Tell Me Straight: Teaching Residents to Disclose Adverse Events in Surgery

Newcomb, Anna B.; Liu, Chang; Trickey, Amber W.; Dort, Jonathan

doi:10.1016/j.jsurg.2018.08.006

Cited by 7 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Much of the literature regarding training for the disclosure of medical errors has indicated the need for more training in this area, as well as the unique challenges associated with the disclosure of medical error. 16 , 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

“…There is a paucity of existing evidence on best practices for disclosure of medical error (DOME), supporting both the need for as well as the challenge in teaching this important skill. 16 , 17 , 18 We sought to provide learners with models to frame these conversations and respond to emotions with empathy, which is often a limitation for clinicians who lack experience leading emotionally difficult interactions. In order to provide even more meaningful feedback, we trained faculty coaches to employ the Relationship, Reflection, Content, Coach and WOOP (wish, outcome, obstacle, plan) models to facilitate insight and goal setting.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

From chaos to creativity: Designing collaborative communication training for the delivery of bad news

Rivet¹,

Edwards²,

Bedros³

et al. 2022

Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

From chaos to creativity: Designing collaborative communication training for the delivery of bad news

Rivet¹,

Edwards²,

Bedros³

et al. 2022

Surgery

View full text Add to dashboard Cite

“…One general surgery department implemented a curriculum with standardized patients to allow residents to practice disclosing a surgical complication and a pilot study demonstrated that it taught important skills. 13 Attendings sharing their own personal responses to these events may be extremely influential and the most meaningful intervention in training the next generation of surgeons.…”

Section: Emotional Response To Intraoperative Adverse Eventsmentioning

confidence: 99%

The impact of intraoperative adverse events on orthopaedic surgery residents

et al. 2022

View full text Add to dashboard Cite

Background: The goal of this study was to quantify the impact of intraoperative adverse events on orthopaedics residents to better understand how these occurrences affect resident training. Additionally, the study identified the emotional toll of adverse events on trainees and barriers to reporting.Methods: An anonymous 26 question web-based survey was adapted from the Boston intraoperative adverse events surgeons’ attitude study (BISA) survey to be applicable to orthopaedic residents. The survey was sent to orthopaedic residency program coordinators listed in the Council of Orthopaedic Residency Directors (CORD) database. The coordinators then distributed the survey to each program’s residents and fellows.Results: 77 orthopaedic residents and fellows completed the survey. Almost all (84.4%) reported having been involved in an IAE during their training, and the majority (80.6%) experienced emotional distress as a result. 50.7% of respondents have never been involved in discussions with patients or their family regarding a complication during their training.Conclusions: The majority of residents have experienced emotional distress following an intraoperative adverse event, but residents are not routinely involved in subsequent discussions with patients and families following complications. This represents a significant area for improvement in both supporting and training surgical residents.

show abstract