title: Operative report teaching and synoptic operative reports: a national survey of surgical program directors.
abstract: BACKGROUND
  Although operative report documentation (ORD) is an essential skill for surgeons and is evolving with electronic health records (EHRs), little is known about current ORD teaching in surgical training.
  
  
  METHODS
  An electronic survey was sent out in January 2012 to all 1,096 ACGME surgical program directors that assessed characteristics of training programs, EHR adoption, ORD education, synoptic or templated report usage for ORD, and attitudes and opinions about ORD education and electronic tools for ORD. Content thematic analysis of qualitative responses was performed iteratively until reaching saturation.
  
  
  RESULTS
  Overall, 441 program directors (40%; 17.9 ± 8.8 years in practice) responded from university-affiliated (383 [87%]), community/private (44 [10%]), and military (14 [3%]) programs. Although most (n = 295 [67%]) consider ORD teaching a priority, only 76 (17%) programs provide ORD instruction. Program directors formally trained in ORD were more likely to offer ORD instruction (61% vs 11%; p < 0.0001), as were obstetrics/gynecology programs (obstetrics/gynecology 35% vs surgery 18%, neurosurgery 16%, ophthalmology 14%, orthopaedics 14%; p < 0.05 each). Although EHR adoption and electronically available operative reports were common (91%), besides ophthalmology (31%) and obstetrics/gynecology (30%) programs, ORD with synoptic reporting was used in only 18% of programs overall. Program directors perceived major barriers to ORD instruction and synoptic reporting for ORD.
  
  
  CONCLUSIONS
  Although most program directors consider ORD teaching an educational priority, incongruence exists between its perceived value and its adoption into surgical training. Operative report documentation with synoptic reporting is currently not common in most surgical subspecialties.
authors.affiliation: Department of Surgery, University of Minnesota, Minneapolis, MN; Institute for Health Informatics, University of Minnesota, Minneapolis, MN. Electronic address: gmelton@umn.edu.
authors.forename: Genevieve B
authors.initials: GB
authors.lastname: Melton
authors.affiliation: Department of Surgery, University of Minnesota, Minneapolis, MN; Institute for Health Informatics, University of Minnesota, Minneapolis, MN.
authors.forename: Nora E
authors.initials: NE
authors.lastname: Burkart
authors.affiliation: Institute for Health Informatics, University of Minnesota, Minneapolis, MN.
authors.forename: Nathan G
authors.initials: NG
authors.lastname: Frey
authors.affiliation: Department of Surgery, University of Minnesota, Minneapolis, MN.
authors.forename: Jeffrey G
authors.initials: JG
authors.lastname: Chipman
authors.affiliation: Department of Surgery, University of Minnesota, Minneapolis, MN.
authors.forename: David A
authors.initials: DA
authors.lastname: Rothenberger
authors.affiliation: Department of Surgery, University of Minnesota, Minneapolis, MN.
authors.forename: Selwyn M
authors.initials: SM
authors.lastname: Vickers
mesh_terms: D003479:Curriculum; D004282:Documentation; D057286:Electronic Health Records; D019538:Health Care Surveys; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D036301:Qualitative Research; D013043:Specialties, Surgical / Q000193:education* / Q000379:methods; D013514:Surgical Procedures, Operative / Q000193:education*; D014481:United States