Influence of Provider Type (Nurse Anesthetist or Resident Physician), Staff Assignments, and Other Covariates on Daily Evaluations of Anesthesiologists’ Quality of Supervision

Abstract

Although the attributes that residents and CRNA perceive as constituting "supervision" significantly share commonalities, supervision scores should be analyzed separately for residents and CRNAs. Although mean supervision scores differ markedly among anesthesiologists, supervision scores are influenced negligibly by staff assignments (e.g., how busy the anesthesiologist is with other operating rooms).

Prolonged Operative Time to Extubation Is Not a Useful Metric for Comparing the Performance of Individual Anesthesia Providers

“…In contrast, anesthesiologists differ significantly in their clinical care, teaching, and teamwork when evaluated by the anesthesia providers with whom they work. [30][31][32][33][34] The principal limitation of our study results is that they are from just one university hospital, and several features of that hospital are prominent. First, nearly all cases were performed with an anesthesiologist supervising an anesthesia provider (e.g., resident physician or nurse anesthetist).…”

Quality of Supervision as an Independent Contributor to an Anesthesiologist’s Individual Clinical Value

“…9,10,13 Evaluation requests were sent automatically by e-mail when, on any given day, either a resident or nurse anesthetist worked with an anesthesiologist for ≥1 hour in an operative setting, determined from the anesthesia information management system. 15,16 For details, see the Appendix of our recent article, including its analyses and summary of the processes of case assignment.…”

“…15,16 For details, see the Appendix of our recent article, including its analyses and summary of the processes of case assignment. 9 The locations were our hospital's main surgical suite (32 ORs), ambulatory surgery center (8 ORs), urology suite, labor and delivery suite, electroconvulsive therapy suite, and pediatric catheterization laboratory. Residents and nurse anesthetists evaluated anesthesiologists' supervision using a secure webpage.…”

“…Residents and nurse anesthetists evaluated anesthesiologists' supervision using a secure webpage. 9 They answered the 9 questions developed by de Oliveira Filho et al 5 using a 4-point Likert scale (Table 1). The evaluation could only be submitted when all 9 questions were answered and could not be revised after submission.…”

“…9 We have established the reliability and validity of the question set (Table 1) when used both by residents 7,9,12 and nurse anesthetists. 8,9,13 When residents evaluated anesthesiologists, the Cronbach α coefficient = 0.885. 7 When nurse anesthetists evaluated anesthesiologists, the α = 0.895 (SE = 0.003).…”