Initiatives and Projects
Education and Quality Improvement begins and ends with teamwork and communication. Medicine allows as a clear focus of our attention...the patient. Surgery is especially dependent on teamwork to ensure a smooth deployment of patient centered, technically proficient, and keen clinical decision making. As the clinical and education background environment in medical training becomes more complex, it is most important to train together and be mindful of the patients and learners at the center of all our efforts.
Interprofessional In-situ Team Training in the Operating Room
Surgery, Anesthesia, and the Stanford Operating Room has banded together to conduct monthly interprofessional in-situ simulations that results in debriefs that espouses and promotes speaking up in crisis situations of all in the OR setting. This program, funded by the Risk Authority, has expanded into a platform that aims at culture change in the operating room. The emphasis is on communication and teamwork. Process improvement at a grass roots level has been the amazing result of these simulations. This platform is being sought by other areas of the hospital for patient safety and culture change.
Blended Learning in Surgery Core Clerkship
Curricular change three years ago that utilizes out of class videos and in class participation of core clerkship medical students in case discussions and skills sessions. The student mistreatment program is in-bedded within this innovative core surgery curriculum. The mistreatment program utilizes videos for discussion in week 2 and week 8 of the clerkship to empower the students for advocacy and reporting.
Operative Assessment App
Scrubhub is a Stanford Surgery App designed for the Apple and Android operating systems to easily complete operative assessments for surgical residents. This allows the resident to push evaluations to the attending after each case. The push notification reminds the attending to complete the OSATS that encompass open cases, laparoscopic cases, robotic cases, endoscopies, inpatient encounters, and outpatient encounters. The App utilized the talk to text function of the smartphone to capture the essential learning point to be conveyed. Evaluations are linked to the residency learning management system and is intended to prompt face to face feedback from attending to resident.