Improved Perceptions of Education and Wellness Among General Surgery Residents and Faculty After the Implementation of Outpatient Scribes

Tohmasi, Steven; Naaseh, Ariana; Thompson, Sean; Smith, Brian R.

doi:10.1177/00031348211024968

Cited by 11 publications

(16 citation statements)

References 11 publications

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“…Assistance with clerical burden by hiring patient coordinators, dictation services, and medical scribes reduces resident burnout 70 . After working with outpatient scribes for 12 months, 80% to 90% of general surgery residents felt scribes enabled them to focus more on patient care, reduced workload, and improved well‐being and adherence to duty hour restrictions 71 . Residents and faculty believed outpatient scribes enhanced quality of surgical education by allowing more time for teaching 71 …”

Section: Discussionmentioning

confidence: 99%

“…71 Residents and faculty believed outpatient scribes enhanced quality of surgical education by allowing more time for teaching. 71 Protected nonclinical time can also improve resident wellbeing. Two hours per week of protected nonclinical time was associated with decreased EE and increased well-being without affecting surgical case or clinic coverage; there were improvements in job stress, control over workload, and time for documentation.…”

Section: Strategies For Changementioning

confidence: 99%

“…70 After working with outpatient scribes for 12 months, 80% to 90% of general surgery residents felt scribes enabled them to focus more on patient care, reduced workload, and improved well-being and adherence to duty hour restrictions. 71 Residents and faculty believed outpatient scribes enhanced quality of surgical education by allowing more time for teaching. 71 Protected nonclinical time can also improve resident wellbeing.…”

Section: Strategies For Changementioning

confidence: 99%

See 2 more Smart Citations

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Shah

Salehi

Ihnat

et al. 2022

Otolaryngol.--head neck surg.

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Objective To perform a literature review on burnout prevalence, factors that affect burnout and well-being, and solutions to address burnout in otolaryngology–head and neck surgery (OTO-HNS) residents and residents in other surgical specialties. Data Sources Ovid Medline, Embase, and article reference lists. Review Methods A literature search was performed to identify articles on resident burnout, distress, wellness, well-being, and quality of life. Articles deemed outside the scope of the current work were excluded. Search was limited to the past 5 years. Conclusions Moderate to high burnout has been reported in 35% to 86% of OTO-HNS residents. Among other surgical specialties, resident burnout ranges between 58% and 66% in plastics, 11% and 67% in neurosurgery, 38% and 68% in urology, and 31% and 56% in orthopedics. Highest burnout rates were seen in postgraduate year 2 residents. Factors significantly associated with burnout included hours worked (>80 h/wk), level of autonomy, exercise, and program support. Reported resident work hours have steadily increased: 8% of OTO-HNS residents in 2005 vs 26% in 2019 reported averaging >80 h/wk. Practical implications of resident burnout include decreased empathy, moral distress and injury, poor health, decreased quality of life, increased attrition, decreased desire to pursue fellowship, and increased likelihood of medical errors. Structured mentorship programs, wellness initiatives, and increased ancillary support have been associated with lower burnout rates and improvements in resident well-being across specialties. Implications for Practice Addressing burnout, which is prevalent in OTO-HNS residents, is critical to improving patient care and physician well-being. Surgical specialties can share strategies to effectively address resident burnout through institutional interventions, which can be essential quality improvement initiatives, to promote well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Strategies For Changementioning

confidence: 99%

Section: Strategies For Changementioning

confidence: 99%

See 1 more Smart Citation

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Shah

Salehi

Ihnat

et al. 2022

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…In recent years, much attention has focused on many aspects of the training process, such as surgical and academic aspects, and residents' various problems [ 9 , 10 , 11 , 12 ]. However, while it has been demonstrated that urology resident involvement is not associated with increased overall and surgical complications [ 13 ], very few studies have evaluated the training of surgical and urology residents from the point of view of the patient, who is a passive participant in their medical education.…”

Section: Discussionmentioning

confidence: 99%

Patients' perceptions of quality of care delivery by urology residents: A nationwide study

et al. 2022

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Objective To present the results of a nationwide survey among urological patients to evaluate their perception of the quality of care provided by residents. Methods An anonymous survey was distributed to patients who were referred to 22 Italian academic institutions. The survey aimed to investigate the professional figure of the urology resident as perceived by the patient. Results A total of 2587 patients were enrolled in this study. In all, 51.6% of patients were able to correctly identify a urology resident; however, almost 40% of respondents discriminated residents from fully trained urologists based exclusively on their young age. Overall, 98.2% patients rated the service provided by the resident as at least sufficient. Urology trainees were considered by more than 50% of the patients interviewed to have good communication skills, expertise and willingness. Overall, patients showed an excellent willingness to be managed by urology residents. The percentage of patients not available for this purpose showed an increasing trend that directly correlated with the difficulty of the procedure. Approximately 5–10% of patients were not willing to be managed by residents for simple procedures such as clinical visits, cystoscopy or sonography, and up to a third of patients were not prepared to undergo any surgical procedure performed by residents during steps in major surgery, even if the residents were adequately tutored. Conclusions Our data showed that patients have a good willingness to be managed by residents during their training, especially for medium‐ to low‐difficulty procedures. Furthermore, the majority of patients interviewed rated the residents' care delivery as sufficient. Urology trainees were considered to have good communication skills, expertise and willingness.

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“…Physicians reported increased satisfaction with medical scribing services, greater overall productivity (patients seen per hour), and cost savings due to reduced time spent charting per patient [14]. Tohmasi et al in an electronic survey study on general surgery residents and faculty using outpatient scribes concluded that the implementation of medical scribes enhanced the residents' education and wellness by mitigating resident fatigue, improving adherence to duty hour restrictions, and allowing faculty and residents more time to focus on patient care and education [16]. Similarly, Gottlieb et al reported that the presence of a medical scribe improved both provider and patient satisfaction [15].…”

Section: Medical Scribesmentioning

confidence: 99%

Interfacing With the Electronic Health Record (EHR): A Comparative Review of Modes of Documentation

Avendano¹,

Gallagher²,

Hawes³

et al. 2022

Cureus

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Electronic health records (EHRs) have provided physicians with a systematic framework for collecting patient data, organizing notes from the healthcare team, and managing the daily workflow in the modern era of healthcare. Despite these advantages, EHRs have proven to be problematic for clinicians. The burdensome regulations requiring increased documentation with the EHR paradigm have led to inefficiencies from dataentry requirements forcing physicians to spend an inordinate amount of time on it, affecting the time available for direct patient care as well as leading to professional burnout. As a result, new modalities such as speech recognition, medical scribes, pre-made EHR templates, and digital scribes [a form of artificial intelligence (AI) based on ambient speech recognition] are increasingly being used to reduce charting time and increase the time available for patient care. The purpose of our review is to provide an up-to-date review of the literature on these modalities including their benefits and shortcomings, to help physicians and other medical professionals choose the best methods to document their patient-care encounters efficiently and effectively.

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Improved Perceptions of Education and Wellness Among General Surgery Residents and Faculty After the Implementation of Outpatient Scribes

Cited by 11 publications

References 11 publications

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Resident Burnout and Well‐being in Otolaryngology and Other Surgical Specialties: Strategies for Change

Patients' perceptions of quality of care delivery by urology residents: A nationwide study

Interfacing With the Electronic Health Record (EHR): A Comparative Review of Modes of Documentation

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