Highlights
- •Peer review of teaching is an "in-situ" method for faculty to learn about their teaching effectiveness.
- •A peer operative teaching instrument was developed that is systematic and can be adopted by other surgery departments.
- •Peer assessment of teaching can enhance faculty development curricula.
Abstract
Background
While teaching evaluation systems are common in academia, very little information
is available regarding formal coaching and peer review of teaching performance in
surgery. This article is a report on the development and implementation of a peer
review of operative teaching program.
Methods
Our process was designed using a multistep sequential model which included developing
a peer review of teaching instrument that was piloted to study the efficacy and utility
of the tool.
Results
Thirty-nine peer reviews of teaching were conducted. Among the most frequent challenges
that faculty identified were allowing residents to struggle/give autonomy, judging
when to take over the case, communicating effectively, being patient, balancing education
and patient safety, and giving feedback.
Conclusions
Our peer review of teaching program is systematic, feasible, and can be adopted by
other surgery departments. Faculty’s identified strengths and challenges have been
incorporated into our faculty development curricula.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Designing a comprehensive professional development program in a surgery department: process, measures, and lessons learned.J Surg Educ. 2019; 76: 727-737
- Peer Review of Teaching: A Sourcebook.second ed. Anker Publishing Company Inc. Bolton, MA2007 (Page 3)
- Evaluation of an evidence-based peer teaching assessment program.Am J Pharmaceut Educ. 2007; 71 (Article): 45
- Implementing peer review programs: a twelve-step model.in: To Improve the Academy. vol. 16. Jossey-Bass Publishers, San Francisco, CA1997
- Development of a peer teaching-assessment program and a peer observation and evaluation tool.Am J Pharmaceut Educ. 2008; 72 (Article): 147
- Observation of clinical teaching: interest in a faculty development program for surgeons.J Surg Educ. 2011; 68: 372-376
- Evaluating surgical coaching: a mixed methods approach reveals more than surveys alone.J Surg Educ. 2018; 75: 1520-1525
- A statewide surgical coaching program provides opportunity for continuous professional development.Ann Surg. 2018; 267: 868-873
- Video-based surgical coaching: an emerging approach to performance improvement.JAMA Surgery. 2016; 151: 282-283
- Clinical Supervision.Houghton-Mifflen, New York1973
- Cognitive Coaching. Norwood.Christopher Gordan, Mass1994
- The briefing, intraoperative teaching, debriefing model for teaching in the operating room.J Am Coll Surg. 2009; 208: 299-303
- Development of a model for evaluating teaching in the operating room.Curr Surg. 1993; 50: 523-527
- The reliability of an instrument for identifying and quantifying surgeons’ teaching in the operating room.Am J Surg. 2001; 181: 333-337
- Identification of teaching excellence in operating room and clinic settings.Am J Surg. 2002; 183: 251-255
- The national training programme for laparoscopic colorectal surgery in England: a new paradigm.The Association of Coloproctology of Great Britian and Ireland. 2011; 13: 614-616
- Design, delivery, and validation of a trainer curriculum for the national laparoscopic colorectal training program in England.Ann Surg. 2015; 261: 149-156
- What do we know about intraoperative teaching?.Ann Surg. 2017; 266: 251-259
- Assessing resident autonomy: what tools are available?.Bull Am Coll Surg. August 1, 2018;
- The feasibility of real-time intraoperative performance assessment with SIMPL (System for Improving and Measuring Procedural Learning): early experience from a multi-institutional trial.J Surg Educ. 2016; 73: e118-e130
- Resident autonomy in the operating room: how faculty assess real-time entrustability.Ann Surg. 2019; 269: 1080-1086
- Dissecting attending surgeons’ operating room guidance: factors that affect guidance decision making.J Surg Educ. 2015; 72: e137-e144
- Framework for faculty development in resident autonomy and entrustment in the operating room.JAMA Surgery. 2019; 154: 5-6
- Identification of behaviors and techniques for promoting autonomy in the operating room.Surgery. 2015; 158: 1102-1112
Article info
Publication history
Published online: September 11, 2020
Accepted:
August 30,
2020
Received in revised form:
August 24,
2020
Received:
April 2,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.