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

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.

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