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Surgeons' Experiences With Patients' Concerns Regarding Trainees.

Timothy C Counihan1, David Nye1, Jacqueline J Wu1

  • 1Berkshire Medical Center, Pittsfield, Massachusetts.

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|April 20, 2015
PubMed
Summary
This summary is machine-generated.

Surgeons generally manage patient concerns about trainee involvement effectively. Guidelines are recommended to ensure patient consent and understanding of trainee roles in surgical care.

Keywords:
Interpersonal and Communication SkillsPatient CareProfessionalismmedical educationresident educationresident supervisionsurgical educationtrainee involvement in care

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Area of Science:

  • Medical Education
  • Surgical Practice
  • Patient-Centered Care

Background:

  • Understanding surgeon attitudes towards patient concerns about trainee involvement is crucial for patient-centered care.
  • The dynamics of discussions regarding trainees and their impact on patient care require further elucidation.

Purpose of the Study:

  • To explore surgeons' attitudes regarding patients' concerns about the involvement of trainees in their surgical care.
  • To investigate the frequency, nature, and surgeon reactions to patient concerns about trainees.

Main Methods:

  • An online, 15-question survey was distributed to 528 members of the Massachusetts Chapter of the American College of Surgeons.
  • The survey collected data on surgeon demographics, patient concerns about trainees, and surgeon responses.
  • 109 surgeons (21% response rate) across various specialties completed the survey.

Main Results:

  • Most surveyed surgeons teach medical students and residents; half also train fellows.
  • Patient concerns about trainee involvement are raised more frequently in community settings, sometimes leading surgeons to alter their practice.
  • Surgeons successfully navigate trainee involvement in most cases.

Conclusions:

  • While infrequent, patient concerns about trainee involvement warrant attention in patient-centered care.
  • Developing guidelines for patient consent and understanding of trainee roles is recommended.
  • Clear communication and established protocols can enhance patient trust and involvement in surgical training.