Perioperative Feedback in Surgical Training: A Systematic Review

Abstract Background Changes in surgical training have raised concerns about residents’ operative exposure and preparedness for independent practice. One way of addressing this concern is by optimizing teaching and feedback in the operating room (OR). The objective of this study was to perform a syst...

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Published in:The American journal of surgery 2017-07, Vol.214 (1), p.117-126
Main Authors: McKendy, Katherine M, Watanabe, Yusuke, Lee, Lawrence, Bilgic, Elif, Enani, Ghada, Feldman, Liane S, Fried, Gerald M, Vassiliou, Melina C
Format: Article
Language:English
Subjects:
Education
Feedback
Formative feedback
General Surgery - education
Humans
Internship and Residency
Laparoscopy
Operating Rooms
Perioperative Period
Perioperative teaching
Qualitative analysis
Skills
Structured feedback
Studies
Surgeons
Surgery
Surgical education
Systematic review
Teaching
Teaching methods
Training
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container_end_page 126
container_issue 1
container_start_page 117
container_title The American journal of surgery
container_volume 214
creator McKendy, Katherine M
Watanabe, Yusuke
Lee, Lawrence
Bilgic, Elif
Enani, Ghada
Feldman, Liane S
Fried, Gerald M
Vassiliou, Melina C
description Abstract Background Changes in surgical training have raised concerns about residents’ operative exposure and preparedness for independent practice. One way of addressing this concern is by optimizing teaching and feedback in the operating room (OR). The objective of this study was to perform a systematic review on perioperative teaching and feedback. Methods A systematic literature search identified articles from 1994-2014 that addressed teaching, feedback, guidance, or debriefing in the perioperative period. Data was extracted according to ENTREQ guidelines, and a qualitative analysis was performed. Results Thematic analysis of the 26 included studies identified four major topics. Observation of teaching behaviors in the OR described current teaching practices. Identification of effective teaching strategies analyzed teaching behaviors, differentiating positive and negative teaching strategies. Perceptions of teaching behaviors described resident and attending satisfaction with teaching in the OR. Finally models for delivering structured feedback cited examples of feedback strategies and measured their effectiveness. Conclusions This study provides an overview of perioperative teaching and feedback for surgical trainees and identifies a need for improved quality and quantity of structured feedback.
doi_str_mv 10.1016/j.amjsurg.2016.12.014
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One way of addressing this concern is by optimizing teaching and feedback in the operating room (OR). The objective of this study was to perform a systematic review on perioperative teaching and feedback. Methods A systematic literature search identified articles from 1994-2014 that addressed teaching, feedback, guidance, or debriefing in the perioperative period. Data was extracted according to ENTREQ guidelines, and a qualitative analysis was performed. Results Thematic analysis of the 26 included studies identified four major topics. Observation of teaching behaviors in the OR described current teaching practices. Identification of effective teaching strategies analyzed teaching behaviors, differentiating positive and negative teaching strategies. Perceptions of teaching behaviors described resident and attending satisfaction with teaching in the OR. Finally models for delivering structured feedback cited examples of feedback strategies and measured their effectiveness. Conclusions This study provides an overview of perioperative teaching and feedback for surgical trainees and identifies a need for improved quality and quantity of structured feedback.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2016.12.014</identifier><identifier>PMID: 28082010</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Education ; Feedback ; Formative feedback ; General Surgery - education ; Humans ; Internship and Residency ; Laparoscopy ; Operating Rooms ; Perioperative Period ; Perioperative teaching ; Qualitative analysis ; Skills ; Structured feedback ; Studies ; Surgeons ; Surgery ; Surgical education ; Systematic review ; Teaching ; Teaching methods ; Training</subject><ispartof>The American journal of surgery, 2017-07, Vol.214 (1), p.117-126</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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subjects Education
Feedback
Formative feedback
General Surgery - education
Humans
Internship and Residency
Laparoscopy
Operating Rooms
Perioperative Period
Perioperative teaching
Qualitative analysis
Skills
Structured feedback
Studies
Surgeons
Surgery
Surgical education
Systematic review
Teaching
Teaching methods
Training
title Perioperative Feedback in Surgical Training: A Systematic Review
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