Management of adverse surgical events: a structured education module for residents.
BACKGROUND
This pilot project involved the development of a structured, experiential, educational module using a bench model technical skills simulation and standardized patients. It integrated teaching and assessment of clinical, technical, and interpersonal skills, as well as professionalism within the context of an adverse surgical event.


METHODS
General surgery residents (postgraduate year [PGY] 2, 3) were asked to participate in the pre-, intra-, and postoperative management of a patient with a retroperitoneal sarcoma. Residents' performances during the module were assessed by standardized patients and faculty, and residents were provided feedback during debriefing sessions.


RESULTS
Resident performance during the module was appropriate for the level of training. Residents found this module to be a realistic, challenging, and beneficial learning experience.


CONCLUSIONS
Novel educational modules such as this one may serve as a useful addition to resident education in surgery residency programs, particularly in addressing patient safety and the core competencies. Reliability of the model may be enhanced by modifications of the module.
Brewster
Luke P
LP
Loyola University Medical Center, USA.
Risucci
Donald A
DA
Joehl
Raymond J
RJ
Littooy
Fred N
FN
Temeck
Barbara K
BK
Blair
Patrice Gabler
PG
Sachdeva
Ajit K
AK
D002983:Clinical Competence / Q000592:standards*; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control*; D010865:Pilot Projects; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D013514:Surgical Procedures, Operative / Q000009:adverse effects*