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ANALYSIS OF THE KNOWLEDGE LEVEL OF THE SURGICAL RESIDENTS REGARDING THE PRE-OPERATIVE ASSESSMENT OF THE ADULT ELECTIVE NON-CARDIAC SURGERY PATIENTS WITH SPECIFIC CLINICAL CONDITIONS

GÖZDE ALTUN, MURAT AKSUN, AYÇA SULTAN ŞAHİN

Comprehensive Medicine - 2023;15(2):96-101

Department of Anesthesiology and Reanimation, Şanlıurfa Training and Research Hospital, Şanlıurfa, Türkiye

 

INTRODUCTION: We aimed to analyze the knowledge level of the surgical residents regarding pre-operative assessment and increase their collaboration with other teams in optimizing general medical status of the patients to reduce the duration of hospital stay and complication rates. METHODS: Our study was conducted with the residents of eight surgical divisions in our institution. Eighty surgical residents enrolled in the study. The 2018 update of the European Society of Anesthesiology (ESA) was used during the preparation of the survey questions. The questions were catego- rized based on the specific clinical conditions and medications noted in the ESA guideline. Answer choices were “correct”, “wrong,” or “no idea.” Results: Sixty-five (81.2%) of the respondents were male and 15 (18.8%) were female. Analysis of distribution of the mean correct answer rates (%) revealed that the question regarding “herbal medications” led to the lowest correct answer (13.75%), while the category “bridging and anticoagulation” was associated with the highest (72.5%) correct answer. Total mean correct answer was calculated as 50.8%. There was no significant correlation between the residents’ seniority level (i.e., postgraduate year) and their correct answer rates in neurosurgery, general surgery, ear-nose-throat (ENT), and plastic surgery divisions. However, there were statistically significant differences in ophthalmology, urology, orthopedic surgery, and obstetrics and gynecology divisions. DISCUSSION AND CONCLUSION: The general medical status of the patients should be optimized to reduce the risk of complications. To achieve this goal, surgical residents should collaborate with the other teams in each perioperative stage. In addition, we suggest that the curriculum be reviewed to increase the knowledge level of the surgical residents regarding pre-operative care.