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"Pause" for Resident Education in the Operating Room.

Lindsay E Clark Donat, Peter C Klatsky, Gary N Frishman

    The Journal of Reproductive Medicine
    |September 19, 2018
    PubMed
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    Discussing surgical case learning objectives with residents before surgery significantly improved their engagement and satisfaction. This simple intervention enhanced the operating room educational experience for surgical trainees.

    Area of Science:

    • Medical Education
    • Surgical Training
    • Operating Room Pedagogy

    Background:

    • Effective surgical training requires optimizing the operating room (OR) educational environment.
    • Resident learning in the OR can be enhanced by clear communication of educational goals.

    Purpose of the Study:

    • To evaluate if pre-operative discussion of resident learning objectives with attending physicians improves the OR educational experience.
    • To assess the impact of a structured educational intervention on resident engagement and satisfaction during surgical cases.

    Main Methods:

    • Prospective, nonrandomized cohort study with pre- and post-intervention surveys.
    • Attending physicians prompted residents to state learning objectives before surgical cases.
    • Anonymous surveys assessed resident and attending perceptions of the educational experience.

    Related Experiment Videos

    Main Results:

    • Resident reporting of surgical goals increased from 45% to 100% post-intervention (p<0.0001).
    • Residents reported improved ability to maximize learning opportunities and higher satisfaction.
    • Attending physicians demonstrated increased awareness of resident learning objectives.

    Conclusions:

    • A brief educational pause before surgical cases can significantly enhance resident learning.
    • Routine implementation of this educational intervention is recommended for surgical training programs.
    • Integrating goal-setting discussions into the surgical time-out process can optimize OR education.