Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Rush University Medical College, Rush University Medical Center, Chicago, Illinois, U.S.A.
Laryngoscope. 2021 Nov;131(11):2448-2454. doi: 10.1002/lary.29599. Epub 2021 May 1.
To assess patient acceptance of resident involvement in otolaryngologic procedures and to evaluate the impact of a written preoperative educational pamphlet.
Prospective cohort study.
This is a prospective survey study at a large tertiary care academic center. In addition to standard perioperative instructions and informed consent, 87 out of 183 patients received a pamphlet with information on the role of the otolaryngology resident.
Greater than 90% of all patients surveyed recognized that resident physicians are directly involved in delivering care at teaching hospitals and may have assisted in their surgical procedure. Ninety percent of patients receiving educational pamphlets were aware residents may have performed portions of their procedure versus 71% in the control group (P = .001). Ninety-seven percent of patients receiving pamphlets wanted to know how much of their procedure was performed by a resident versus 71% of the control group (P < .001), and patients undergoing single-surgeon procedures were less likely to want to know how much was performed by a resident (P < .05). Ninety-six percent in the pamphlet group agreed that residents improved the quality of their care versus 79% of the control group (P = .001).
Resident surgeons are well received by the large majority of otolaryngology patients. Structured perioperative information regarding surgical training facilitates an honest and open informed consent discussion between the patient and surgeon and helps to establish a solid foundation of trust.
Implementation of this practice is simple and inexpensive. It should be considered for any clinical practice with a focus on surgical education.
4 Laryngoscope, 131:2448-2454, 2021.
评估患者对住院医师参与耳鼻喉科手术的接受程度，并评估术前教育小册子的影响。
前瞻性队列研究。
这是在一家大型三级保健学术中心进行的前瞻性调查研究。除了标准的围手术期指导和知情同意书外，183 名患者中有 87 名收到了一份小册子，其中介绍了耳鼻喉科住院医师的角色。
所有接受调查的患者中，超过 90%的患者认识到住院医师直接参与教学医院的医疗服务，并可能协助他们进行手术。接受教育小册子的 90%的患者知道住院医师可能已经完成了他们手术的一部分，而对照组中只有 71%（P=0.001）。97%接受小册子的患者想知道他们的手术有多少是由住院医师完成的，而对照组中只有 71%（P<0.001），并且接受单名外科医生手术的患者不太想知道有多少是由住院医师完成的（P<0.05）。小册子组中 96%的患者认为住院医师提高了他们的护理质量，而对照组中只有 79%（P=0.001）。
耳鼻喉科患者绝大多数对住院医师手术表示欢迎。关于手术培训的结构化围手术期信息有助于在患者和外科医生之间进行诚实和开放的知情同意讨论，并有助于建立坚实的信任基础。
这种做法实施简单且成本低廉。任何以手术教育为重点的临床实践都应考虑实施。
