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Examining the Impact of Using the SIMPL Application on Feedback in Surgical Education.

Publication ,  Journal Article
Gunderson, K; Sullivan, S; Warner-Hillard, C; Thompson, R; Greenberg, JA; Foley, EF; Jung, HS
Published in: J Surg Educ
November 2018

OBJECTIVE: The System for Improving and Measuring Procedural Learning (SIMPL) smartphone application allows physicians to provide dictated feedback to surgical residents. The impact of this novel feedback medium on the quality of feedback is unknown. Our objective was to compare the delivery and quality of best-case operative performance feedback given via SIMPL to feedback given in-person. DESIGN: We collected operative performance feedback given both in-person and via SIMPL from surgeons to residents over 6 weeks. Feedback transcripts were coded using Verbal Response Modes speech acts taxonomy to compare the delivery of feedback. We evaluated quality of feedback using a validated resident survey and third-party assessment form. SETTING: University of Wisconsin School of Medicine and Public Health, a large academic medical institution. PARTICIPANTS: Four surgical attendings and 9 general surgery residents. RESULTS: Nineteen SIMPL and 18 in-person feedback encounters were evaluated. Feedback via SIMPL was more directive (containing thoughts, perceptions, evaluations of resident behavior, or advice) and contained more presumptuous utterances (in which the physician reflected on and assessed resident performance or offered suggestions for improvement) than in-person feedback (p = 0.01). The resident survey showed no significant difference between the quality of feedback given via SIMPL and in-person (p = 0.07). The mean score was 47.74 (SD = 3.00) for SIMPL feedback and 45.33 (SD = 4.77) for in-person feedback, with a total possible score of 50. Third-party assessment showed no significant difference between the quality of feedback given via SIMPL and in-person (p = 0.486). The mean score was 23.40 (SD = 3.75) for SIMPL feedback and 22.25 (SD = 5.94) for in-person feedback, with a total possible score of 30. CONCLUSIONS: Although feedback given via SIMPL was more direct and based on the attendings' perspectives, the quality of the feedback did not differ significantly. Use of the dictation feature of SIMPL to deliver resident operative performance feedback is a reasonable alternative to in-person feedback.

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Published In

J Surg Educ

DOI

EISSN

1878-7452

Publication Date

November 2018

Volume

75

Issue

6

Start / End Page

e246 / e254

Location

United States

Related Subject Headings

  • Surgery
  • Smartphone
  • Self Report
  • Mobile Applications
  • Internship and Residency
  • General Surgery
  • Formative Feedback
  • Clinical Competence
  • 3901 Curriculum and pedagogy
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Gunderson, K., Sullivan, S., Warner-Hillard, C., Thompson, R., Greenberg, J. A., Foley, E. F., & Jung, H. S. (2018). Examining the Impact of Using the SIMPL Application on Feedback in Surgical Education. J Surg Educ, 75(6), e246–e254. https://doi.org/10.1016/j.jsurg.2018.08.009
Gunderson, Kirsten, Sarah Sullivan, Charles Warner-Hillard, Ryan Thompson, Jacob A. Greenberg, Eugene F. Foley, and Hee Soo Jung. “Examining the Impact of Using the SIMPL Application on Feedback in Surgical Education.J Surg Educ 75, no. 6 (November 2018): e246–54. https://doi.org/10.1016/j.jsurg.2018.08.009.
Gunderson K, Sullivan S, Warner-Hillard C, Thompson R, Greenberg JA, Foley EF, et al. Examining the Impact of Using the SIMPL Application on Feedback in Surgical Education. J Surg Educ. 2018 Nov;75(6):e246–54.
Gunderson, Kirsten, et al. “Examining the Impact of Using the SIMPL Application on Feedback in Surgical Education.J Surg Educ, vol. 75, no. 6, Nov. 2018, pp. e246–54. Pubmed, doi:10.1016/j.jsurg.2018.08.009.
Gunderson K, Sullivan S, Warner-Hillard C, Thompson R, Greenberg JA, Foley EF, Jung HS. Examining the Impact of Using the SIMPL Application on Feedback in Surgical Education. J Surg Educ. 2018 Nov;75(6):e246–e254.
Journal cover image

Published In

J Surg Educ

DOI

EISSN

1878-7452

Publication Date

November 2018

Volume

75

Issue

6

Start / End Page

e246 / e254

Location

United States

Related Subject Headings

  • Surgery
  • Smartphone
  • Self Report
  • Mobile Applications
  • Internship and Residency
  • General Surgery
  • Formative Feedback
  • Clinical Competence
  • 3901 Curriculum and pedagogy
  • 3202 Clinical sciences