학술논문

Preoperative goal setting and perioperative communication in an academic training institution: Where do we stand?
Document Type
Report
Source
The American Journal of Surgery. Feb 2019, Vol. 217 Issue 2, 318
Subject
Training
Language
English
ISSN
0002-9610
Abstract
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.