How do supervising surgeons evaluate guidance provided in the operating room?

Xiaodong Chen, Reed G. Williams, Hilary A. Sanfey, Gary L. Dunnington

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


This study explored the amount of guidance provided to residents in the operating room (OR) and the relationship of OR guidance with postgraduate year (PGY) and operative performance rating (OPR). We used OPR instruments to collect data from supervising surgeons after each performance. External expert raters blindly rated the amount of guidance for 5 videotaped performances. Three hundred sixty-eight performances were analyzed for 5 procedures performed by 26 residents with 16 supervising surgeons over 6 months. Guidance ratings varied with procedure, individual supervising surgeons varied in the amount of guidance reported, the amount of guidance decreased as residents' PGY level increased, and the correlation between guidance rating and overall performance was.62. In comparison cases, most supervising surgeons underestimated the amount of guidance provided. Controlling for the amount of supervising surgeon guidance has important implications for training and evaluation as we strive to prepare residents to practice independently.

Original languageEnglish (US)
Pages (from-to)44-48
Number of pages5
JournalAmerican Journal of Surgery
Issue number1
StatePublished - Jan 1 2012
Externally publishedYes


  • Guidance
  • Operative performance
  • Resident training
  • Supervision

ASJC Scopus subject areas

  • Surgery

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