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A multidisciplinary systems-based practice learning experience and its impact on surgical residency education
Jean Siri1, Alan I Reed, Timothy C Flynn
1Department of Surgery, University of Florida, Gainesville, Florida 32610, USA.
Journal of Surgical Education
|December 8, 2007
Summary
General surgery residents improved preoperative care quality by developing standardized protocols for bowel preparation, beta-blockade, antibiotics, and DVT prevention. This systems-based practice model enhanced surgical education and patient care standardization.
Area of Science:
- Medical Education
- Surgical Quality Improvement
- Systems-Based Practice
Background:
- Preoperative care quality varies significantly in general surgery.
- Standardization of evidence-based practices is crucial for patient safety and outcomes.
- Integrating multidisciplinary input is essential for effective quality improvement initiatives.
Purpose of the Study:
- To design and implement a multidisciplinary learning experience for general surgery residents.
- To improve and standardize the preoperative quality of care for general surgical patients.
- To assess the educational impact of a systems-based practice quality improvement model.
Main Methods:
- General surgery residents (PGY I-V) reviewed literature on four preoperative parameters: bowel preparation, perioperative beta-blockade, prophylactic antibiotic use, and deep venous thrombosis prevention.
- Residents formulated standardized management approaches based on evidence.
- Findings were presented in a multidisciplinary format including Anesthesia, Medicine, and Nursing to discuss integration and impact on care.
Main Results:
- Residents actively participated, identifying best practices for preoperative care parameters.
- The learning experience fostered an appreciation for the complexities of integrated care, including medical knowledge, communication, and professionalism.
- A finalized, evidence-based preoperative order set was created and distributed, enhancing resident education and patient care standardization.
Conclusions:
- A multidisciplinary, systems-based practice learning experience effectively improved and standardized preoperative care quality for general surgery patients.
- General surgery residents played a key role in developing and implementing these improvements.
- This model proved to be a valuable educational tool, enhancing surgical residency training and demonstrating competency in systems-based practice.
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