OpTrust

Abstract

Objective: The purpose of this study was to measure the efficacy of a novel faculty and resident educational bundle focused on development of facultyresident behaviors and entrustment in the operating room. Summary Background Data: As surgical training environments are orienting to entrustable professional activities (EPAs), successful transitions to this model will require significant faculty and resident development. Identifying an effective educational initiative which prepares faculty and residents for optimizing assessment, teaching, learning, and interacting in this model is critical. Methods: From September 2015 to June 2017, an experimental study was conducted in the Department of Surgery at the University of Michigan Health System (UMHS). Case observations took place across general, plastic, thoracic, and vascular surgical specialties. A total of 117 operating room observations were conducted during Phase I of the study and 108 operating room observations were conducted during Phase II following the educational intervention. Entrustment behaviors were rated for 56 faculty and 73 resident participants using OpTrust, a validated intraoperative entrustment instrument. Results: Multiple regression analysis showed a significant increase in faculty entrustment (Phase I ¼ 2.32 vs Phase II ¼ 2.56, P < 0.027) and resident entrustability (Phase I ¼ 2.16 vs Phase II ¼ 2.40, P < 0.029) scores following exposure to the educational intervention. Conclusions: Our study shows improved intraoperative entrustment following implementation of faculty and resident development, indicating the efficacy of this innovative educational bundle. This represents a crucial component in the implementation of a competency-based assessment framework like EPAs.

Increased Intraoperative Faculty Entrustment and Resident Entrustability Does Not Compromise Patient Outcomes After General Surgery Procedures

“…To measure the impact of the OpTrust intervention, a sampling of third-party rater case observations was conducted pre-intervention and post-intervention to assess entrustment and entrustability using OpTrust entrustment measurement tool, a validated instrument 17 . Findings from this research showed a significant increase in faculty entrustment and resident entrustability scores from pre- to post-intervention after adjusting for case difficulty, resident post-graduate year, observation duration, month of observation, and faculty years of experience 10 . Increased resident entrustability may increase resident perception of their autonomy.…”

“…17 Findings from this research showed a significant increase in faculty entrustment and resident entrustability scores from pre-to postintervention after adjusting for case difficulty, resident post-graduate year, observation duration, month of observation, and faculty years of experience. 10 Increased resident entrustability may increase resident perception of their autonomy. In a recent OpTrust pilot study, it has been found that observed resident entrustability is positively associated with perceived resident autonomy.…”

“…In recent years, OpTrust has emerged as a promising intraoperative educational innovation that has demonstrated the ability to increase faculty entrustment and resident entrustability behaviors. 1,10 Unlike traditional models of educational assessment and intervention, the OpTrust Educational Bundle is the first intraoperative educational intervention that promotes the interaction between both faculty and residents. However, it is unknown how OpTrust or any other intraoperative surgical education innovation affects patient outcomes.…”

“…Although, greater faculty entrustment and resident entrusability levels have been positively associated with American Council for Graduate Medical Education and operative performance rating system scores, surgical education studies to date have not focused on the relationship between educational innovation and patient outcomes. 11 Although OpTrust has been shown to promote beneficial interactions that lead to increased faculty entrustment and resident entrustability, 10 the impact of this educational intervention on patient outcomes remains unknown. 12 In this study, we sought to evaluate the impact of OpTrust on 30-day postoperative outcomes after core general surgery procedures.…”

Analysis of students' positive emotions around the green space in the university campus during the COVID-19 pandemic in China

“…Structural equation modeling (SEM) is a popular method for data analysis that has been widely used in many fields, such as psychology, sociology, and education. Unlike other modeling approaches, SEM integrates a measurement model and structural model, which can directly respond to the relationship between latent and observed variables, as well as the relationship between latent variables (62). The equation of the measured model is as follows:…”