We studied if changing the availability of key surgical instruments and clinical supplies improved resident experience when treating gynecologic patients after hours.
Eighteen surveys were distributed to San Antonio Uniformed Services Health Education Consortium Obstetric/Gynecology (OB/GYN) residents. The survey was a five point Likert scale that focused on the opinions of residents regarding the availability of needed equipment, and their ability to evaluate and manage patients outside regular clinic hours. A comprehensive kit was then developed with essential supplies and made readily accessible to residents in the OB/GYN clinic and the emergency department. The same five point Likert scale survey was redistributed a year later. Statistical analysis was conducted by modeling survey responses with a cumulative (ordinal) logistic model. Cumulative logistic regression assessed whether Gynecologic call kit availability increased resident satisfaction while controlling for respondent year level and question-level idiosyncrasy.
In our model, the creation of a Gynecologic call kit had a strong, positive, and statistically significant effect on improving resident satisfaction on surveys (P= < .005). Compared to a survey response after the call kit was available, a pre-intervention response was 13.2 times as likely to be one value worse on the Likert scale after controlling for resident year group, question and survey idiosyncrasies.
Analysis of our survey responses concluded that clinical supply accessibility after hours is essential for resident satisfaction and the provision of quality patient care. Surveys showed increased resident confidence post intervention in their ability to appropriately treat patients and handle clinical emergencies.
San Antonio Military Medical Center, San Antonio, TX
Financial Disclosure: The authors did not report any potential conflicts of interest.
Received February 19, 2017