Genevieve B Melton1, Nora E Burkart2, Nathan G Frey3, Jeffrey G Chipman4, David A Rothenberger4, Selwyn M Vickers4. 1. Department of Surgery, University of Minnesota, Minneapolis, MN; Institute for Health Informatics, University of Minnesota, Minneapolis, MN. Electronic address: gmelton@umn.edu. 2. Department of Surgery, University of Minnesota, Minneapolis, MN; Institute for Health Informatics, University of Minnesota, Minneapolis, MN. 3. Institute for Health Informatics, University of Minnesota, Minneapolis, MN. 4. Department of Surgery, University of Minnesota, Minneapolis, MN.
Abstract
BACKGROUND: Although operative report documentation (ORD) is an essential skill for surgeons and is evolving with electronic health records (EHRs), little is known about current ORD teaching in surgical training. STUDY DESIGN: An electronic survey was sent out in January 2012 to all 1,096 ACGME surgical program directors that assessed characteristics of training programs, EHR adoption, ORD education, synoptic or templated report usage for ORD, and attitudes and opinions about ORD education and electronic tools for ORD. Content thematic analysis of qualitative responses was performed iteratively until reaching saturation. RESULTS: Overall, 441 program directors (40%; 17.9 ± 8.8 years in practice) responded from university-affiliated (383 [87%]), community/private (44 [10%]), and military (14 [3%]) programs. Although most (n = 295 [67%]) consider ORD teaching a priority, only 76 (17%) programs provide ORD instruction. Program directors formally trained in ORD were more likely to offer ORD instruction (61% vs 11%; p < 0.0001), as were obstetrics/gynecology programs (obstetrics/gynecology 35% vs surgery 18%, neurosurgery 16%, ophthalmology 14%, orthopaedics 14%; p < 0.05 each). Although EHR adoption and electronically available operative reports were common (91%), besides ophthalmology (31%) and obstetrics/gynecology (30%) programs, ORD with synoptic reporting was used in only 18% of programs overall. Program directors perceived major barriers to ORD instruction and synoptic reporting for ORD. CONCLUSIONS: Although most program directors consider ORD teaching an educational priority, incongruence exists between its perceived value and its adoption into surgical training. Operative report documentation with synoptic reporting is currently not common in most surgical subspecialties.
BACKGROUND: Although operative report documentation (ORD) is an essential skill for surgeons and is evolving with electronic health records (EHRs), little is known about current ORD teaching in surgical training. STUDY DESIGN: An electronic survey was sent out in January 2012 to all 1,096 ACGME surgical program directors that assessed characteristics of training programs, EHR adoption, ORD education, synoptic or templated report usage for ORD, and attitudes and opinions about ORD education and electronic tools for ORD. Content thematic analysis of qualitative responses was performed iteratively until reaching saturation. RESULTS: Overall, 441 program directors (40%; 17.9 ± 8.8 years in practice) responded from university-affiliated (383 [87%]), community/private (44 [10%]), and military (14 [3%]) programs. Although most (n = 295 [67%]) consider ORD teaching a priority, only 76 (17%) programs provide ORD instruction. Program directors formally trained in ORD were more likely to offer ORD instruction (61% vs 11%; p < 0.0001), as were obstetrics/gynecology programs (obstetrics/gynecology 35% vs surgery 18%, neurosurgery 16%, ophthalmology 14%, orthopaedics 14%; p < 0.05 each). Although EHR adoption and electronically available operative reports were common (91%), besides ophthalmology (31%) and obstetrics/gynecology (30%) programs, ORD with synoptic reporting was used in only 18% of programs overall. Program directors perceived major barriers to ORD instruction and synoptic reporting for ORD. CONCLUSIONS: Although most program directors consider ORD teaching an educational priority, incongruence exists between its perceived value and its adoption into surgical training. Operative report documentation with synoptic reporting is currently not common in most surgical subspecialties.
Authors: Arielle E Kanters; Joceline V Vu; Ari D Schuman; Inga Van Wieren; Ashley Duby; Karin M Hardiman; Samantha K Hendren Journal: Am J Surg Date: 2019-09-28 Impact factor: 2.565
Authors: Genevieve B Melton; Yan Wang; Elliot Arsoniadis; Serguei V S Pakhomov; Terrence J Adam; Mary R Kwaan; David A Rothenberger; Elizabeth S Chen Journal: Stud Health Technol Inform Date: 2015
Authors: Lia D Delaney; Kerry M Lindquist; Ryan Howard; Anne P Ehlers; C Ann Vitous; Michael Englesbe; Justin B Dimick; Dana A Telem Journal: Surg Endosc Date: 2021-07-14 Impact factor: 3.453