Abstract：
Studies have shown that the confidence of surgical residents to perform procedures after completing residency can be affected by their volume of operative experiences. Many surgical residencies span multiple hospitals with a multitude of attendings providing additional educational opportunities available via cross-coverage. This study aims to evaluate the use of a mobile application (app) for operative cross-coverage to improve surgical opportunities in a large surgical residency program and decrease the number of uncovered cases.
An app allowing for uncovered cases to be sent to all surgical residents was used starting March 2022. A survey was completed by residents pre- and postapp implementation. A retrospective chart review was conducted of all general surgery procedures at the 2 major hospital systems 4 months before and after implementation to evaluate resident case coverage.
In the preapp survey, 71% (27/38) of residents noted cross-covering 1 or more cases a month with 90% (34/38) reporting, they were unaware of all cases available. In the postapp survey, 100% of residents reported better awareness of available cases, 97% (35/36) reported uncovered cases were more easily accessible, 100% felt the app simplified finding coverage, and 100% wanted to continue the app long-term. On retrospective review, 7210 cases were identified in the preapp and postapp period with an increased volume of cases in the postapp period. After implementation of the case coverage app, there was a significant increase in total case coverage (p = <0.001) as well as a significant increase in coverage of endoscopic (p = 0.007), laparoscopic (p = 0.025), open (p = 0.015) and robotic cases (p = <0.001).
This study shows the impact that technological innovation can play in the education and operative experiences of surgical residents. This can be used to improve operative experiences of residents in various surgical fields in any training program throughout the country.
An app allowing for uncovered cases to be sent to all surgical residents was used starting March 2022. A survey was completed by residents pre- and postapp implementation. A retrospective chart review was conducted of all general surgery procedures at the 2 major hospital systems 4 months before and after implementation to evaluate resident case coverage.
In the preapp survey, 71% (27/38) of residents noted cross-covering 1 or more cases a month with 90% (34/38) reporting, they were unaware of all cases available. In the postapp survey, 100% of residents reported better awareness of available cases, 97% (35/36) reported uncovered cases were more easily accessible, 100% felt the app simplified finding coverage, and 100% wanted to continue the app long-term. On retrospective review, 7210 cases were identified in the preapp and postapp period with an increased volume of cases in the postapp period. After implementation of the case coverage app, there was a significant increase in total case coverage (p = <0.001) as well as a significant increase in coverage of endoscopic (p = 0.007), laparoscopic (p = 0.025), open (p = 0.015) and robotic cases (p = <0.001).
This study shows the impact that technological innovation can play in the education and operative experiences of surgical residents. This can be used to improve operative experiences of residents in various surgical fields in any training program throughout the country.
摘要：
目的：研究表明，手术住院医师完成手术后执行手术的信心会受到手术经验的影响。许多外科住院医师跨越多家医院，有许多就诊人员，可通过交叉覆盖提供额外的教育机会。这项研究旨在评估使用移动应用程序（应用程序）进行手术交叉覆盖，以改善大型手术住院医师计划中的手术机会并减少未发现的病例数量。
方法：从2022年3月开始使用允许将未发现的病例发送给所有手术住院医师的应用程序。居民在应用前和应用后完成了一项调查。在实施前后4个月，对2家主要医院系统的所有普外科程序进行了回顾性图表审查，以评估居民病例覆盖率。
结果：在应用前调查中，71%(27/38)的居民注意到每月交叉覆盖1例或更多病例，其中90%(34/38)报告，他们不知道所有可用的病例。在应用后调查中，100%的居民报告对现有病例有更好的认识，97%(35/36)报告的未发现病例更容易获得，100%觉得应用程序简化了查找覆盖范围，100%的人希望能长期使用这款应用。在回顾性审查中，在应用前和应用后期间确定了7210例，在应用后期间病例量增加。实施案例覆盖应用程序后，总病例覆盖率显着增加（p=<0.001），内镜覆盖率显着增加（p=0.007），腹腔镜（p=0.025），开放(p=0.015)和机器人案例(p=<0.001)。
结论：本研究显示了技术创新对外科住院医师的教育和手术经验的影响。这可用于在全国任何培训计划中改善各种手术领域的居民的手术经验。
方法：从2022年3月开始使用允许将未发现的病例发送给所有手术住院医师的应用程序。居民在应用前和应用后完成了一项调查。在实施前后4个月，对2家主要医院系统的所有普外科程序进行了回顾性图表审查，以评估居民病例覆盖率。
结果：在应用前调查中，71%(27/38)的居民注意到每月交叉覆盖1例或更多病例，其中90%(34/38)报告，他们不知道所有可用的病例。在应用后调查中，100%的居民报告对现有病例有更好的认识，97%(35/36)报告的未发现病例更容易获得，100%觉得应用程序简化了查找覆盖范围，100%的人希望能长期使用这款应用。在回顾性审查中，在应用前和应用后期间确定了7210例，在应用后期间病例量增加。实施案例覆盖应用程序后，总病例覆盖率显着增加（p=<0.001），内镜覆盖率显着增加（p=0.007），腹腔镜（p=0.025），开放(p=0.015)和机器人案例(p=<0.001)。
结论：本研究显示了技术创新对外科住院医师的教育和手术经验的影响。这可用于在全国任何培训计划中改善各种手术领域的居民的手术经验。
