Monitoring Resident Surgical Performance Through Dictated Feedback

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Abstract

BACKGROUND:

We rely on 3 faculty for most feedback about resident surgical performance. However, more than half the resident surgical experience involves private surgeons from whom we were not receiving case-specific feedback. We needed a system to capture this feedback.

METHODS:

We implemented a phone dictation system distributed to all surgeons participating in resident education in May 2015. We consented 17 gynecologists who were asked to use telephone dictation cards to provide feedback after each case involving a resident. We compared number of dictations with number of resident cases that could have been dictated each month using resident logs of cases scrubbed. We also tracked how many different surgeons provided dictations.

RESULTS:

Not all gynecologists used the dictation system. Despite initial promising results, there was a time dependent trail-off in both number of surgeons using the system and number of dictations received. In total, out of 205 cases performed, we received 50 dictations—24% feedback rate.

DISCUSSION:

It is difficult to get resident surgical performance feedback from private surgeons, even when you provide structure and accessibility. However, a 24% feedback rate is still improved from no surgical case feedback.

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