Welcome to the AHS 2020 ePoster Session. Please scroll down to view all of the submitted posters or press Control-F to search. To view the poster and its abstract, click on the poster image. Many posters also have a brief audio introduction which can be played by going to the bottom of the poster screen.
P041: RESIDENCY COMPLETION QUESTIONNAIRE OF THE PROGRAM OF ABDOMINAL WALL SURGERY IN A TERTIARY UNIVERSITY SERVICE IN BRAZIL
Joao Paulo V Carvalho, MD; Luca Giovanni A Pivetta, MD; Renata Yumi L Konichi; Jessica Z Macret, MD; Pedro Henrique F Amaral, MD; Sergio Roll, FACS; Santa Casa School of Medical Sciences
Background: A residency completion questionnaire is a viable, inexpensive and effective method in obtaining relevant information about teaching in an university hospital, contributing to the reliability of the information collected.
The abdominal wall surgery service started in Santa Casa de Misericordia de São Paulo in 2013, being part of the residency, as a structured program, since 2014, and trained 24 residents in this period.
We aim to report the quality of our abdominal wall surgery program through this questionnaire, as well as the incorporation of the techniques covered during the program into the individual practice of each research subject.
Methods: The graduates and residents who completed the abdominal wall program, from 2014 to 2019, were invited to answerby e-mail or telephone a standardized questionnaire (10 closed questions about the teaching program, 5 questions that will subjectively assess the mastery of specific techniques covered – Lichtenstein, transabdominal preperitoneal (TAPP) hernia repair, Rives-Stoppa, transversus abdominis release (TAR), anterior component separation- and 5 questions about the medical practice).
Those who accepted to participate (n= 22, 92%), signed an individual term, and answered the questionnaire, guaranteeing their anonymity.
We collected demographic data from the participants. Further, we perform a chi-square test to correlate the degree of confidence to the degree of satisfaction and to the security of performing the techniques. We considered p<0,10 significant.
Results: Twenty two graduates and residents (91% male, median age 35y) accepted to participate in this survey. When analyzing the questions about teaching program, 100% agreed, at some degree, that it contributed to learning abdominal wall surgery. Moreover,100% strongly agreed that the abdominal wall program was important to improve the quality of treatment offered to their patients and, when asked about if this time differentiated them from other surgeons, 95% strongly agreed and 5% agreed. Also 95% reported to have had contact with new technologies during the program.
When assessing the degree of confidence to perform specific procedures: Lichtenstein all students were confident. TAPP: 22% were confident, that may be attribute to the need of material donation to perform it in a tertiary public health hospital, what limits the number of procedures. Rives-Stoppa and anterior separation: 77% ware confident. TAR: 18% reported to be confident, corroborating the impression that is a complex procedure requiring further training.
Analyzing the satisfaction and degree of confidence only of TAR procedure (p=0,06) was significant at the chi-square test, which may be attributed to the small size of the sample.
And finally, a chi-square test correlating the degree of confidence to perform a specific procedure and its use in the participants’ practice, only rives-stoppa procedure was significant (p=0,00).
Conclusion: We believe that those results show the importance of a structured abdominal wall surgery program. To our knowledge, this is the first questionnaireto assess the teaching of the abdominal wall, and it may be a useful tool for continuous quality improvement.
Click the image below to expand: