Surgical Inpatient's Attitudes Toward Resident Participation: All About Expectations

Beale, Katherine; Kempenich, Jason W.; Willis, Ross E.; Fayyadh, Mohammed J. Al; Reed, Charles C.; Paccione, Carmen; Ebeling, Peter A.; Campi, Haisar E Dao; Dent, Daniel L.

doi:10.1016/j.jsurg.2020.02.025

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…The generalizability of study results is also affected by recruiting patients receiving care from a single department at a single site. However, studies conducted at other institutions have also demonstrated that patients report high satisfaction with resident care providers and a positive view on participation of residents in their care, in general 7,8,33–38…”

Section: Discussionmentioning

confidence: 99%

“…However, studies conducted at other institutions have also demonstrated that patients report high satisfaction with resident care providers and a positive view on participation of residents in their care, in general. 7,8,[33][34][35][36][37][38] An additional study limitation reflects the challenge of understanding specific determinants of patient satisfaction. For study purposes, we focused patient evaluations on their satisfaction with particular residents through positive photo identification and by excluding patients who had experienced resident cross-coverage.…”

Section: Discussionmentioning

confidence: 99%

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Inpatient Satisfaction With Surgical Resident Care After Elective General and Oncologic Surgery

et al. 2022

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Objective: To investigate inpatient satisfaction with surgical resident care. Background: Surgical trainees are often the primary providers of care to surgical inpatients, yet patient satisfaction with surgical resident care is not well characterized or routinely assessed. Methods: English-speaking, general surgery inpatients recovering from elective gastrointestinal and oncologic surgery were invited to complete a survey addressing their satisfaction with surgical resident care. Patients positively identified photos of surgical senior residents and interns before completing a modified version of the Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS). Adapted S-CAHPS items were scored using the "top-box" method. Results: Ninety percent of recruited patients agreed to participate (324/ 359, mean age = 62.2, 50.3% male). Patients were able to correctly identify their seniors and interns 85% and 83% of the time, respectively (P = 0.14). On a 10-point scale, seniors had a mean rating of 9.23 ± 1.27 and interns had a mean rating of 9.01 ± 1.49 (P = 0.14). Ninety-nine percent of patients agreed it was important to help in the education of future surgeons. Conclusions: Surgical inpatients were able to recognize their resident physicians with high frequency and rated resident care highly overall, suggesting that they may serve as a willing source of feedback regarding residents' development of core competencies such as interpersonal skills, communication, professionalism, and patient care. Future work should investigate how to best incorporate patient evaluation of surgical resident care routinely into trainee assessment to support resident development.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inpatient Satisfaction With Surgical Resident Care After Elective General and Oncologic Surgery

et al. 2022

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“…Studies in the past that have engaged patients in their perceptions of residents involved in their care have been in the academic setting, in-patient centered, in other specialties, or in primary care. [6][7][8][9][10][11] With the current and projected shortage of community general surgeons, more residents need training and exposure to community practice. 12,13 A perceived barrier to that exposure is unwillingness of community surgeons to have a resident in their practice out of concerns that patients may not be receptive to resident involvement in their care.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perceptions of Residents Involved in Their Care in a Community General Surgery Practice

Chambers

2021

The American Surgeon

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Background Resident involvement in patient care in the general surgery setting is most often encountered in an academic setting. Many community hospitals have residents involved in patient care as well. There are no studies that gauge patients’ perceptions in the involvement of residents in their general surgery care in the community setting. Methods Patients were given a Northeast Georgia Health System Graduate Medical Education Department Institutional review Board approved 26-question questionnaire during their office visit gauging their wiliness to allow a resident be involved in their care, and their understanding of what a resident is. Results A total of 196 patients completed the survey with answers that could be analyzed. Overall, 67.3% would allow residents be involved in their care. The main reasons for this were to educate future surgeons, they enjoy a teaching environment, and that they have had residents involved in their care and it was a good experience. Of the 27 % that did not want a resident involved in their care, the main reason was they only wanted their doctor involved in their care. Of the respondents, 58 % were comfortable having a resident involved in their surgery or procedure. Only 14% noted that they would prefer not to have a resident involved in their procedure or surgery. Conclusions Patents appear receptive to general surgery residents’ involvement in their care in the community setting. This is reassuring as community practices may be more receptive to including residents in their practices, based upon these findings.

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“…However, some surgery residents believe that their role in the hospital is not sufficiently clear to patients, and despite their commitment to disclosing errors and communicating effectively, acting correctly is not always easy for them [ 3 ]. Patients also have a limited understanding of residents' responsibilities in hospitals [ 4 ]. Surgeons experience moral distress when making ethical decisions, such as uncertainty about beginning or terminating treatments, allocating scarce resources, following laws and regulations, and dealing with some of their colleagues’ poor performance [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of surgery residents' knowledge of medical ethics and law. Implications for training and education

Bazmi

Kiani²,

Enjoo

et al. 2023

JMedLife

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Medical ethics and law are essential topics that should be included in medical residency programs. However, surgery training programs in Iran lack a specific course in medical ethics and law, which can lead to patient dissatisfaction with surgical outcomes. This study aimed to assess surgery residents' knowledge of medical ethics and law and suggest improvements for future residency programs. This descriptive cross-sectional study involved 112 surgery residents from six teaching hospitals. A valid and reliable questionnaire comprising 15 items on medical ethics and 12 items on medical law was used to assess participants' knowledge. Most participants were female (31-40 years old), and their mean knowledge score for medical ethics was 3.26±0.53 out of 5, with the lowest score in "futile treatment and DNR orders." The mean knowledge score for medical law was 3.69±0.69, with the lowest score in "surrogate decision-maker." Age did not affect residents' knowledge, but gender did, with female residents demonstrating significantly better knowledge of medical ethics (3.344/5 vs. 3.112/5) and law (3.789/5 vs. 3.519/5). Surgery residents had a relatively favorable knowledge of medical ethics and law, but they require further training in some areas to improve their knowledge. Training should include journal clubs, role-play programs, standardized patient programs, and debates to achieve better results, as purely didactic lectures appear inadequate.

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Surgical Inpatient's Attitudes Toward Resident Participation: All About Expectations

Cited by 7 publications

References 11 publications

Inpatient Satisfaction With Surgical Resident Care After Elective General and Oncologic Surgery

Inpatient Satisfaction With Surgical Resident Care After Elective General and Oncologic Surgery

Patients’ Perceptions of Residents Involved in Their Care in a Community General Surgery Practice

Assessment of surgery residents' knowledge of medical ethics and law. Implications for training and education

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