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Program

Podiatry

Training Level

Resident PGY 2

Institution

Henry Ford Wyandotte

Abstract

Currently, residents of surgical specialties lack effective and efficient feedback assessment tools to improve surgical performance after surgical cases. Our aim is to increase the rate of attending surgeon assessments of resident surgical performance to at least 75% of cases for the Podiatric Surgery and General Surgery residency programs at Henry Ford Wyandotte Hospital using the Surgical Performance Evaluation Tool (SPET), with at least 70% perceived positive impact in the post-implementation survey within a 1-month PDSA cycle. Residents and attendings completed separate pre-implementation online surveys to identify the baseline rate and quality of resident surgical performance feedback and what perceived positive impact this feedback may have. The SPET was then utilized in paper format for a 1-month long PDSA cycle. Surgical performance feedback evaluations were handed to attending surgeons by residents, filled out immediately postoperatively and handed directly back to the resident. The residents then compiled this data into collecting bins in their respective call rooms for future analysis. Post-implementation online surveys were then administered to residents and attendings. The quality of evaluation categories and subcategories will be explored and modified as needed with each new PDSA cycle to ensure a high perceived positive impact from both residents and attendings through the results of the pre- and post-implementation surveys. With respect to our attending physicians’ surveys, we found those currently giving feedback pre-implementation of SPET to be at 71.43% and post-implementation to be at 77.78%. Our data also supports an increase in residents implementing feedback with 33.89% pre-implementation and 44.44% post-implementation. When it came to how likely attending surgeons are to fill out evaluations, we saw an increase from pre-implementation percentages at 45.83% to postimplementation at 66.67%. With respect to our resident surveys, we found the percentage of residents receiving feedback to be 33.33% prior to implementing the SPET, and 50% post-implementation. The percentage of surgical casesreceiving feedback on was 29.17% pre-implementation, 38.89% postimplementation. Post-surgical feedback was received promptly 73.04% of the time pre-implementation and 82.11% post-implementation. In regard to evaluations being of high quality, thoroughness and accuracy, our findings showed 40.63% pre-implementation, 50% post-implementation. For perceived positive impact on performance and professional development, our data showed 39.58% pre-implementation, 58.33% post-implementation. Lastly, the percentage of residents reviewing their feedback evaluations: 93.75% pre-implementation and 100% post-implementation. The implementation of the SPET demonstrated an increase in the amount, quality, and review of feedback being given tosurgical residents. Most importantly, the largest improvements were in the likelihood for attendings to provide feedback and feedback having a positive impact on performance. Although quicker and more efficient than current models, voluntary compliance for implementing a new assessment tool is difficult to maintain. Based on these findings, we conclude that if compliance can be further improved via incentivized responses, that our goal of 70% of perceived positive impact can be achieved.

Publication Date

5-2019

Surgical Feedback Evaluation Tool for Resident Physicians

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