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Integrating Postoperative Feedback Into Workflow: Perceived Practices and Barriers.

Jay N Nathwani1, Carly E Glarner1, Katherine E Law2

  • 1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Journal of Surgical Education
|November 30, 2016
PubMed
Summary
This summary is machine-generated.

Surgical residents and staff surgeons desire more frequent postoperative feedback, especially for technical skills. Key barriers include time constraints and communication discomfort, hindering optimal surgical education.

Keywords:
Interpersonal and Communication SkillsMedical KnowledgePatient CareProfessionalismfeedback in surgerypost-operative work flowpostoperative feedbacksurgical education

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Area of Science:

  • Medical Education
  • Surgical Training
  • Healthcare Communication

Background:

  • Postoperative feedback is highly valued by surgical residents and staff for its educational benefits.
  • Current practices for delivering postoperative feedback are not well-understood.
  • There is a need to identify optimal feedback frequency and barriers to its consistent delivery.

Purpose of the Study:

  • To determine the desired frequency of postoperative feedback for surgical residents.
  • To identify perceived barriers preventing consistent feedback delivery.
  • To understand preferred methods for providing feedback.

Main Methods:

  • Surveys were administered to general surgery residents and attending surgeons at a Midwestern university hospital.
  • Data collection focused on current and desired feedback frequency, methods, and barriers.
  • Quantitative survey data were analyzed using descriptive statistics; qualitative responses were coded.

Main Results:

  • Residents and staff reported receiving/giving feedback for only 17-36% of cases, far below the desired >80% for technical and ~60% for nontechnical skills.
  • Verbal feedback immediately post-operation was preferred.
  • Identified barriers included time, conflicting duties, privacy concerns, and discomfort.

Conclusions:

  • A significant gap exists between the current and desired frequency of postoperative feedback for surgical residents.
  • Addressing barriers like time and communication discomfort is crucial for improving feedback delivery.
  • Further research into intraoperative and postoperative feedback is recommended to develop effective interventions.