Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care

Jason W. Kempenich, Ross Willis, Mohammed Al Fayyadh, Haisar Dao Campi, Tatiana Cardenas, William A. Hopper, Cynthia A. Giovannetti, Charles C. Reed, Daniel L Dent

Research output: Contribution to journalArticle

Abstract

Objective: Decipher if patient attitudes toward resident participation in surgical care can be improved with patient education using a video-based modality. Design: A survey using a 5-pt Likert scale was created, piloted, and distributed in general and colorectal surgery outpatient clinics that had residents involved with patient care at 2 facilities, both with control and intervention groups. The intervention group viewed a short video (∼4 min) explaining the role, education, and responsibilities of medical students, residents, and attending surgeons prior to answering the survey. Setting: General and colorectal surgery outpatient clinics at the University of Texas Health San Antonio, Texas. Participants: A total of 383 responses were collected, all clinic patients were eligible. Results: The majority of patients (82%) welcomed resident participation in their health care. Eighteen percent of patients did not expect residents to be involved in their care. Patients had favorable views of residents participating during their surgical procedures with 77% responding “agree” or “strongly agree” to a senior resident assisting with a complicated procedure. Patients who viewed the video versus control were less concerned with how much of the procedure the resident would perform (76% vs 86%, p = 0.010). Patients who viewed the video felt less inconvenienced (p = 0.004). Conclusions: The majority of patients are welcoming to resident participation in their surgical care but only 54% were expecting resident involvement at their clinic visit. Early explanation with an educational video of resident roles, education, and responsibilities may help bridge the gap and improve patient experience.

Original languageEnglish (US)
Pages (from-to)e61-e67
JournalJournal of Surgical Education
Volume75
Issue number6
DOIs
StatePublished - Nov 1 2018

Fingerprint

outpatient care
Patient Education
Ambulatory Care
video
resident
participation
education
Colorectal Surgery
Ambulatory Care Facilities
outpatient clinic
surgery
Education
responsibility
Medical Students
Patient Care
patient care
medical student
Delivery of Health Care
Group
Control Groups

Keywords

  • CIM
  • Commercial insurance or Medicare
  • graduate surgical education
  • informed consent
  • Interpersonal and Communication Skills
  • Limited option health coverage. Uninsured patients that are covered under a county-based health care payment plan or patients covered by Medicaid
  • LOHC
  • patient care
  • Patient Care
  • patient education
  • Professionalism

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Kempenich, J. W., Willis, R., Fayyadh, M. A., Campi, H. D., Cardenas, T., Hopper, W. A., ... Dent, D. L. (2018). Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care. Journal of Surgical Education, 75(6), e61-e67. https://doi.org/10.1016/j.jsurg.2018.07.024

Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care. / Kempenich, Jason W.; Willis, Ross; Fayyadh, Mohammed Al; Campi, Haisar Dao; Cardenas, Tatiana; Hopper, William A.; Giovannetti, Cynthia A.; Reed, Charles C.; Dent, Daniel L.

In: Journal of Surgical Education, Vol. 75, No. 6, 01.11.2018, p. e61-e67.

Research output: Contribution to journalArticle

Kempenich, JW, Willis, R, Fayyadh, MA, Campi, HD, Cardenas, T, Hopper, WA, Giovannetti, CA, Reed, CC & Dent, DL 2018, 'Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care', Journal of Surgical Education, vol. 75, no. 6, pp. e61-e67. https://doi.org/10.1016/j.jsurg.2018.07.024
Kempenich, Jason W. ; Willis, Ross ; Fayyadh, Mohammed Al ; Campi, Haisar Dao ; Cardenas, Tatiana ; Hopper, William A. ; Giovannetti, Cynthia A. ; Reed, Charles C. ; Dent, Daniel L. / Video-Based Patient Education Improves Patient Attitudes Toward Resident Participation in Outpatient Surgical Care. In: Journal of Surgical Education. 2018 ; Vol. 75, No. 6. pp. e61-e67.
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abstract = "Objective: Decipher if patient attitudes toward resident participation in surgical care can be improved with patient education using a video-based modality. Design: A survey using a 5-pt Likert scale was created, piloted, and distributed in general and colorectal surgery outpatient clinics that had residents involved with patient care at 2 facilities, both with control and intervention groups. The intervention group viewed a short video (∼4 min) explaining the role, education, and responsibilities of medical students, residents, and attending surgeons prior to answering the survey. Setting: General and colorectal surgery outpatient clinics at the University of Texas Health San Antonio, Texas. Participants: A total of 383 responses were collected, all clinic patients were eligible. Results: The majority of patients (82{\%}) welcomed resident participation in their health care. Eighteen percent of patients did not expect residents to be involved in their care. Patients had favorable views of residents participating during their surgical procedures with 77{\%} responding “agree” or “strongly agree” to a senior resident assisting with a complicated procedure. Patients who viewed the video versus control were less concerned with how much of the procedure the resident would perform (76{\%} vs 86{\%}, p = 0.010). Patients who viewed the video felt less inconvenienced (p = 0.004). Conclusions: The majority of patients are welcoming to resident participation in their surgical care but only 54{\%} were expecting resident involvement at their clinic visit. Early explanation with an educational video of resident roles, education, and responsibilities may help bridge the gap and improve patient experience.",
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