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Feedback-Seeking Behavior and Practice Readiness for General Surgery.

John Luckoski1, Angela Thelen1, Dylan Russell2

  • 1Department of Surgery, University of Michigan, Ann Arbor, Michigan.

Journal of Surgical Education
|November 28, 2021
PubMed
Summary
This summary is machine-generated.

Surgical residents who requested more evaluations via the Society for Improving Medical Professional Learning (SIMPL) app showed slightly better operative autonomy and performance. However, direct feedback quality may be more crucial for assessing these relationships.

Keywords:
assessmentautonomygeneral surgery residency, resident performancesurgical educationworkplace-based assessment

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Area of Science:

  • Medical Education
  • Surgical Training
  • Health Professions Education

Background:

  • Feedback-seeking behavior is crucial for skill development in surgical trainees.
  • The Society for Improving Medical Professional Learning (SIMPL) app facilitates feedback collection.
  • Understanding the link between seeking feedback and performance is vital for optimizing surgical education.

Purpose of the Study:

  • To analyze the relationship between feedback-seeking behavior and surgical trainee operative autonomy and performance.
  • To operationalize feedback-seeking behavior as the number of trainee-requested evaluations.

Main Methods:

  • Operative assessment data from the SIMPL app (September 2015 to April 2021) were analyzed.
  • Cross-classified mixed effects models were used to assess the association between trainee-requested evaluations and performance/autonomy ratings.
  • Covariates included PGY-year, academic month, and case complexity; random effects accounted for program, procedure, rater, and trainee.

Main Results:

  • A total of 58,104 assessments from 2190 residents across 61 programs were analyzed.
  • Trainee-requested evaluations showed a weak, positive association with operative autonomy (B = 0.002, p < 0.001).
  • Trainee-requested evaluations were also statistically associated with operative performance scores (B = 0.002, p < 0.001).

Conclusions:

  • Residents seeking more feedback via the SIMPL app demonstrated weakly higher operative autonomy and performance.
  • While feedback-seeking is associated with better outcomes, the quality of feedback received may be more critical.
  • Further research should explore direct feedback quality to better understand its impact on surgical trainees.