Utilization of a quality reporting system to increase faculty participation in resident operative assessment.

Abstract

A quality collaborative across our hospital system was initiated to track surgical outcomes. We sought to determine whether incorporating a resident operative performance assessment into this quality collaborative would increase the quantity and quality of these assessments and impact relevant milestones. A resident operative assessment was added to a quality reporting system required to be completed by faculty at the completion of 2 operations. Three milestones directly related to operative performance were analyzed-Patient Care 3, Medical Knowledge 2, and Interpersonal and Communication Skills 3. Residents were divided in 2 groups: quality collaborative (≥10 operative assessments) and no quality collaborative (<10 operative assessments). Milestones from Spring 2019 and Fall 2019 were analyzed. Faculty participation was 86% with 407 assessments completed from February to October 2019. A difference in the rate of change in resident performance for Patient Care 3 (+0.95 vs +0.55; P = .04) and Interpersonal and Communication Skills 3 (+1.05 vs +0.52; P = .02) was observed for those residents in the quality collaborative group (n = 20) compared with baseline data. Addition of an operative assessment to a mandatory quality collaborative increases faculty participation and impacts resident milestone determination. These findings highlight opportunities to find innovative and efficient methods to improve faculty engagement.