The Resident-Run Minor Surgery Clinic: A Four-Year Analysis of Patient Outcomes, Satisfaction, and Resident Education.
J Surg Educ
; 78(6): 1838-1850, 2021.
Article
em En
| MEDLINE
| ID: mdl-34092535
ABSTRACT
OBJECTIVE:
A resident-run minor surgery clinic was developed to increase resident procedural autonomy. We evaluated whether 1) there was a significant difference between complications and patient satisfaction when procedures were independently performed by surgical residents vs. a surgical attending and 2) if participation was associated with an increase in resident procedural confidence.DESIGN:
Third year general surgery residents participated in a weekly procedure clinic from 2014-2018. Post-procedure complications and patient satisfaction were compared between patients operated on by residents vs. the staff surgeon. Residents were surveyed regarding their confidence in independently performing a variety of clinic-based patient care tasks.SETTING:
Massachusetts General Hospital General in Boston, MA; an academic tertiary care general surgery residency program.PARTICIPANTS:
Post-graduate year three general surgery residents that ran the clinic as part of a general surgery rotation.RESULTS:
1230 patients underwent 1592 procedures (612 in resident clinic, 980 in attending clinic). There was no significant difference in the 30-day complication rate between patients operated on by the resident vs. attending (2.5% vs. 1.9%, pâ¯=â¯0.49). 459 patient satisfaction surveys were administered with a 79.1% response rate. There was no significant difference in the overall quality of care rating between residents and the attending surgeon (87.5% top-box rating vs. 93.1%, pâ¯=â¯0.15). Twenty-one residents completed both a pre- and post-rotation survey (77.8% response rate). The proportion of residents indicating that they could independently perform a variety of patient care tasks significantly increased across the rotation (all p < 0.05).CONCLUSION:
Mid-level general surgery residents can independently perform office-based procedures without detriment to safety or patient satisfaction. The resident-run procedure clinic serves as an environment for residents to grow in confidence in both technical and non-technical skills. Given the high rate at which patients provide resident feedback, future work may investigate how to best incorporate patient derived evaluations into resident assessment.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cirurgia Geral
/
Internato e Residência
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article