The Impact of Residents on Patient Satisfaction

Li, Sean S; Herrick, Nicole L.; Deshpande, Rima R; Cronin, Brett; Reid, C.; Brandel, Michael G.; Dobke, Marek; Johnson, Courtney A; Gosman, Amanda

doi:10.1097/sap.0000000000001339

Cited by 18 publications

(18 citation statements)

References 20 publications

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“…The overall response rates of Site A (17.5%) and Site B (18.0-25.0%) are comparable to other published studies that have used Press-Ganey Medical Practice Survey [39][40][41][42][43]. R/E-specific response rates were available at Site A (NHW: 22.7%; Latino: 14.3%; African-American: 13.6%; Asian: 11.8%; Multiracial/Other Race: 11.9%; Missing/Unknown: 15.0%).…”

Section: Samplingsupporting

confidence: 83%

The association between Asian patient race/ethnicity and lower satisfaction scores

Liao

Chung

Altamirano

et al. 2020

BMC Health Serv Res

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Background: Patient satisfaction is increasingly being used to assess, and financially reward, provider performance. Previous studies suggest that race/ethnicity (R/E) may impact satisfaction, yet few practices adjust for patient R/E. The objective of this study is to examine R/E differences in patient satisfaction ratings and how these differences impact provider rankings. Methods: Patient satisfaction survey data linked to electronic health records from two large outpatient centers in northern Californiaa non-profit organization of community-based clinics (Site A) and an academic medical center (Site B)was collected and analyzed.

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Section: Samplingsupporting

confidence: 83%

The association between Asian patient race/ethnicity and lower satisfaction scores

Liao

Chung

Altamirano

et al. 2020

BMC Health Serv Res

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“…Otolaryngology was one of three specialties for which resident participation had this association; there were nine surgical specialties included. 23 The subjects in this study reported longer wait times when residents were involved in the visit. This could be because patients perceived time spent with the resident physician as part of their wait time.…”

Section: Discussionmentioning

confidence: 71%

“…This large, cross‐sectional study of Press Ganey surveys showed decreased patient satisfaction when residents were involved in the clinic visit (88.7% vs. 90.4%, P < .001). Otolaryngology was one of three specialties for which resident participation had this association; there were nine surgical specialties included . The subjects in this study reported longer wait times when residents were involved in the visit.…”

Section: Discussionmentioning

confidence: 92%

Clinical scribes and their association with patient experience in the otolaryngology clinic

et al. 2019

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Objectives/Hypothesis Electronic health records have brought many advantages but also placed a documentation burden on the provider during and after the clinic visit. Some otolaryngologists have countered this challenge by employing clinical scribes. This project aimed to better understand the influence of scribes on patient experience in the otolaryngology clinic. Study Design Retrospective cohort survey study. Methods Patients presenting to the otolaryngology clinic for new and follow‐up appointments were recruited to complete surveys about their experience. Results A total of 153 patients completed the survey, and 96 of those patients (62.7%) interacted with a scribe. Patient satisfaction was not significantly associated with participation of the scribe (P = .668). Similarly, patient rating of their physician on a scale of 1 to 10 was not associated with scribe involvement (P = .851). The patients who did interact with a scribe responded that the scribe positively impacted the visit 77.1% of the time. Participation of a resident, primary language other than English, and use of interpreter were associated with lower satisfaction (P = .004, P < .001, and P < .001, respectively). Conclusions There are no published data on the effect of scribes on patient experience in the otolaryngology clinic. In other specialties, scribes have been demonstrated as having a positive effect on provider satisfaction, clinical productivity, and patient perception. These data demonstrate that patient satisfaction was neither impaired nor improved by the presence of the scribe in this clinic. In light of benefits demonstrated by prior studies, these findings support the conclusion that scribes are a useful adjunct in providing high‐level otolaryngology care. Level of Evidence 4 Laryngoscope, 130:E134–E139, 2020

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“…Li et al .’s survey showed that patients’ satisfaction with their physician’s communication did not change when plastic surgery residents were involved in their care, unlike some other surgical specialties. 24 …”

Section: Discussionmentioning

confidence: 99%

Impact of Residents on Operative Time in Aesthetic Surgery at an Academic Institution

Peterson

Ghosh

Al-Qureshi

et al. 2019

Aesthetic Surgery Journal Open Forum

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Background Duration of surgery is a known risk factor for increased complication rates. Longer operations may lead to increased cost to the patient and institution. While previous studies have looked at the safety of aesthetic surgery with resident involvement, little research has examined whether resident involvement increases operative time of aesthetic procedures. Objectives We hypothesized that resident involvement would potentially lead to an increase in operative time as attending physicians teach trainees during aesthetic operations. Methods A retrospective cohort analysis was performed from aesthetic surgery cases of two surgeons at an academic institution over a 4-year period. Breast augmentation and abdominoplasty with liposuction were examined as index cases for this study. Demographics, operative time, and resident involvement were assessed. Resident involvement was defined as participating in critical portions of the cases including exposure, dissection, and closure. Results A total of 180 cases fit the inclusion criteria with 105 breast augmentation cases and 75 cases of abdominoplasty with liposuction. Patient demographics were similar for both procedures. Resident involvement did not statistically affect operative duration in breast augmentation (41.8 ± 9.6 min vs 44.7 ± 12.4 min, P = 0.103) or cases for abdominoplasty with liposuction (107.3 ± 20.5 min vs 122.2 ± 36.3 min, P = 0.105). Conclusions There was a trend toward longer operative times that did not reach statistical significance with resident involvement in two aesthetic surgery cases at an academic institution. This study adds to the growing literature on the effect resident training has in aesthetic surgery. Level of Evidence: 2

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The Impact of Residents on Patient Satisfaction

Cited by 18 publications

References 20 publications

The association between Asian patient race/ethnicity and lower satisfaction scores

The association between Asian patient race/ethnicity and lower satisfaction scores

Clinical scribes and their association with patient experience in the otolaryngology clinic

Impact of Residents on Operative Time in Aesthetic Surgery at an Academic Institution

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