Too many excuses for not teaching in the operating room and one simple solution: Faculty feedback

摘要

Surgical residents are performing fewer operations. Both surgical trainees and program directors are concerned about graduating residents' readiness to enter practice and ability to perform procedures independently after completing residency. As a result, the importance of effective intraoperative teaching is coming into greater focus.While declining resident duty hours are frequently cited as the etiology of these concerns, this explanation alone is too simplistic. There are other significant obstacles that disrupt intraoperative resident education. The unstructured operative experience; intolerance of er-rors; the realities of the finan-cial landscape;and the everpresent push for greater efficiency all have a significant negative impact on education. Finally, there has also been a fundamental disruption in the sequence of resident training, with assignments frequently based on coverage needs rather than the educational benefit to the trainee.