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Educational Value of Surgical Residents Operating as Teaching Assistant.

Nicole Heidt1, James Whiting1, Carolyne Falank1

  • 1Department of Surgery, Maine Medical Center, Portland, Maine.

Journal of Surgical Education
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Summary

Teaching assistant (TA) cases significantly enhance resident procedural independence. Both junior and chief residents reported greater autonomy with TA cases compared to working with an attending alone.

Keywords:
Surgical resident educationoperative learningoperative teachingresident autonomyteaching assistant

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Area of Science:

  • Medical Education
  • Surgical Training
  • Resident Education

Background:

  • Teaching assistant (TA) cases are utilized in surgical training.
  • The educational value of TA cases for different members of the surgical team is not well-defined.
  • Understanding resident and attending perspectives is crucial for optimizing surgical education.

Purpose of the Study:

  • To evaluate the educational value of teaching assistant (TA) cases.
  • To compare the perceived benefits of TA cases among attending physicians, chief residents, and junior residents.
  • To test the hypothesis that TA cases offer the greatest educational benefit to chief residents.

Main Methods:

  • A prospective survey was administered to assess operative details and educational value of TA cases.
  • Data was collected from attendings, chief residents, and junior residents at a single tertiary care institution.
  • Qualitative and quantitative analyses were performed on 117 completed surveys from 69 TA cases.

Main Results:

  • Resident requests accounted for 68% of TA cases.
  • Over 80% of junior and chief residents felt TA cases increased their procedural independence compared to working with an attending alone.
  • Attendings reported learning unexpected resident skill details in 59% of cases, often focusing on technical aspects, while residents emphasized communication and preparation.

Conclusions:

  • Teaching assistant cases provide substantial educational value, particularly for junior and chief residents.
  • TA cases demonstrably enhance resident procedural independence and autonomy.
  • The differing perspectives highlight opportunities for improved communication and feedback within the surgical team.