhage and Trauma	10
Evaluation of Limited English Proficiency in the Management and Outcomes of Appendicitis in Children	10
Implementation of an Education Module to Improve Emergency Medical Service Provider Accuracy and Confidence in Trauma Triage	10
Racial Disparities in Surgical Outcomes of Acute Diverticulitis: Have We Moved the Needle?	10
Treatment of Severe Blunt Splenic Injury Varies Across Race and Insurance Type of Pediatric Patients	10
Systematic Literature Review of Health-Related Quality-of-Life Measures for Caregivers of Older Adult Trauma Patients	10
Increased Complications of Emergent Surgical Procedures During the First Wave of COVID-19	10
A Prescribing Guideline Decreases Postoperative Opioid Prescribing in Emergency General Surgery	10
Current Views on the New United States Medical Licensing Examination Step 1 Pass/Fail Format: A Review of the Literature	10
Journal of Surgical Research	10
Assessment of MRI and Ultrasound Screening for Tethered Cord Syndrome in Patients Diagnosed With Esophageal Atresia/Tracheoesophageal Fistula	10
Use of Erector Spinae Fascial Plane Blocks in Enhanced Recovery for Open Abdominal Surgery	10
Robotic Surgery for Pediatric Choledochal Cysts: An American Case Series and Literature Review	10
Prevalence and Factors Associated With Alcohol-Related Road Traffic Injuries in Cameroon	10
Novel Application of Hydrodissection in Laparoscopic Cholecystectomy for Gangrenous Gallbladders	10
The Next Generation: Surgeon Learning Curve in a Mature Operative Rib Management Program	10
Which Model Is Better to Teach How to Perform Tube Thoracostomy: Synthetic, Cadaver, or Animal?	10
Early Tracheostomy in Older Trauma Patient Is Associated With Comparable Outcomes to Younger Cohort	10
Guess Who's Coming to Clinic? Companions in a Pediatric Urology Clinic	10
Establishing Clinically Significant Patient-reported Outcomes for Diverticular Disease	10
Medical Student Perceptions of Family Planning During Residency Training in Surgical Fields	10
Factors Affecting Peripheral Intravenous Catheter Placement During Pediatric Trauma Resuscitation	10
Pilot Cross-Sectional Quality of Life Study of a Diverse Endocrine Surgery Patient Population	10
Emergency Department Shock Index Outperforms Prehospital and Delta Shock Indices in Predicting Outcomes of Trauma Patients	10
Letter Regarding: A Step Beyond Mortality: Identifying Factors of Prolonged Hospital Stay for Emergency General Surgery Conditions in a Low- and Middle-Income Country	10
Mismatch Repair Status Correlates with Survival in Young Adults with Metastatic Colorectal Cancer	10
Corrigendum to “Gender Parity Among Vascular Surgeons: Progress and Attrition” [Journal of Surgical Research, Volume 303 (2024) P281-286]	10
Angioembolization in Severe Pelvic Trauma is Associated with Venous Thromboembolism	10
Colon Cancer Survival Among South Asian Americans: A Cross-Sectional Analysis of a National Dataset	10
Objective Strategies and Recommendations in the Era of the Binary USMLE Step 1 Score	10
Assessing the Readability of Clinical Trial Consent Forms for Surgical Specialties	10
Cardiac Arrhythmias in Trauma Patients Undergoing Pericardiotomy: A Retrospective Analysis	10
The Mediating Effect of Operative Approach on Racial Disparities in Bariatric Surgery Complications	10
Histomorphometry in Peripheral Nerve Regeneration: Comparison of Different Axon Counting Methods	10
Experiences of Acute Surgical Care During the Coronavirus Disease 2019 Pandemic Among Patients and Their Next of Kin	10
Subscription Information	10
Development of a Venous Thromboembolism Prophylaxis and Pain Medication Pathway in Thoracic Surgery Enhanced Recovery After Surgery Program	9
Mental Health Care Resource Utilization of Victims of Interpersonal Violence in the Novel Coronavirus Era	9
Factors Contributing to Patient Satisfaction Among VA Medical Center and Non-VA Medical Center Hospitals	9
Evaluating Discrimination of ACS-NSQIP Surgical Risk Calculator in Thyroidectomy Patients	9
Intravenous Versus Intraosseous Use of Tranexamic Acid in Patients With Traumatic Brain Injury	9
Melanoma Deaths by Thickness: Most Melanoma Deaths Are Not Attributable to Thin Melanomas	9
Alemtuzumab Associated With Higher Mortality Than Basiliximab in Older Kidney Transplant Recipients	9
Time Heals Most Wounds — Perceptions of Thyroidectomy Scars in Patients With Thyroid Cancer	9
Non-White Patients Have a Higher Risk of Stroke Following Transcarotid Artery Revascularization	9
Nomograms to Predict Overall and Cancer-Specific Survival in Gastric Signet-Ring Cell Carcinoma	9
Resident Race and Operative Experience in General Surgery Residency: A Mixed-Methods Study	9