Perioperative Teaching and Feedback: How are we doing in Canadian OTL-HNS programs?
- PMID: 30654839
- PMCID: PMC6337761
- DOI: 10.1186/s40463-019-0330-2
Perioperative Teaching and Feedback: How are we doing in Canadian OTL-HNS programs?
Abstract
Background: Discrepancies between resident and faculty perceptions regarding optimal teaching and feedback during surgery are well known but these differences have not yet been described in Otolaryngology - Head and Neck Surgery (OTL-HNS). The objectives were thus to compare faculty and resident perceptions of perioperative teaching and feedback in OTL-HNS residency programs across Canada with the aim of highlighting potential areas for improvement.
Methods: An anonymous electronic questionnaire was distributed to residents and teaching faculty in OTL-HNS across Canada with additional paper copies distributed at four institutions. Surveys consisted of ratings on a 5-point Likert scale and open-ended questions. Responses among groups were analysed with the Wilcoxon-Mann Whitney test, while thematic analysis was used for the open-ended questions.
Results: A total of 143 teaching faculty and residents responded with statistically significant differences on 11 out of 25 variables. Namely, faculty reported higher rates of pre and intra-operative teaching compared to resident reports. Faculty also felt they gave adequate feedback on residents' strengths and technical skills contrary to what the residents thought. Both groups did agree however that pre-operative discussion is not consistently done, nor is feedback consistently given or sought.
Conclusion: Faculty and residents in OTL-HNS residency programs disagree on the frequency and optimal timing of peri-operative teaching and feedback. This difference in perception emphasizes the need for a more structured approach to feedback delivery including explicitly stating when feedback is being given, and the overall need for better communication between residents and staff.
Keywords: Education; Feedback; Otolaryngology.; Perioperative; Teaching.
Conflict of interest statement
Ethics approval and consent to participate
Institutional ethics board approval was granted prior to the start of the study. Study number: A01-E02-15B.
Consent for publication
By completing the survey participants consented to participation in the study and had the right to withdraw at any point.
Competing interests
The authors declare that they have no competing interests.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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References
-
- Bing-You RG, Paterson J, Levine M. Feedback falling on deaf ears: residents’ receptivity to feedback tempered by sender credibility. Medical teacher. 1997;19:40–44. doi: 10.3109/01421599709019346. - DOI
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