Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty

Introduction: Previous work suggests that patients do not understand the extent of trainee involvement in their care and are uncomfortable with trainee involvement. Methods: We recruited 202 English speaking patients with previous or planned total joint arthroplasty of the lower limb for a prosp...

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Autores principales:	Jessica Bryce, Silvio Ndoja, Prateek Goyal, Brent Lanting, James Howard
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2020
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/224480e5462c4f17af0529b361d3e8d4
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spelling	oai:doaj.org-article:224480e5462c4f17af0529b361d3e8d42021-12-01T22:38:13ZPatients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty10.36834/cmej.573351923-1202https://doaj.org/article/224480e5462c4f17af0529b361d3e8d42020-12-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/57335https://doaj.org/toc/1923-1202 Introduction: Previous work suggests that patients do not understand the extent of trainee involvement in their care and are uncomfortable with trainee involvement. Methods: We recruited 202 English speaking patients with previous or planned total joint arthroplasty of the lower limb for a prospective survey trial. We assessed participant’s knowledge of trainee level of education and confidence of trainee involvement in their surgery as a function of supervision. Results: Participants’ mean level of confidence in the consultant surgeon was 4.30 (SD±1.13) on a 5-point Likert scale. Confidence in residents was significantly less, regardless of resident experience (p < 0.05). 11.1% of participants did not want trainees involved in their treatment. 60.6% would like to know more about the education level of the trainee. Less than half of participants correctly identified the education level of residents and fellows. Conclusion: Patient confidence in trainees performing part or all of their surgery increases with resident experience and supervision. Most patients do not understand the hierarchy in education of medical trainees and would like to know more about the education level of the trainee involved in their care. Further work should explore how we can help patients better understand trainee involvement in their surgical care. Jessica BryceSilvio NdojaPrateek GoyalBrent LantingJames HowardCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 12, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Jessica Bryce Silvio Ndoja Prateek Goyal Brent Lanting James Howard Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
description	Introduction: Previous work suggests that patients do not understand the extent of trainee involvement in their care and are uncomfortable with trainee involvement. Methods: We recruited 202 English speaking patients with previous or planned total joint arthroplasty of the lower limb for a prospective survey trial. We assessed participant’s knowledge of trainee level of education and confidence of trainee involvement in their surgery as a function of supervision. Results: Participants’ mean level of confidence in the consultant surgeon was 4.30 (SD±1.13) on a 5-point Likert scale. Confidence in residents was significantly less, regardless of resident experience (p < 0.05). 11.1% of participants did not want trainees involved in their treatment. 60.6% would like to know more about the education level of the trainee. Less than half of participants correctly identified the education level of residents and fellows. Conclusion: Patient confidence in trainees performing part or all of their surgery increases with resident experience and supervision. Most patients do not understand the hierarchy in education of medical trainees and would like to know more about the education level of the trainee involved in their care. Further work should explore how we can help patients better understand trainee involvement in their surgical care.
format	article
author	Jessica Bryce Silvio Ndoja Prateek Goyal Brent Lanting James Howard
author_facet	Jessica Bryce Silvio Ndoja Prateek Goyal Brent Lanting James Howard
author_sort	Jessica Bryce
title	Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
title_short	Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
title_full	Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
title_fullStr	Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
title_full_unstemmed	Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
title_sort	patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty
publisher	Canadian Medical Education Journal
publishDate	2020
url	https://doaj.org/article/224480e5462c4f17af0529b361d3e8d4
work_keys_str_mv	AT jessicabryce patientsperspectivesontheextentofresidentparticipationintheoperatingroomfortotalhiporkneearthroplasty AT silviondoja patientsperspectivesontheextentofresidentparticipationintheoperatingroomfortotalhiporkneearthroplasty AT prateekgoyal patientsperspectivesontheextentofresidentparticipationintheoperatingroomfortotalhiporkneearthroplasty AT brentlanting patientsperspectivesontheextentofresidentparticipationintheoperatingroomfortotalhiporkneearthroplasty AT jameshoward patientsperspectivesontheextentofresidentparticipationintheoperatingroomfortotalhiporkneearthroplasty
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Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty

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