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Related Concept Videos

Discharge Summary Forms01:31

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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A flexible postoperative debriefing process can effectively provide formative resident feedback.

Mackenzie R Cook1, Jennifer M Watters1, Jeffrey S Barton1

  • 1Department of Surgery, Oregon Health & Science University, Portland, OR.

Journal of the American College of Surgeons
|April 25, 2015
PubMed
Summary

A flexible surgical feedback process, initiated by residents, provides reliable quantitative and qualitative assessments. This adaptable method encourages self-reflection and improves operative skills for surgical residents.

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Area of Science:

  • Surgical Education
  • Medical Training
  • Operative Assessment

Background:

  • Formative operative feedback is a challenge in surgical education.
  • The American Board of Surgery mandates formal operative assessments.
  • A flexible feedback process can enhance resident self-reflection and attending surgeon evaluations.

Purpose of the Study:

  • To design and implement a flexible postoperative feedback process.
  • To compare quantitative and qualitative assessments by residents and attending surgeons.
  • To analyze resident self-assessments and attending surgeon feedback for surgical residents.

Main Methods:

  • Residents initiated postoperative feedback discussions.
  • A Procedure Feedback Form (PFF) was completed by residents and attending surgeons.
  • Qualitative free-text statements were analyzed using grounded theory.

Main Results:

  • 346 assessments of 48 residents across 38 case types were analyzed.
  • Good inter-rater reliability was found between resident and attending quantitative assessments (Goodman and Kruskal gamma > 0.65).
  • Key themes included flow, technique, decision-making, outcomes, knowledge, and communication; the process adapted to different clinical settings and learner levels.

Conclusions:

  • The procedure feedback process is adaptable to various cases and promotes resident self-reflection.
  • The feedback system's nuance and complexity increase with the learner's progression.
  • This flexible process can guide the development of widely applicable postoperative feedback systems in surgical training.