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Perioperative feedback in surgical training: A systematic review
Katherine M McKendy1, Yusuke Watanabe1, Lawrence Lee2
1Henry K.M. de Kuyper Education Center, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada; Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada.
American Journal of Surgery
|January 14, 2017
Summary
Optimizing surgical education is crucial. This review highlights effective teaching strategies and structured feedback in the operating room (OR) to enhance surgical resident preparedness.
Area of Science:
- Medical Education
- Surgical Training
- Operative Room Practices
Background:
- Concerns exist regarding surgical residents' operative exposure and readiness for independent practice.
- Optimizing teaching and feedback within the operating room (OR) is a potential solution.
- This study systematically reviews perioperative teaching and feedback.
Purpose of the Study:
- To systematically review perioperative teaching and feedback in surgical training.
- To identify effective teaching strategies and feedback models.
- To assess resident and attending perceptions of OR teaching.
Main Methods:
- Systematic literature search from 1994-2014.
- Included articles on teaching, feedback, guidance, or debriefing in the perioperative period.
- Qualitative analysis of 26 studies using ENTREQ guidelines.
Main Results:
- Four themes emerged: OR teaching behaviors, effective teaching strategies, perceptions of teaching, and structured feedback models.
- Current teaching practices and resident/attending satisfaction were described.
- Examples of feedback strategies and their effectiveness were identified.
Conclusions:
- Perioperative teaching and feedback are essential for surgical trainees.
- There is a clear need to enhance the quality and quantity of structured feedback.
- Improving feedback mechanisms can better prepare residents for independent surgical practice.
Keywords:
Formative feedbackPerioperative teachingStructured feedbackSurgical educationSystematic review
