“Real-Time” Milestone and Surgical Skills Feedback: A Multi-center Trial of “myTIPreport”

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Feedback is valued and effective when provided in a timely fashion. This can prove challenging in busy clinical settings.


OBGYN residency and FPMRS fellowship programs participated from November 2014 to May 2015. OBGYN residents and teachers and FPMRS fellows and teachers completed a pre-survey on satisfaction with venue-based feedback. Questions addressed satisfaction with feedback frequency, quality, and timeliness. After 6 months of myTIPreport use for feedback on ACGME-required milestones and select surgical procedures, participants completed a post-survey.


Participants represented 12 OBGYN residency and 7 FPMRS fellowship programs. Pre-surveys were completed by 273 learners (254 OBGYN residents/19 FPMRS fellows) and 383 teachers (355 OBGYN/28 FPMRS teachers). OBGYN residents reported low rates of satisfaction with feedback received regarding frequency (38%), quality (42%) and timeliness (37%). OBGYN and FPMRS teachers reported low rates of satisfaction with feedback given (50%/54%/54%, and 39%/54%/39%, respectively). Post-surveys were completed by 207 participants. For the primary study outcome, OBGYN residents (n=77), OBGYN teachers (n=96), and FPMRS teachers (n=19) reported significantly improved satisfaction with feedback frequency, quality, and timeliness from rates of 37–54% to rates of 60–100% (P<.0001 for all domains). Feedback satisfaction remained high for FPMRS fellows (n=15).


myTIPreport was successfully implemented at multiple institutions within 6 months. Resident and teacher satisfaction with feedback improved significantly after using myTIPreport.

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