Factors affecting operative autonomy and performance during otolaryngology training: A multicenter trial

Objective Surgical education is changing in an era of new regulations and evolving training cultures. We sought to understand the factors that affect operative experiences during otolaryngology residency. Methods From December 2019 to December 2020, five otolaryngology training programs used the SIM...

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Bibliographic Details
Published in:Laryngoscope investigative otolaryngology 2022-04, Vol.7 (2), p.404-408
Main Authors: Chen, Jenny X., Miller, Lauren E., Filimonov, Andrey, Shuman, Elizabeth A., Marchiano, Emily, George, Brian C., Thorne, Marc, Pletcher, Steven D., Platt, Michael, Teng, Marita, Kozin, Elliott D., Gray, Stacey T.
Format: Article
Language:English
Subjects:
autonomy
competency
Comprehensive (General) Otolaryngology
Gender
Original Research
Otolaryngology
Ratings & rankings
residency training
Self evaluation
Smartphones
Supervision
surgical assessments
surgical education
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Summary:Objective Surgical education is changing in an era of new regulations and evolving training cultures. We sought to understand the factors that affect operative experiences during otolaryngology residency. Methods From December 2019 to December 2020, five otolaryngology training programs used the SIMPL OR smartphone application to evaluate residents after each operation. Residents and attendings rated the trainee's autonomy on a 4‐level Zwisch scale, performance on a 5‐level scale, and case complexity on a 3‐level scale. We examined associations between ratings of autonomy and performance with variables including postgraduate year (PGY), case complexity, gender, week of the academic year (AY), and whether multiple procedures were logged. Results 78 attendings and 92 residents logged 2984 evaluations. PGY level and week of the AY were positively associated with attending ratings of autonomy and performance (PGY3 vs. PGY2: B = 0.63, p 
ISSN:2378-8038
2378-8038
DOI:10.1002/lio2.750