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Improving surgical training by identifying the most common feedback trainees receive for index cases
1Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Journal of Pediatric Urology
|October 2, 2018
Summary
An online feedback tool for surgical training was validated and used to identify common areas for improvement in pediatric urology. Trainees often use unverified online resources for preparation, highlighting a need for structured feedback.
Area of Science:
- Medical Education
- Surgical Training
- Urology
Background:
- Effective surgical training requires robust feedback mechanisms for residents.
- Residency programs can enhance limited operating room time by improving trainee feedback.
- This study addresses the need for validated tools to deliver surgical performance feedback.
Purpose of the Study:
- To validate an online tool for communicating feedback between attendings and trainees.
- To identify common feedback areas for pediatric urology trainees undergoing orchiopexy and hypospadias repair.
- To assess the face validity of a novel online feedback system.
Main Methods:
- An online feedback tool was developed and implemented in pediatric urology training programs.
- Attendings and trainees (postgraduate year 4-5) were surveyed.
- Feedback data on orchiopexy and hypospadias repair were collected and analyzed.
Main Results:
- The online feedback tool demonstrated face validity, facilitating communication between attendings and trainees.
- Common areas for improvement identified include hernia ligation skills and exposure strategies in orchiopexy.
- For hypospadias repair, neourethral reconstruction and repair choice strategies were noted as needing improvement.
- Most trainees reported using undocumented online resources for preparation.
Conclusions:
- The developed online tool is valid for feedback exchange in surgical training.
- Key areas for skill enhancement in pediatric urology surgery have been identified.
- Future online tools should focus on providing targeted remediation based on specific feedback.
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