Incorporating Postoperative Debriefing Into Surgical Education

Journal of Surgical Education
David O FrancisRobert J Sinard

Abstract

We investigated the feasibility and utility of a postoperative "debriefing" process to improve the educational value of surgical procedures. Residents provided a baseline preintervention assessment of personal and attending surgeon current practice for seeking and receiving feedback on performance after an operative case. Surgeons subsequently were educated (the intervention) about the purpose and content of the postoperative debriefing initiative. Each resident completed 8 surgical cases (minimum) in which the debriefing process occurred. A survey was completed after each debriefing and at study completion that inquired about utility, educational value, and feasibility. Descriptive results are reported and comparisons made with Fisher's exact tests, when appropriate. In all, 69% of residents felt the attending surgeon "sometimes or always" identified aspects of the case that they performed competently preintervention compared with 93% postintervention. Overall, 56% of residents were aware of the attending surgeon's impression of their performance preintervention compared with 93% postintervention. Nearly all residents planned on making postoperative debriefing a routine part of self-assessment (93%). Most felt that the duratio...Continue Reading

References

Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group
May 26, 2010·The Surgical Clinics of North America·Richard M Satava
Mar 14, 2014·The New England Journal of Medicine·David R UrbachNancy N Baxter
May 16, 2014·The British Journal of Surgery·S R DaweG J Maddern

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Citations

Jul 6, 2018·The Journal of Bone and Joint Surgery. American Volume·Kofi D AgyemanSheila Conway
Apr 1, 2018·Surgical Endoscopy·Matthew D TimberlakeAimee K Gardner
Feb 23, 2021·The Journal of Surgical Research·Stephen E RanneyCate F Nicholas
Dec 2, 2020·Journal of Surgical Education·Nancy J ZhouLee M Akst

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