The Value Of Rotation Specific Guides For Resident Education And Patient Care During A Pandemic
Michelle Coughlin, M.D., Dianna Ehlert, MSN, RN, CNL, AGACNP-BC, Yevgeniy Rits, M.D..
Detroit Medical Center, Detroit, MI, USA.
OBJECTIVES: Providing high-quality cost-effective patient care includes not only knowledge of treatment, but also an understanding of the institution's procedures Dissemination of evidence-based practice guidelines and rotation-specific administrative policies/procedures effectively is challenging. This challenge increased during the Covid-19 pandemic as face-to-face group instruction was limited. We determined by root cause analysis, that the solution was to use a structured guide containing rotation-specific information. The purpose of this study was to evaluate the effectiveness of a rotation-specific pocket reference guide to distribute evidence-based and rotation-specific practice information to individuals rotating through an Academic Vascular Surgery service. We had two objectives: to quantitatively measure the effectiveness of information dissemination and to qualitatively evaluate the medical residents’ perceptions of increased efficacy, efficiency, and comfort providing patient care.
METHODS: We conducted a prospective study at our Academic Hospital from November 2020 through February 2021. The inclusion criteria included individuals rotating on the Vascular Surgery rotation in the given time frame and that agreed to take a pre- and post- evaluation. The evaluation consisted of a quantitative 10-question test containing five service-specific questions and five Vascular Surgery knowledge questions and a qualitative questionnaire. There were 12 participants included in the study. This yielded 12 pre-evaluation forms and eight post-evaluation forms. Participants' scores were analyzed using t-test with significance given for a p-value of <0.05.
RESULTS: There was significant improvement in quantifiable knowledge as participants’ scores increased on post-rotation testing scoring with an average of 88 percent post-rotation compared to 58 percent pre-rotation (p<0.01). Improvement was seen in both procedural and knowledge based questions. Individuals evaluated post-rotation indicated the usefulness ofthe guide as an educational tool for the dissemination of evidence-based practice (p<0.01) and increased confidence in placing preoperative orders (p<0.01). Table 1 demonstrates the pre/post responses. Participants also indicated their preferred learning style. There was an increase preference for written learning on post evaluation. CONCLUSIONS: This study supports the implementation of rotation guides as a preparatory source used to improve dissemination of rotation-specific information, increase resident efficacy, and improve cost effectiveness, especially during pandemic conditions where face-to-face group instruction is limited.
| Pre-Rotation Average | Post Rotation Average | p-value | |
| Test Score* | 0.58 | 0.88 | <0.01 |
| I am Comfortable Entering Pre-op Orders | 3.17 | 4.50 | 0.01 |
| I Know what Pre-op Antibiotics to Order | 3.33 | 4.63 | <0.01 |
| Rotation Specific Guides are Useful | 3.25 | 4.50 | <0.01 |
| I am Comfortable Ordering Vascular Studies | 3.00 | 3.88 | 0.09 |
| I am comfortable Treating Vascular Surgery Patients | 3.09 | 4.00 | 0.26 |
| I am Anxious Starting a New Rotation | 3.33 | 3.12 | 0.74 |
| Rotation-Specific Guides Increase my Efficiency | 4.25 | 4.38 | 0.97 |
| I can Improve in Providing High Quality Healthcare | 4.33 | 4.38 | 0.97 |
Back to 2022 ePosters