Who operated on me? What patients understand about surgical trainees

To evaluate whether information delivered to patients about the level of training of the person operating on them is understandable and meaningful. To establish whether post-operative patients can identify when a doctor, undergoing training in surgery, has performed their surgery. To identify terms that are clear to patients, which can be used to improve understanding.

A 15-question survey was developed to evaluate the expectations, understanding and knowledge post-operative patients had about their recent surgery. Patients were questioned about the level of training of their surgeon, the current designations used and their knowledge about surgical training.

Over a one-month period, 161 patients were requested to fill in surveys. Sixty-one percent of patients agreed that it is very important to know the level of training of their surgeon, but only 39% of patients could correctly identify this. Of the 62 patients who thought that a consultant had performed their procedure, 40% were correct. The terms we use to denote level of training are confusing to the majority of patients.

The majority of patients are unable to recognise the level of training of the person who operated on them. There is a common public misconception that the consultant surgeon will be the operator in the majority procedures, however in teaching hospitals, a significant number of procedures are performed by doctors working under the supervision of the consultant surgeon. Many patients are not being adequately educated prior to surgery about the level of training of the person doing their procedure.