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In an effort to address departmental inclusion and surgeon well-being, the ACSis working with the Accreditation Council for Graduate Medical Education (ACGME) and the Indiana University School of Medicine’s Surgical Education Numbered Trials group on the .

Structured as prospective, pragmatic cluster-randomized trial, the THIRD Trial will build upon the results of the successful , which has sought to generate data on and improve resident well-being. Programs that received the SECOND intervention were able to reduce resident burnout below that of control programs, reflecting the power of a large collaborative of surgical educators armed with benchmarked, department-specific data and tools.

The THIRD Trial was initiated when SECOND researchers recognized that addressing resident well-being was limited by an inability to assess or intervene on faculty well-being. On observing many institutions acknowledge and attempt to remediate their lack of physician diversity over the past few years, researchers noticed a need for a theoretically driven, empirically based, systematic approach to advancing departmental inclusion.

. All departments of surgery with an ACGME-accredited general surgery residency program are eligible for enrollment in the THIRD Trial.