The development, implementation, and evaluation of a pre-rotation quiz to improve resident preparedness for an abdominal wall reconstruction surgical rotation.

IF 2.6 2区医学 Q1 SURGERY Hernia Pub Date : 2024-11-16 DOI:10.1007/s10029-024-03189-4

Sara M Maskal, Nicole E Brooks, Ryan C Ellis, Megan Melland-Smith, Nir Messer, Benjamin T Miller, Lucas R A Beffa, Clayton C Petro, Ajita S Prabhu, Michael J Rosen

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Abstract

Introduction: Although hernia repair constitutes a significant portion of surgical training, education around more complex hernia concepts such as abdominal wall reconstruction (AWR) or paraesophageal hernia repair may be lacking. We developed and implemented a pre-rotation quiz for residents on an AWR and minimally invasive surgery service. We also investigated the staff and resident perception of resident knowledge and experience of the rotation before and after quiz implementation.

Methods: The multiple-choice quiz questions were written by clinical and research fellows, validated by four staff, two fellows, and two senior residents and implemented in June 2023. Questions assessed knowledge of anatomy, operative steps, mesh materials, clinical trials, and postoperative management specific to ventral, inguinal, and paraesophageal hernia repairs. Residents were notified of the summative quiz three weeks prior and provided with reference materials specific to quiz questions. Anonymous Likert-type surveys were distributed to staff and residents between 3/2023 and 3/2024. Responses were assessed based on the overall score as well as individual domains and then compared based on whether they were completed before or after implementation of the quiz.

Results: 17 seniors and 29 juniors rotated on service and all completed the pre-rotation quiz between 7/1/2023-3/4/2024. The mean first attempt score was 72%(± 12.4%) for junior residents and 88.4%(± 9.6%) for senior residents. Staff reported overall resident knowledge improved after quiz implementation (maximum 90, mean(SD): 46.25(± 8.58) vs. 75.5(± 11.24),p = 0.05). Sixteen(45.7%) residents responded to the survey before quiz implementation and 23(50%) after. Residents only reported improved knowledge regarding current literature (maximum 5, mean(SD):3.2 ± 0.98 vs. 3.8 ± 0.78,p = 0.04).

Conclusion: Implementing a pre-rotation quiz effectively improves staff perception of resident knowledge and preparation.

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开发、实施和评估轮转前测验，以提高住院医师对腹壁重建外科轮转的准备程度。

简介：尽管疝修补术在外科培训中占了很大比重，但围绕腹壁重建（AWR）或食道旁疝修补术等更复杂疝概念的教育可能还很欠缺。我们为腹壁重建和微创手术服务的住院医师开发并实施了轮转前测验。我们还调查了员工和住院医师对实施问答前后住院医师对轮转知识和经验的看法：多选问答题由临床和研究研究员编写，经四名员工、两名研究员和两名资深住院医师验证后于2023年6月实施。问题主要评估腹腔、腹股沟和食道旁疝修补术的解剖知识、手术步骤、网片材料、临床试验和术后管理。住院医师会在三周前收到总结性测验的通知，并获得与测验问题相关的参考资料。在 2023 年 3 月至 2024 年 3 月期间，向员工和住院医师发放了匿名李克特式调查问卷。根据总分和单个领域的回答进行评估，然后根据他们是在测验实施之前还是之后完成的进行比较：17 名大四学生和 29 名大三学生轮转服务，他们都在 2023 年 1 月 7 日至 2024 年 4 月 3 日期间完成了轮转前测验。初级住院医师的首次尝试平均得分率为 72%（± 12.4%），高级住院医师为 88.4%（± 9.6%）。工作人员表示，在实施小测验后，住院医师的总体知识水平有所提高（最多 90 人，平均（标清）：46.25（± 8.58）分 vs 75.5（± 11.24）分，p = 0.05）。16 名住院医师（45.7%）在测验实施前回答了调查问卷，23 名住院医师（50%）在测验实施后回答了调查问卷。住院医师仅表示对当前文献的了解有所提高（最多 5 人，平均（标清）：3.2 ± 0.98 vs. 3.8 ± 0.78，p = 0.04）：实施轮转前测验可有效改善工作人员对住院医师知识和准备情况的感知。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.