O-GYN-JM-020 What do Patients Undergoing Surgery Understand About the Role of Resident Physicians? A Survey of Gynaecology Patients

Abstract

Studies in emergency medicine show that patients believe it is important to know the training level of their doctor, but most have little knowledge of the responsibilities of physicians-in-training. No research on this topic has been published in gynaecology, despite gynaecological surgeons being sued by patients alleging they did not understand the role of residents in their surgery. The goal of this research was to explore what gynaecological surgery patients understand about the role of resident doctors. A questionnaire was distributed to female patients in pre-admission clinics awaiting gynaecological surgery in Edmonton. Surveys included knowledge and opinion-based questions about resident duties. Anonymous responses were managed using a REDCap database. Descriptive statistics were used to characterize the results. Of 108 participants, 83% understood that residents had a higher level of training than medical students, yet 40% were unsure if residents were doctors. Almost half (43%) were uncertain if residents required supervision, including while operating (20%). The majority (92%) felt it was important to know their physician’s level of training, yet only 63% reported knowing this information. Only half of participants would be comfortable with residents operating on them under supervision. A considerable number (56%) wanted to learn more about residents’ roles. Patients do not fully understand the role of residents and many are uncomfortable with trainees operating on them under supervision. Considering the dominant role residents play in patient care, educating patients is essential to improve their comfort and the overall consent process.