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Jazz up the Clinical Learning Environment in the Operating Room: The Impact of Operative Skills Checklist
Purpose: To evaluate the impact of utilizing a standardized operative
skills checklist on medical student and physician-educator experience.
Background: As gynecological surgeries become more minimally
invasive, medical students are left watching surgeries on operating room screen
and may not be actively engaged in the surgery. To re-engage the medical
student in the operating room, a gynecological operative skills checklist was
created. The checklist outlined expectations for students on how to engage in
the pre-operative, intra-operative, and post-operative setting based on our
educational goals. We sought to understand the impact of utilizing the
checklist on surgical engagement, clarity of expectations, and informal
feedback for medical students and physician-educators.
Methods: Anonymous data were collected via an online survey
from medical students who completed their OB/GYN clerkship in the year prior to
implementation of the operative skills checklist and compared to surveys from
students collected following the implementation. Similarly, physician-educators
involved in surgical teaching were surveyed regarding their impression of
medical student experience pre-implementation and six months
post-implementation of the checklist.
Results: Ongoing data collection shows improvement of medical
student rating of “above-average” and/or “excellent” in post-implementation
surveys in the following categories: surgical engagement (83.3% vs 100%),
clarity of expectations (62.5% vs 100%), and informal feedback (62.5% vs 80%).
Physician-educator scores in these measures have shown similar improvement.
Discussions: Operative skills checklist digest educational goals into
smaller action items. Implementation of such checklists in gynecology can
improve medical student engagement, clarify student expectations, and improve
informal feedback, thereby jazzing up the learning environment.
Assessment, UME, Patient Care, Residency Director, Clerkship Director, Faculty, Resident, Student, 2019, CREOG & APGO Annual Meeting,