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Intraoperative Feedback: A Video-BasedAnalysis of Faculty and Resident Perceptions
Priya H Dedhia1, Meredith Barrett1, Graham Ives1
1Department of Surgery, Michigan Medicine, Ann Arbor, Michigan.
Journal of Surgical Education
|March 4, 2019
Summary
Residents and faculty perceive intraoperative feedback differently, with faculty identifying more interactions, especially nonverbal cues, as feedback. This disparity impacts surgical education and learning.
Area of Science:
- Medical Education
- Surgical Training
- Qualitative Research
Background:
- Intraoperative feedback is crucial for surgical education.
- Residents report lower quality and frequency of feedback compared to faculty.
- Discrepancies in feedback perception may stem from differing identification of feedback instances.
Purpose of the Study:
- To investigate whether residents and faculty identify intraoperative interactions as feedback differently.
- To analyze the impact of differing feedback identification on surgical education.
Main Methods:
- Residents and faculty reviewed a laparoscopic cholecystectomy video segment.
- Participants timestamped perceived intraoperative feedback moments.
- Validated surveys assessed timing, amount, specificity, and satisfaction with feedback.
Main Results:
- Residents perceived feedback as less immediate, specific, and frequent than faculty.
- Faculty identified more feedback instances (29) than residents (21) during a 10-minute video.
- Faculty were more likely to identify nonverbal interactions as feedback.
Conclusions:
- Significant differences exist in how residents and faculty identify intraoperative feedback.
- This disparity can hinder resident satisfaction and effective learning.
- Optimizing feedback timing, labeling, and utilizing video review can improve surgical education.
Keywords:
BIDBriefing, Intraoperative teaching, and DebriefingFeedbackInterpersonal and Communication SkillsIntraoperativeLaparoscopic cholecystectomyPGYPatient CarePostgraduate yearResident learnersTechnical skillsVideoMore Related Videos
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