Preoperative goal setting and perioperative communication in an academic training institution: Where do we stand?
Attitude of Health Personnel
Clinical Competence
Communication
Education, Medical, Graduate
/ methods
General Surgery
/ education
Goals
Humans
Internship and Residency
/ standards
Operating Rooms
Perception
/ physiology
Preoperative Period
Professional Autonomy
Retrospective Studies
Students, Medical
/ psychology
United States
Communication
Feedback
Goal setting
Needs assessment
Residency training
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
17
04
2018
revised:
12
07
2018
accepted:
04
09
2018
pubmed:
19
9
2018
medline:
28
10
2019
entrez:
19
9
2018
Statut:
ppublish
Résumé
We collected data regarding specific aspects of perioperative surgical education within our institution's Section of Surgical Sciences as a needs assessment. Categorical general surgery residents and attending surgeons were queried regarding their perceptions of resident preoperative planning and perioperative communication. The overall response rate was 81%, with 35 resident and 54 faculty respondents. Residents reported selecting an operative learning objective a median of 50% (IQR 36-67) of the time, whereas attending surgeons perceived this to be the case a median of 26% (IQR 15-35) of the time (P < 0.001). The group reported median frequencies of 20% (IQR 9-31) for preoperative discussion of learning objectives, 12% (IQR 4-27) for preoperative discussion of competence and 27% (IQR 17-55) for postoperative debriefing. This study demonstrates deficits in resident goal setting and perioperative communication within our program, which are targets for future intervention. We share these results as a potential tool for other programs.
Sections du résumé
BACKGROUND
We collected data regarding specific aspects of perioperative surgical education within our institution's Section of Surgical Sciences as a needs assessment.
METHODS
Categorical general surgery residents and attending surgeons were queried regarding their perceptions of resident preoperative planning and perioperative communication.
RESULTS
The overall response rate was 81%, with 35 resident and 54 faculty respondents. Residents reported selecting an operative learning objective a median of 50% (IQR 36-67) of the time, whereas attending surgeons perceived this to be the case a median of 26% (IQR 15-35) of the time (P < 0.001). The group reported median frequencies of 20% (IQR 9-31) for preoperative discussion of learning objectives, 12% (IQR 4-27) for preoperative discussion of competence and 27% (IQR 17-55) for postoperative debriefing.
CONCLUSIONS
This study demonstrates deficits in resident goal setting and perioperative communication within our program, which are targets for future intervention. We share these results as a potential tool for other programs.
Identifiants
pubmed: 30224073
pii: S0002-9610(18)30510-5
doi: 10.1016/j.amjsurg.2018.09.004
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
318-322Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.