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dc.contributor.authorWheeler, Shannon C
dc.contributor.authorMiglani, Amar
dc.contributor.authorDeep, Nicholas L
dc.contributor.authorGirardo, Marlene E
dc.contributor.authorHinni, Michael
dc.contributor.authorLal, Devyani
dc.date.accessioned2019-07-23T17:51:16Z
dc.date.available2019-07-23T17:51:16Z
dc.date.issued2019-06
dc.identifier.citationWheeler, S. C., Miglani, A., Deep, N. L., Girardo, M. E., Hinni, M., & Lal, D. (2019). Evaluating narrative operative reports for endoscopic sinus surgery in a residency training program. Laryngoscope Investigative Otolaryngology.en_US
dc.identifier.issn2378-8038
dc.identifier.pmid31236459
dc.identifier.doi10.1002/lio2.264
dc.identifier.urihttp://hdl.handle.net/10150/633470
dc.description.abstractObjective: The narrative operative report (NR) bears testimony to critical elements of patient care. Residents' NRs also provide insights into their comprehension of the procedure. NR documentation is an informal element of surgical residency training but data regarding quality of such training are scant. We aim to evaluate the NR within a residency training program. Methods: The quality of NRs for endoscopic sinus surgery (ESS) was evaluated through a retrospective analysis of 90 NRs for ESS. Thirty-four elements that the attending surgeon regards as "critical" variables, or quality indicators (QIs), that should be documented, were studied to evaluate quality. A "performance metric (PM)," defined as the average percent of QIs dictated/total word count, was determined. Subgroup analysis by the level of training was additionally performed. Results: Surgical indications, procedural steps, and immediate postoperative findings were accurately documented in 71%, 84%, and 82% of patients, respectively. The attending surgeon had the highest proportion of included key elements (89% +/- 6.2%) followed by junior residents (87% +/- 5.7%) and then senior residents (80% +/- 14%) (P = .008). The attending surgeon also demonstrated the highest PM, followed by senior and then junior residents (P < .0001). Conclusions: The quality of NRs was found to be high overall, but not "perfect" for either the attending or trainee surgeon. The PM among residents was expectedly lower than the attending surgeon. We propose that a synoptic reporting system that ensures inclusion of key elements may be helpful in training residents (and attendings) in creating comprehensive and efficient NRs. Level of Evidence: 3en_US
dc.language.isoenen_US
dc.publisherWILEYen_US
dc.rights© 2019 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals, Inc. on behalf of The Triological Society. CC BY-NC-ND 4.0.en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectNarrative reporten_US
dc.subjectendoscopic sinus surgeryen_US
dc.subjectmedical educationen_US
dc.subjectoperative reporten_US
dc.subjectquality indicatorsen_US
dc.titleEvaluating narrative operative reports for endoscopic sinus surgery in a residency training programen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Coll Med Phoenixen_US
dc.identifier.journalLARYNGOSCOPE INVESTIGATIVE OTOLARYNGOLOGYen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleLaryngoscope investigative otolaryngology
refterms.dateFOA2019-07-23T17:51:16Z


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© 2019 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals, Inc. on behalf of The Triological Society. CC BY-NC-ND 4.0.
Except where otherwise noted, this item's license is described as © 2019 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals, Inc. on behalf of The Triological Society. CC BY-NC-ND 4.0.