Education Morbidity and Mortality: Reviving Intraoperative Teaching and Learning

Background: Using the platform of morbidity and mortality conference, we developed and executed a combined faculty-resident intervention called Education M&M to discuss challenges faced by both parties in the operating room (OR), identify realistic solutions, and implement action plans. This study aimed to investigate the impact of this intervention on resident OR training. Materials and Methods: Two resident case presentations were followed by audience discussion and recommendations regarding actionable solutions aimed at improving resident OR training from an expert faculty panel. Postintervention surveys were completed by participants immediately and 2 mo later to assess perceived short and long-term impact on OR teaching and/or learning and the execution of two recommended solutions. Descriptive statistical analysis was applied. Results: Immediate post-intervention surveys (n = 44) indicated that 81.8% of participants enjoyed the M&M a lot; 90.1% said they would use some or a lot of the ideas presented. Awareness of OR teaching/learning challenges before and after the M&M improved from 3.0 to 3.7 (P = 0.00001) for faculty and 3.0 to 3.9 for trainees (P = 0.00004). Understanding of OR teaching and/or learning approaches improved from 3.1 to 3.7 for faculty (P = 0.00004) and 2.7 to 3.9 for trainees (P = 0.00001). In 2-mo post-intervention surveys, most residents had experienced two recommended solutions (71% and 88%) in the OR, but self-reported changes to faculty behavior did not reach statistical significance. Conclusions: A department-wide education M&M could be an effective approach to enhance mutual communication between faculty members and residents around OR teaching/learning by identifying program-specific challenges and potential actionable solutions. (C) 2021 Elsevier Inc. All rights reserved.

Automated summary

The Education M&M intervention improved awareness of challenges in OR teaching/learning among faculty and residents, as well as understanding of teaching and learning approaches. Most residents implemented the recommended solutions, but reported changes in faculty behavior did not reach statistical significance. This department-wide approach could enhance communication and identification of actionable solutions for OR training.