Implementing a resident acute care surgery service: Improving resident education and patient care
| Autor: | Andrew J. Benjamin, Nancy Schindler, Marko Rojnica, Mitchell C. Posner, Kevin K. Roggin, Andrew B. Schneider, Olga Kantor, Jeffrey B. Matthews |
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| Rok vydání: | 2017 |
| Předmět: |
Program evaluation
medicine.medical_specialty Quality management Critical Care MEDLINE Likert scale 03 medical and health sciences 0302 clinical medicine medicine Humans Professional Autonomy Acute care surgery Referral and Consultation Service (business) business.industry Internship and Residency 030208 emergency & critical care medicine Resident education Perioperative General Surgery Surgical Procedures Operative 030220 oncology & carcinogenesis Family medicine Surgery business Program Evaluation |
| Zdroj: | Surgery. 161:876-883 |
| ISSN: | 0039-6060 |
| DOI: | 10.1016/j.surg.2016.09.033 |
| Popis: | Background To simulate the duties and responsibilities of an attending surgeon and allow senior residents more intraoperative and perioperative autonomy, our program created a new resident acute care surgery consult service. Methods We structured resident acute care surgery as a new admitting and inpatient consult service managed by chief and senior residents with attending supervision. When appropriate, the chief resident served as a teaching assistant in the operation. Outcomes were recorded prospectively and reviewed at weekly quality improvement conferences. The following information was collected: (1) teaching assistant case logs for senior residents preimplentation (n = 10) and postimplementation (n = 5) of the resident acute care surgery service; (2) data on the proportion of each case performed independently by residents; (3) resident evaluations of the resident acute care surgery versus other general operative services; (4) consult time for the first 12 months of the service (June 2014 to June 2015). Results During the first year after implementation, the number of total teaching assistant cases logged among graduating chief residents increased from a mean of 13.4 ± 13.0 (range 4–44) for preresident acute care surgery residents to 30.8 ± 8.8 (range 27–36) for postresident acute care surgery residents (P |
| Databáze: | OpenAIRE |
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