Contributions of Surgical Residents to Patient Satisfaction: Impact of Residents Beyond Clinical Care

Resnick, Andrew S.; Disbot, Maureen; Wurster, Angela; Mullen, James L.; Kaiser, Larry R.; Morris, Jon B.

doi:10.1016/j.jsurg.2008.01.005

Cited by 31 publications

(12 citation statements)

References 9 publications

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“…One study reported a small July effect on outcomes related to cerebral shunt surgery in children and emphasized the need for supervision [28]. Another study showed a reduction in resident scores on a patient satisfaction questionnaire around July [30]. …”

Section: Resultsmentioning

confidence: 99%

A systematic review of the effects of residency training on patient outcomes

Leeuw

Lombarts

Arah

et al. 2012

BMC Med

132

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BackgroundResidents are vital to the clinical workforce of today and tomorrow. Although in training to become specialists, they also provide much of the daily patient care. Residency training aims to prepare residents to provide a high quality of care. It is essential to assess the patient outcome aspects of residency training, to evaluate the effect or impact of global investments made in training programs. Therefore, we conducted a systematic review to evaluate the effects of relevant aspects of residency training on patient outcomes.MethodsThe literature was searched from December 2004 to February 2011 using MEDLINE, Cochrane, Embase and the Education Resources Information Center databases with terms related to residency training and (post) graduate medical education and patient outcomes, including mortality, morbidity, complications, length of stay and patient satisfaction. Included studies evaluated the impact of residency training on patient outcomes.ResultsNinety-seven articles were included from 182 full-text articles of the initial 2,001 hits. All studies were of average or good quality and the majority had an observational study design. Ninety-six studies provided insight into the effect of 'the level of experience of residents' on patient outcomes during residency training. Within these studies, the start of the academic year was not without risk (five out of 19 studies), but individual progression of residents (seven studies) as well as progression through residency training (nine out of 10 studies) had a positive effect on patient outcomes. Compared with faculty, residents' care resulted mostly in similar patient outcomes when dedicated supervision and additional operation time were arranged for (34 out of 43 studies). After new, modified or improved training programs, patient outcomes remained unchanged or improved (16 out of 17 studies). Only one study focused on physicians' prior training site when assessing the quality of patient care. In this study, training programs were ranked by complication rates of their graduates, thus linking patient outcomes back to where physicians were trained.ConclusionsThe majority of studies included in this systematic review drew attention to the fact that patient care appears safe and of equal quality when delivered by residents. A minority of results pointed to some negative patient outcomes from the involvement of residents. Adequate supervision, room for extra operation time, and evaluation of and attention to the individual competence of residents throughout residency training could positively serve patient outcomes. Limited evidence is available on the effect of residency training on later practice. Both qualitative and quantitative research designs are needed to clarify which aspects of residency training best prepare doctors to deliver high quality care.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the effects of residency training on patient outcomes

Leeuw

Lombarts

Arah

et al. 2012

BMC Med

132

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“…Other suggested mechanisms for educating patients about the teaching hospital atmosphere include pre-operative introductory conversations between the attending surgeon and patient, 13 and resident curriculum focusing on communication skills and residents’ self-introduction to patients. 14,15 …”

Section: Discussionmentioning

confidence: 99%

Meet your surgical team: The impact of a resident-led quality improvement project on patient satisfaction

Craig‐Schapiro¹,

DiBrito²,

Overton

et al. 2018

The American Journal of Surgery

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“…In academic emergency departments (EDs), residents provide a significant amount of the provider–patient interaction, and residents have been shown to influence patient experience scores (7). Patient survey vendors are able to report patient satisfaction data by site and by attending provider.…”

Section: Introductionmentioning

confidence: 99%

Progression of Emergency Medicine Resident Patient Experience Scores by Level of Training

Walker

Colletti

Bellolio

et al. 2018

Journal of Patient Experience

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Background: Patient satisfaction surveys are vital to measuring a patient’s experience of care. How scores of patients managed by emergency medicine (EM) residents change as residents progress through training is not known. Objectives: To evaluate whether EM residents’ patient satisfaction scores improve as residency training progresses, similar to clinical skill improvement. Methods: A retrospective cross-sectional study evaluated the correlation of patient satisfaction scores with EM resident year of training from 2015 through 2017. We evaluated for a change in score over time for the 4 “physician questions” and the “overall” score. Results: We evaluated 1684 Press Ganey surveys linked to 40 EM resident physicians during the study period. The mean top box scores for the 4 physician questions (concern for comfort [ P = .72], courtesy [ P = .55], informative about treatment [ P = .46], and listening [ P = .91]) and overall assessment of emergency department care ( P = .51) were not significantly improved over the course of resident. Conclusion: We did not observe a difference in EM residents’ patient experience scores as their level of training progressed. Comprehensive patient experience training for residents might be needed.

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Contributions of Surgical Residents to Patient Satisfaction: Impact of Residents Beyond Clinical Care

Cited by 31 publications

References 9 publications

A systematic review of the effects of residency training on patient outcomes

A systematic review of the effects of residency training on patient outcomes

Meet your surgical team: The impact of a resident-led quality improvement project on patient satisfaction

Progression of Emergency Medicine Resident Patient Experience Scores by Level of Training

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