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Intervention for Intraoperative Teaching in Anesthesiology Using Weekly Keyword Program: Development and Usability
George Tewfik1, Rotem Naftalovich1, Carlos Rodriguez-Aponte1
1Rutgers New Jersey Medical School, Newark, NJ, United States.
A structured keyword curriculum did not improve anesthesiology resident teaching in the operating room. Further innovations are needed to enhance this difficult learning environment for both residents and faculty.
Area of Science:
- Medical Education
- Anesthesiology Training
- Operating Room Learning
Background:
- Operating room (OR) learning for anesthesiology residents is challenging due to patient care demands, production pressures, and environmental noise.
- Traditional OR teaching is often informal, personnel-specific, and lacks consistent direction.
- Previous educational interventions often relied on post-hoc surveys for efficacy assessment.
Purpose of the Study:
- To evaluate a structured intraoperative keyword training program for improving OR teaching and discussions between anesthesiology residents and faculty.
- To standardize educational material for consistent review by faculty and trainees.
- To increase the time and efficiency of learning interactions in the stressful OR environment.
Main Methods:
- Developed a weekly intraoperative didactic curriculum using American Board of Anesthesiology keywords.
- Distributed weekly worksheets with 5 keywords and discussion questions via email.
- Instructed residents and faculty to complete worksheets weekly over two years.
- Assessed program efficacy using an electronic survey administered to residents.
Main Results:
- No significant improvement in perceived intraoperative teaching quality was observed.
- A slight, statistically insignificant increase in teaching time was reported.
- Respondents favored the structured curriculum approach, suggesting potential benefits for future interventions.
Conclusions:
- A formalized, keyword-centered didactic curriculum is not a sufficient solution for improving OR teaching in anesthesiology.
- Enhancing intraoperative teaching requires further innovative strategies.
- Structured curricula may serve as a valuable supplement to other educational methods for anesthesia residents.
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