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Putting residents in the office: an effective method to teach the systems-based practice competency
Marisa Pulcrano1, A Alfred Chahine2, Amanda Saratsis1
1Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia.
Journal of Surgical Education
|October 15, 2014
Summary
An immersion workshop effectively taught systems-based practice (SBP) to surgical residents, with most showing improved knowledge. This practical training can be integrated into residency curricula.
Area of Science:
- Medical Education
- Surgical Training
- Healthcare Systems Management
Background:
- Systems-based practice (SBP) is a core competency in graduate medical education, yet challenging to implement.
- Effective teaching strategies for SBP are needed to enhance resident competency.
Purpose of the Study:
- To evaluate an immersion workshop as a tool for teaching SBP to surgical residents.
- To assess the feasibility of integrating SBP training into residency curricula.
Main Methods:
- A pilot study involving 16 general surgery residents at MedStar Georgetown University Hospital.
- Residents participated in a 3-station, 90-minute immersion workshop covering coding/billing, scheduling, and patient check-in.
- Pretest and posttest questionnaires assessed SBP knowledge, with participants also evaluating the workshop.
Main Results:
- 62.5% of residents improved their SBP knowledge scores post-workshop.
- All training levels showed an increase in mean test scores.
- Postgraduate year-2 residents showed the largest mean score increase (20%).
Conclusions:
- An in situ immersion workshop is an effective and practical method for teaching SBP to surgical residents.
- This workshop can complement didactic teaching and be integrated into existing residency curriculum requirements, such as ambulatory care rotations.
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