Vanderbilt University Medical Center, Department of Surgery, 1161 21st Ave, Nashville, TN, 37232, USA.
Vanderbilt University School of Medicine, 1161 21st Ave, Nashville, TN, 37232, USA.
Am J Surg. 2019 Feb;217(2):318-322. doi: 10.1016/j.amjsurg.2018.09.004. Epub 2018 Sep 7.
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.
我们收集了我院外科科学科围手术期外科教育的具体方面的数据，作为需求评估。
对普通外科住院医师和主治外科医生进行了关于他们对住院医师术前计划和围手术期沟通的看法的调查。
总体回复率为 81%，有 35 名住院医师和 54 名教员回答了问题。住院医师报告说，他们选择手术学习目标的中位数为 50%（IQR 36-67），而主治外科医生认为这一比例中位数为 26%（IQR 15-35）（P<0.001）。该组报告了术前讨论学习目标的中位数频率为 20%（IQR 9-31），术前讨论能力的中位数频率为 12%（IQR 4-27），术后讨论的中位数频率为 27%（IQR 17-55）。
这项研究表明我们的项目中住院医师目标设定和围手术期沟通存在缺陷，这是未来干预的目标。我们分享这些结果，作为其他项目的潜在工具。
