The Role of Preoperative Briefing and Postoperative Debriefing in Surgical Education.
J Surg Educ
; 78(4): 1182-1188, 2021.
Article
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| MEDLINE
| ID: mdl-33257299
ABSTRACT
OBJECTIVE:
To study the impact of a new preoperative briefing and postoperative debriefing tool on the perceived quality of surgical education and to assess attitudes of residents and attendings regarding this tool.DESIGN:
Surrounding introduction and use of the tool (JHFIRE Joint Huddles for Improving Resident Education), perceived quality of surgical education was assessed with pre- and postintervention System for Evaluation of Teaching Qualities (SETQ) surveys. Additionally, a postintervention Likert survey regarding the JHFIRE tool itself was completed by residents and faculty.SETTING:
Johns Hopkins University Department of Otolaryngology-Head and Neck Surgery, a tertiary care academic institution.PARTICIPANTS:
All residents and attendings who used the tool were invited to participate. 40 participants (13 residents, 27 attendings) completed the preintervention SETQ. 11 participants (3 residents, 7 attendings, 1 unspecified) completed the postintervention SETQ. For postintervention qualitative assessment of the tool itself, 12 participants (3 residents, 7 attendings, 2 unspecified) provided feedback.RESULTS:
The tool was well-received with large subjective benefit in improving resident surgical education. A total of 88% thought that the time spent on the debriefings was "just right" and 91% planned to make the debriefings a regular part of operative performance assessments. Despite this overwhelmingly positive feedback, there was no overall difference in pre- and postintervention SETQ scores for climate of surgical education in the Department (4.25 ± 0.55 vs. 4.10 ± 0.88, pâ¯=â¯0.63).CONCLUSIONS:
Introduction of 4 item preoperative briefing and 4 item postoperative debriefing checklists was welcomed by both residents and faculty for its ability to shape surgical education in the operating room into a guided discovery model of hands-on education. Overall SETQ scores did not change, but most participants found value in the tool and plan to continue its use.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Internado y Residencia
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Humans
Idioma:
En
Revista:
J Surg Educ
Año:
2021
Tipo del documento:
Article