SEAd Grant Recipients
Residents as Teachers: Effect of a Patient Education Strategy on Resident Self-Efficacy and Maternal Outcomes (The EDUCATE Study)
Katherine "Grace" Lim, MD
University of Pittsburgh
Resident physician anesthesiologists have lifelong roles as teachers and leaders. Therefore, the importance of effectively training our residents how to teach is apparent. Furthermore, while much of the focus of residents as teachers is centered on peer and medical student education, the resident physician’s role in educating their patients is often overlooked. Patient education is important because it improves compliance with treatment plans, has been shown to improve patient outcomes and satisfaction, and attenuates malpractice risk. For anesthesiology residents, communication with patients is particularly highlighted on the obstetric anesthesiology subspecialty rotation. Here, the initiation and management of labor epidural analgesia requires that an anesthesiology resident be adept at establishing and managing patient expectations, and at teaching patients optimal pain management strategies, all within the challenging setting of childbirth. In this context, we propose a prospective, randomized control study in which we: 1) train anesthesiology residents on their subspecialty obstetrical anesthesia rotation how to educate patients on the optimal use of patient-controlled labor epidural analgesia, and the expectations thereof; 2) measure the effect of this teaching intervention on educational outcomes, including resident self-efficacy for patient education; and 3) measure the effect of this teaching intervention on clinical outcomes, including total local anesthetic consumption, patient satisfaction, and maternal symptoms of psychological stress.