JMIR Publications

ABSTRACT

Background:

Learning in the operating room for residents in anesthesiology is difficult, but critically important for successful resident education. Numerous approaches have been attempted in the past to varying degrees of success, with efficacy often judged via use of surveys.

Objective:

The objective of this study was to determine if a structured intraoperative keyword training program could be utilized to implement a curriculum to improve teaching in the operating room and facilitate impactful discussion between residents and faculty.

Methods:

Using the ABA keywords from the Open Anesthesia website, a weekly intraoperative didactic curriculum was developed. From July 2019 until June 2021, five different keywords were assembled into a worksheet with discussion questions for each; these sheets were distributed by email to all residents and faculty. They were instructed to discuss at least one keyword each day in the operating room, clinical conditions permitting. Following June 2021, an electronic survey was distributed to the residents to evaluate the efficacy of the keyword program.

Results:

Ninety percent of residents completed the survey evaluating the efficacy of the intraoperative keyword program. Survey results showed no improvement in intraoperative teaching based on respondent perception, despite slight improvement in teaching time (statistically insignificant) and favorable aspects of the program including use of a set curriculum.

Conclusions:

Although learning is difficult in the operating room for residents, the use of a formalized didactic curriculum, centered on daily keywords, does not appear to be a useful solution for residents and faculty.