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Benign Anal Disease: Implementation of an Educational Program Across Specialties
Katherine A Kelley1, Caroline Schulman1, Kim C Lu1
1Division of GI and General Surgery, Department of Surgery, Oregon Health & Science University, Portland, Oregon.
The Journal of Surgical Research
|June 29, 2019
Summary
An educational session improved nonsurgical residents' knowledge of benign anal diseases. General surgery residents initially scored higher but showed score decline, suggesting a need for advanced training.
Area of Science:
- Medical Education
- Gastroenterology
- Colorectal Surgery
Background:
- Benign anal diseases affect 10-15% of the population.
- Delayed treatment is common when nonsurgical providers manage these conditions.
- Educational interventions may improve trainee knowledge.
Purpose of the Study:
- To assess the impact of an educational session on anorectal diseases among medical and surgical residents.
- To evaluate knowledge retention and satisfaction after the intervention.
Main Methods:
- An exploratory study at Oregon Health & Science University involving 130 residents.
- A 10-point pretest and posttest on anorectal diseases.
- A 50-minute educational presentation followed by a 6-month retest.
Main Results:
- Nonsurgical residents showed significant posttest score improvement, particularly internal medicine.
- General surgery residents' scores declined post-intervention, despite a higher pretest performance.
- Residents with prior education scored higher on the pretest; early-career residents (PGY-1, PGY-2) improved most.
Conclusions:
- Educational interventions effectively enhance nonsurgical residents' understanding of benign anal diseases.
- General surgery residents may require more advanced lectures to address knowledge regression.
- Formal educational programs are crucial for improving understanding and management of these common conditions.
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