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Improving OBGYN Surgical Teaching with an Education-Time Out: a Pilot Study of Surgical Educators
Precis: We implemented a perioperative Education Time-Out (ETO) to improve surgical teaching and learning. OBGYN faculty and residents were surveyed pre-implementation and at 1- and 6-months. The ETO improved surgical educational experiences and was highly satisfying to faculty and residents.
Purpose: We aimed to: 1) implement a high-fidelity simulation to train faculty surgeons to use a perioperative Education Time-Out (ETO) and 2) assess an ETO’s impact on faculty and resident experiences in the operating room (OR).
Background: Evidence-based tools, like perioperative ETO, are needed to maximize resident surgical education.
Methods: We recruited gynecologic surgical faculty and PGY1 to PGY3 residents from the University of Utah. Enrolled participants completed surveys at baseline, 1-, and 6-months to assess educational experiences and ETO satisfaction. Faculty enrollment required high-fidelity ETO simulation with a standardized actor. We used descriptive statistics and summarized potential relationships of outcome variables with duration of ETO use. We converted Likert-scale items to 5-point scales which we used in mixed linear models to investigate whether relationships persisted after accounting for individual baseline scores.
Results: Twenty-five of 62 (40%) faculty and 15/17 (88%) residents enrolled. Twenty-one of 25 (84%) faculty and 8/15 (53%) residents and 16/25 (64%) and 6/15 (40%) completed the survey at one- and six-months, respectively. At six months, faculty demonstrated a 0.5-0.8 point improvement in teacher self-efficacy domains (p<0.003) and a 0.8 point improvement in teaching performance satisfaction (p<0.001). Residents at six months showed improved procedural confidence (0.9 point increase, p=0.008), satisfaction with perioperative teaching (0.7 point increase, p=0.024), and quality of feedback (1 point increase, p=0.026) compared to baseline. Faculty and residents reported 100% satisfaction with the ETO as a teaching tool.
Conclusions: Implementation of a perioperative ETO improved intraindividual educational experiences with high rates of satisfaction.
Topics:
SES, 2023,
