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Related Experiment Video

Updated: Jun 9, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Measuring surgical trainee perceptions to assess the operating room educational environment.

Gouri B Diwadkar¹, J Eric Jelovsek

¹Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. diwadkg@ccf.org

Journal of Surgical Education

|September 7, 2010

Summary

Junior obstetrics and gynecology (OBGYN) residents perceive fewer learning opportunities and greater workload compared to senior residents. These differences in the operating room educational environment are measurable using the Operating Room Educational Environment Measure (OREEM).

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Last Updated: Jun 9, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Area of Science:

Medical Education
Surgical Training
Obstetrics and Gynecology Residency

Background:

The operating room (OR) is a critical learning environment for surgical residents.
Perceptions of the educational environment can significantly impact resident learning and development.
Differences in perceived learning experiences between junior and senior residents in OBGYN are not well-characterized.

Purpose of the Study:

To identify and quantify differences in the perception of the OR educational environment between junior and senior OBGYN residents.
To assess the reliability and validity of the Operating Room Educational Environment Measure (OREEM) in this context.

Main Methods:

A cross-sectional study design was employed.
The 40-item Operating Room Educational Environment Measure (OREEM) was administered to 28 OBGYN residents across three hospital sites.
OREEM assesses perceptions of the teaching surgeon, learning opportunities, OR atmosphere, and workload; primary outcome was total OREEM score.

Main Results:

Junior residents (postgraduate years 1-2) reported significantly lower total OREEM scores, learning opportunities, and workload/support compared to senior residents (postgraduate years 3-4).
Perceptions of learning were lower in a tertiary referral hospital compared to community/regional hospitals, attributed to case complexity and fellow involvement.
The OREEM demonstrated acceptable reliability and construct validity for assessing the OR educational environment.

Conclusions:

Measurable differences exist in the perceived OR educational environment between junior and senior OBGYN residents.
The OREEM is a reliable and valid tool for evaluating these perceptions.
Findings highlight potential areas for targeted interventions to enhance the learning experience for junior residents.