دورية أكاديمية
أعرض في EDS

Perceptions and goals of preoperative planning conversations between anesthesiology residents and attending physicians.

التفاصيل البيبلوغرافية
العنوان: Perceptions and goals of preoperative planning conversations between anesthesiology residents and attending physicians.
المؤلفون: Kamdar BB; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: bkamdar@mgh.harvard.edu., Zee H; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA., Preiss D; Harvard Medical School, Boston, MA, USA; Department of Anesthesia, Brigham & Women's Hospital, Boston, MA, USA., Navedo DD; STRATUS Center for Medical Simulation, Brigham & Women's Hospital, Boston, MA, USA., Minehart RD; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Center for Medical Simulation, Charlestown, MA, USA.
المصدر: Journal of clinical anesthesia [J Clin Anesth] 2023 Aug; Vol. 87, pp. 111086. Date of Electronic Publication: 2023 Mar 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 8812166 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4529 (Electronic) Linking ISSN: 09528180 NLM ISO Abbreviation: J Clin Anesth Subsets: MEDLINE
أسماء مطبوعة: Publication: <2008->: New York : Elsevier
Original Publication: [Stoneham, MA] : Butterworths, [c1988-
مواضيع طبية MeSH: Anesthesiology* , Internship and Residency* , Physicians*, Humans ; Cross-Sectional Studies ; Goals ; Clinical Competence
مستخلص: Study Objective: To systematically evaluate anesthesiology resident and attending perceptions of preoperative planning conversations (POPCs) and to generate understanding for improving the educational and clinical value of this practice.
Design: cross-sectional study.
Setting: two large Northeastern US academic residency training programs.
Participants: clinically practicing anesthesiology residents and attendings.
Interventions: An electronic survey was administered to 303 anesthesia attendings and 168 anesthesia residents across two academic institutions between June and July 2014.
Measurements: Survey questions addressing phone call frequency and duration, clinical value, educational value and intended purpose of POPC were administered to both groups. Chi-squared tests were used to evaluate differences in responses between groups, with p < 0.05 as statistically significant.
Main Results: Responses were collected from 93 attending physicians (31%) and 80 trainee physicians (48%) for an overall response rate of 37%. 99% of residents reported paging their attendings to engage in the POPC the evening prior to all operations and 95% of trainees reported almost always receiving a call back from the attending. Trainees overwhelmingly reported attendings would believe they were unprofessional or negligent if they did not initiate a POPC (73% vs 14%, chi-square = 60.9, p < 0.001). Attendings were much more likely to view the POPC as a very important tool to discuss perioperative events (60% vs 16%, chi-square = 37.3, p < 0.001) and necessary for the majority or every case (59% vs. 31%, chi-square = 13.5, p < 0.001). The majority of attendings and trainees did not find the POPC to be a very important educational tool in terms of assessing trainee knowledge base (14% vs. 6%, chi-square = 2.76, p = 0.097), discussing teaching opportunities (26% vs. 9%, chi-square = 8.5, p = 0.004), or establishing rapport (24% vs. 7% trainees, chi-square = 8.3, p = 0.004).
Conclusions: Significant discrepancies exist between how anesthesia attendings and residents perceive the purpose of the POPC, with trainees less likely to view the POPC as having clinical value and neither group perceiving the conversation as a very useful educational tool. The results highlight the need to reexamine the value of the daily POPC as a deliberate educational practice to meet expectations of both trainees and attendings.
Competing Interests: Declaration of Competing Interest None. The authors declare the following conflicts of interest: Brinda B. Kamdar: declares no conflicts of interest. Howard Zee: declares no conflicts of interest. David Preiss: declares no conflicts of interest. Deborah D. Navedo: declares no conflicts of interest. Rebecca D. Minehart: declares no conflicts of interest.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Anesthesia; Communication; Medical education; Preoperative assessment
تواريخ الأحداث: Date Created: 20230305 Date Completed: 20230501 Latest Revision: 20230502
رمز التحديث: 20230502
DOI: 10.1016/j.jclinane.2023.111086
PMID: 36871486
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-4529
DOI:10.1016/j.jclinane.2023.111086