Improving Surgical Outcomes by Expanding Residency Training

After identifying key activities that improve outcomes and reduce cost of care, CHOT researchers evaluated the residency board certification requirements
for the ABA, ABFM, ABIM, and ABS to identify gaps in residency training regarding these evidence-based activities.
Family Medicine, Internal Medicine, Surgery, and Anesthesiology residents are generally prepared to execute key perioperative activities identified, but

RESIDENCY TRAINING CAN BE IMPROVED FURTHER THROUGH EMPHASIS ON SPECIFIC KEY ACTIVITIES:

  • PREOPERATIVE STAGE

    EARLY PATIENT ENGAGEMENT: Promote discussions with patient on preparing for surgery (pre-habilitation), the risks and benefits of operation, and expectations for recovery process

  • INTRAOPERATIVE STAGE

    ADMINISTRATIVE COMPONENTS: Train residents to become more aware of organizational activities such as OR scheduling, quality improvement, facilities optimization and patient throughput

  • POSTOPERATIVE STAGE

    POST-DISCHARGE PLANNING: Enhance training in pain management, nausea and vomiting prevention and treatment, and post discharge patient education and follow-up

Cline, K. M., Roopani, R., Kash, B. A., & Vetter, T. R. (2015, June). Residency Board Certification Requirements and Preoperative Surgical Home Activities in the United States: Comparing Anesthesiology, Family Medicine, Internal Medicine, and Surgery. The Open Mind, 120(6), 1420-1425.

PREOPERATIVE STAGE
EARLY PATIENT ENGAGEMENT: Promote discussions with patient on preparing for surgery (pre-habilitation), the risks and benefits of operation, and expectations for recovery process
INTRAOPERATIVE STAGE
ADMINISTRATIVE COMPONENTS: Train residents to become more aware of organizational activities such as OR scheduling, quality improvement, facilities optimization and patient throughput
POSTOPERATIVE STAGE
POST-DISCHARGE PLANNING: Enhance training in pain management, nausea and vomiting prevention and treatment, and post discharge patient education and follow-up

Cline, K. M., Roopani, R., Kash, B. A., & Vetter, T. R. (2015, June). Residency Board Certification Requirements and Preoperative Surgical Home Activities in the United States: Comparing Anesthesiology, Family Medicine, Internal Medicine, and Surgery. The Open Mind, 120(6), 1420-1425.