Measuring surgical trainee perceptions to assess the operating room educational environment.
Abstract
OBJECTIVE: To determine measurable differences in the perception of learning between
junior and senior residents in the operating rooms of an obstetrics and gynecology
(OBGYN) residency program. DESIGN, SETTING, AND PARTICIPANTS: Using a cross-sectional
design, the Operating Room Educational Environment Measure (OREEM), a 40-item educational
environment inventory, was administered to 28 OBGYN residents from 1 training program,
who train at 3 hospital sites. The OREEM measures a trainee's perceptions of the teaching
surgeon, learning opportunities, operating room atmosphere, and workload. The primary
outcome was total OREEM scores and secondary outcomes were OREEM subscale scores,
global impression of education, and internal consistency and validity of the OREEM
scale. Group sample sizes of 10 and 10 achieved 80% power to detect a 10% difference
between group mean OREEM scores +/- 10% with a significance level of 0.05. RESULTS:
Twenty-four residents including 11 junior (postgraduate years 1 and 2) and 13 senior
(postgraduate years 3 and 4) residents were included in the analysis. Total OREEM
scores, learning opportunities, and workload/support subscale scores were significantly
lower for junior residents compared with senior residents across all sites. Perceptions
of learning at a multispecialty tertiary referral hospital were lower than the community
and regional hospitals. This was secondary to complexity of cases, subspecialty fellows,
and decreased opportunities to first-assist in the operating room. The OREEM demonstrated
acceptable reliability and construct validity. CONCLUSIONS: There are measurable differences
in perception of the operating room educational environment between junior and senior
OBGYN residents using the reliable and valid Operating Room Educational Environment
Measure.
Type
Journal articleSubject
Attitude of Health PersonnelCross-Sectional Studies
Educational Measurement
Gynecology
Humans
Internship and Residency
Obstetrics
Obstetrics and Gynecology Department, Hospital
Operating Rooms
Surveys and Questionnaires
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https://hdl.handle.net/10161/15389Published Version (Please cite this version)
10.1016/j.jsurg.2010.04.006Publication Info
Diwadkar, Gouri B; & Jelovsek, J Eric (2010). Measuring surgical trainee perceptions to assess the operating room educational environment.
J Surg Educ, 67(4). pp. 210-216. 10.1016/j.jsurg.2010.04.006. Retrieved from https://hdl.handle.net/10161/15389.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
John E Jelovsek
Professor of Obstetrics and Gynecology
Dr. Jelovsek is the F. Bayard Carter Distinguished Professor of OBGYN at Duke University
and serves as Director of Data Science for Women’s Health. He is Board Certified in
OBGYN by the American Board of OBGYN and in Female Pelvic Medicine & Reconstructive
Surgery by the American Board of OBGYN and American Board of Urology. He has an active
surgical practice in urogynecology based out of Duke Raleigh. He has expertise as
a clinician-scientist in developing and evaluating clini

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