Related Experiment Video
Updated: May 23, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.2K
Preoperative educational briefings: systematic review and novel evidence-based framework
Joel Norton1,2,3, Olivia Ambler4, Heather Lillemoe5,6
1Surgical Sabermetrics Laboratory, Usher Institute, University of Edinburgh, Edinburgh, UK.
The British Journal of Surgery
|March 11, 2025
Summary
Structured preoperative educational briefings significantly enhance surgical training and patient outcomes. The new "Goals, Autonomy, Preparation, and Strategy" (GAPS) framework provides an evidence-based approach for consistent implementation in surgical education.
Area of Science:
- Surgical Education
- Medical Training
- Healthcare Quality Improvement
Background:
- Preoperative educational briefings are crucial for surgical training, involving trainee goal setting and operative strategy.
- The optimal delivery and benefits of these briefings for surgical learning and performance are not well-defined.
- This study aimed to identify common themes in briefing templates, assess their impact on surgical education and performance, and propose a structured framework.
Purpose of the Study:
- To extract common themes from preoperative educational briefing templates.
- To examine the impact of educational briefings on surgical education and performance metrics.
- To propose an evidence-based, structured framework for implementing preoperative educational briefings.
Main Methods:
- Systematic literature search of MEDLINE, Embase, PubMed, and Web of Science databases up to May 15, 2024.
- Inclusion of studies involving surgical trainees and operating room educational briefings.
- Thematic analysis of briefing templates and outcome measures organized using Kirkpatrick's model of learning evaluation.
Main Results:
- 20 studies met inclusion criteria from 7174 screened; 17 compared pre- and post-briefing metrics.
- 93 out of 95 statistically significant results showed improvement after educational briefing implementation.
- Benefits observed in reaction, learning, behavior (e.g., goal setting), and surgical results (e.g., trainee autonomy).
Conclusions:
- Structured preoperative educational briefing significantly improves surgical education and performance.
- The proposed 'Goals, Autonomy, Preparation, and Strategy' (GAPS) framework offers a standardized, evidence-based approach.
- The GAPS framework can be implemented across surgical specialties and healthcare systems to enhance training.
Related Concept Videos
01:30Psychosurgery
40
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
40
01:23Methods of Documentation V: CBE
869
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
869
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
51
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
51
01:24General Anesthesia: Overview
183
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
183