Perceptions and goals of preoperative planning conversations between anesthesiology residents and attending physicians
Authors' conclusion
Significant discrepancies exist between how anesthesia attendings and residents perceive the purpose of the POPC, with trainees less likely to view the POPC as having clinical value and neither group perceiving the conversation as a very useful educational tool.
Study context
- Population
- Clinically practicing anesthesiology residents and attendings, 2 large Northeastern US academic residency training programsoverall response rate 37%
- Participants
- 93 vs 80
- Exposure
- Attendings vs residents
- Attendingsn = 93
- Traineesn = 80reference
- Outcome
- Perceptions of POPC
Methodological detailselectronic survey, 2 academic institutions, Survey sent to 303 attendings and 168 residents, June–July 2014; response rates 31% (attendings) and 48% (trainees)
- Electronic survey
- 2 academic institutions
- Survey sent to 303 attendings and 168 residents, June–July 2014; response rates 31% (attendings) and 48% (trainees)
Main finding
As reported in the abstract
Chi-square
60.9
P < 0.001
Trainees vs Attendings · Attendings would view not initiating POPC as unprofessional or negligent: 73% vs 14%
Chi-square
37.3
P < 0.001
Attendings vs Trainees · POPC very important tool to discuss perioperative events: 60% vs 16%
Chi-square
13.5
P < 0.001
Attendings vs Trainees · POPC necessary for majority or every case: 59% vs. 31%
- Residents paging attendings for POPC the evening before all operations
- 99%
- Trainees almost always receiving a call back
- 95%
Observational data: associations, not effects.
Further findings
POPC very important educational tool · assessing trainee knowledge base
chi-square 2.76 · P = 0.097
POPC very important educational tool · discussing teaching opportunities
chi-square 8.5 · P = 0.004
POPC very important educational tool · establishing rapport
chi-square 8.3 · P = 0.004
POPC very important educational tool
- Majority of attendings and trainees did not find POPC a very important educational tool
Original publication
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