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Purpose <p>Resident satisfaction with feedback has been a challenge across all general surgery programs. In our program, these challenges led to the implementation of the Society for Improving Medical Professional Learning (SIMPL) Operating Room (OR) application (app) tool. The purpose of the app was to provide residents with immediate feedback on intraoperative performance; however, the app was underutilized. The goal of this project was to identify challenges to providing feedback using the SIMPL OR app for general surgery residents at our institution and enhance this with an educational improvement project.</p> Methods <p>This project was completed in three phases. Phase one was a needs assessment of residents and faculty. Phase two consisted of questions about feedback on end of rotation evaluations. Phase three was the implementation of the educational intervention, relaunch of the SIMPL OR app. Given its previous underutilization, the purpose of the relaunch was to provide a structured workflow and incentives for promoting engagement.</p> Results <p>A total of 60 residents and 100 faculty were involved in this educational improvement project. Programmatic relaunch of the SIMPL OR app occurred in April 2023. After six months, there was a 4.55-time increase in assessments completed. End of rotation evaluation questions demonstrated a significant increase in resident satisfaction with intraoperative feedback pre- to post-intervention from 68 to 80% (<i>p</i> = 0.016). A faculty development webinar on feedback in May 2023 demonstrated 100% found the webinar to be helpful. Finally, on a post-intervention survey, 69.6% of residents and 52.8% of faculty felt there was an improvement in quality and/or quantity of feedback.</p> Conclusions <p>Creation of a structured workflow for the SIMPL OR app and incentives has been successful in improving the quantity of faculty feedback of residents at our training program. Future opportunities include more faculty development initiatives, analysis of feedback quality, implementation of an educational timeout in the operating room, and encouraging services to have structured verbal feedback meetings with residents on their performance.</p>

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Improving general surgery resident feedback: challenges and triumphs of a single institution’s educational improvement project

  • 期刊论文

  • 发表日期：

    2025年5月17日

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  • Rana M. Higgins,
  • Karen Brasel

摘要

Purpose

Resident satisfaction with feedback has been a challenge across all general surgery programs. In our program, these challenges led to the implementation of the Society for Improving Medical Professional Learning (SIMPL) Operating Room (OR) application (app) tool. The purpose of the app was to provide residents with immediate feedback on intraoperative performance; however, the app was underutilized. The goal of this project was to identify challenges to providing feedback using the SIMPL OR app for general surgery residents at our institution and enhance this with an educational improvement project.

Methods

This project was completed in three phases. Phase one was a needs assessment of residents and faculty. Phase two consisted of questions about feedback on end of rotation evaluations. Phase three was the implementation of the educational intervention, relaunch of the SIMPL OR app. Given its previous underutilization, the purpose of the relaunch was to provide a structured workflow and incentives for promoting engagement.

Results

A total of 60 residents and 100 faculty were involved in this educational improvement project. Programmatic relaunch of the SIMPL OR app occurred in April 2023. After six months, there was a 4.55-time increase in assessments completed. End of rotation evaluation questions demonstrated a significant increase in resident satisfaction with intraoperative feedback pre- to post-intervention from 68 to 80% (p = 0.016). A faculty development webinar on feedback in May 2023 demonstrated 100% found the webinar to be helpful. Finally, on a post-intervention survey, 69.6% of residents and 52.8% of faculty felt there was an improvement in quality and/or quantity of feedback.

Conclusions

Creation of a structured workflow for the SIMPL OR app and incentives has been successful in improving the quantity of faculty feedback of residents at our training program. Future opportunities include more faculty development initiatives, analysis of feedback quality, implementation of an educational timeout in the operating room, and encouraging services to have structured verbal feedback meetings with residents on their performance.