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What Do We Know About Intraoperative Teaching?: A Systematic Review.

Matthew D Timberlake1, Helen G Mayo, Lauren Scott

  • 1*Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX †Health Sciences Digital Library, University of Texas Southwestern Medical Center, Dallas, TX ‡Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

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Interventions improve surgical trainee feedback on intraoperative teaching. Effective teaching strategies span before, during, and after surgical cases, though faculty and trainee perceptions often differ.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Healthcare Quality Improvement

Background:

  • Growing emphasis on improving surgical trainee performance and competency.
  • Need for better understanding of intraoperative teaching characteristics.
  • Informing interventions and assessment for surgical education.

Purpose of the Study:

  • Identify key characteristics and themes in intraoperative teaching.
  • Inform development of effective interventions and assessments.
  • Enhance the quality of surgical education in the operating room.

Main Methods:

  • Systematic literature search across major medical databases (MEDLINE, Embase, Cochrane).
  • Inclusion of studies on operating room teaching for residents and fellows.
  • Quality assessment using the Medical Education Research Study Quality Instrument (MERSQI).

Main Results:

  • 34 studies included from 2101 identified records, categorized into perceptions, best practices, and interventions.
  • Intervention studies (n=5) showed efficacy in enhancing faculty teaching behaviors.
  • Perception and best practice studies indicated moderate to high evidence strength (MERSQI scores).

Conclusions:

  • Interventions positively impact trainee ratings of intraoperative teaching.
  • Discrepancies exist between trainee and faculty perceptions of teaching quality and quantity.
  • Effective intraoperative teaching frameworks encompass pre-, intra-, and post-operative phases.