Table 2 Duration of operative risk discussion, source of risk estimates, methods of communicating risk to patients, and communicating risk to referring provider
Questions | Total | Faculty/Affiliated Surgeons | Resident | Â | ||||
|---|---|---|---|---|---|---|---|---|
(n = 120) | (n = 75) | (n = 45) | Â | |||||
N(%) | N (%) | N (%) | P value* | |||||
When you discuss risk, about how much time do you spend? | ||||||||
Missing | 1 (0.8) | 0 (0) | 1 (2.2) | .004 | ||||
 1-4 minutes | 21 (17.5) | 7 (9.3) | 14 (31.1) |  | ||||
 5-9 minutes | 54 (45.0) | 33 (44.0) | 21 (46.7) |  | ||||
 10-14 minutes | 22 (18.3) | 17 (22.7) | 5 (11.1) |  | ||||
 > 14 minutes | 22 (18.3) | 18 (24.0) | 4 (8.9) |  | ||||
Source of risk estimates | ||||||||
 Online risk calculator | ||||||||
  Never (0%) | 18 (15.0) | 13 (17.3) | 5 (11.1) | .002 | ||||
  Rarely (1-24%) | 37 (30.8) | 25 (33.3) | 12 (26.7) |  | ||||
  Sometimes (25-49%) | 40 (33.3) | 17 (22.7) | 23 (51.1) |  | ||||
  Most of the time (50-74%) | 13 (10.8) | 8 (10.7) | 5 (11.1) |  | ||||
  Always (75-100%) | 12 (10.0) | 12 (16.0) | 0 (0) |  | ||||
 Prior experience | ||||||||
  Rarely (1-24%) | 9 (7.5) | 5 (6.7) | 4 (8.9) | <.0001 | ||||
  Sometimes (25-49%) | 24 (20.0) | 11 (14.7) | 13 (28.9) |  | ||||
  Most of the time (50-74%) | 41 (34.2) | 19 (25.3) | 22 (48.9) |  | ||||
  Always (75-100%) | 46 (38.3) | 40 (53.3) | 6 (13.3) |  | ||||
 Assessment of current literature | ||||||||
  Never (0%) | 6 (5.0) | 5 (6.7) | 1 (2.2) | .004 | ||||
  Rarely (1-24%) | 8 (6.7) | 2 (2.7) | 6 (13.3) |  | ||||
  Sometimes (25-49%) | 34 (28.3) | 16 (21.3) | 18 (40.0) |  | ||||
  Most of the time (50-74%) | 42 (35.0) | 27 (36.0) | 15 (33.3) |  | ||||
  Always (75-100%) | 30 (25.0) | 25 (33.3) | 5 (11.1) |  | ||||
 Other sources | ||||||||
  Missing | 11 (9.2) | 0 (0) | 11 (24.4) | <.0001 | ||||
  Never (0%) | 79 (65.8) | 54 (72.0) | 25 (55.6) |  | ||||
  Rarely (1-24%) | 12 (10.0) | 9 (12.0) | 3 (6.7) |  | ||||
  Sometimes (25-49%) | 7 (5.8) | 3 (4.0) | 4 (8.9) |  | ||||
  Most of the time (50-74%) | 5 (4.2) | 4 (5.3) | 1 (2.2) |  | ||||
  Always (75-100%) | 6 (5.0) | 5 (6.7) | 1 (2.2) |  | ||||
Methods of communicating risk to patients | ||||||||
 Pre-anesthesia clinic | ||||||||
  Missing | 1 (0.8) | 0 (0) | 1 (2.2) | .02 | ||||
  Never (0%) | 6 (5.0) | 4 (5.3) | 2 (4.4) |  | ||||
  Rarely (1-24%) | 13 (10.8) | 9 (12.0) | 4 (8.9) |  | ||||
  Sometimes (25-49%) | 38 (31.7) | 19 (25.3) | 19 (42.2) |  | ||||
  Most of the time (50-74%) | 46 (38.3) | 28 (37.3) | 18 (40.0) |  | ||||
  Always (75-100%) | 16 (13.3) | 15 (20.0) | 1 (2.2) |  | ||||
 Face to face communication | ||||||||
  Never | 0 (0) | 0 (0) | 0 (0) | .43 | ||||
  Rarely (1-24%) | 3 (2.5) | 1 (1.3) | 2 (4.4) |  | ||||
  Sometimes (25-49%) | 9 (7.5) | 4 (5.3) | 5 (11.1) |  | ||||
  Most of the time (50-74%) | 25 (20.8) | 16 (21.3) | 9 (20.0) |  | ||||
  Always (75-100%) | 83 (69.2) | 54 (72.0) | 29 (64.4) |  | ||||
 Phone call | ||||||||
  Never (0%) | 40 (33.3) | 23 (30.7) | 17 (37.8) | .74 | ||||
  Rarely (1-24%) | 56 (46.7) | 38 (50.7) | 18 (40.0) |  | ||||
  Sometimes (25-49%) | 19 (15.8) | 11 (14.7) | 8 (17.8) |  | ||||
  Most of the time (50-74%) | 4 (3.3) | 2 (2.7) | 2 (4.4) |  | ||||
  Always (75-100%) | 1 (0.8) | 1 (1.3) | 0 (0) |  | ||||
 Rely on resident to communicate risk | ||||||||
  Missing | 1 (0.8) | 0 (0) | 1 (2.2) | <.0001 | ||||
  Never (0%) | 47 (39.2) | 34 (45.3) | 13 (28.9) |  | ||||
  Rarely (1-24%) | 34 (28.3) | 30 (40.0) | 4 (8.9) |  | ||||
  Sometimes (25-49%) | 15 (12.5) | 9 (12.0) | 6 (13.3) |  | ||||
  Most of the time (50-74%) | 12 (10.0) | 2 (2.7) | 10 (22.2) |  | ||||
  Always (75-100%) | 11 (9.2) | 0 (0) | 11 (24.4) |  | ||||
 Rely on advance practice provider | ||||||||
  Never (0%) | 53 (44.2) | 35 (46.7) | 18 (40.0) | .61 | ||||
  Rarely (1-24%) | 36 (30.0) | 23 (30.7) | 13 (28.9) |  | ||||
  Sometimes (25-49%) | 26 (21.7) | 15 (20.0) | 11 (24.4) |  | ||||
  Most of the time (50-74%) | 5 (4.2) | 2 (2.7) | 3 (6.7) |  | ||||
  Always | 0 (0) | 0 (0) | 0 (0) |  | ||||
 Handout/pamphlet | ||||||||
  Never (0%) | 40 (33.3) | 28 (37.3) | 12 (26.7) | <.0001 | ||||
  Rarely (1-24%) | 34 (28.3) | 11 (14.7) | 23 (51.1) |  | ||||
  Sometimes (25-49%) | 23 (19.2) | 15 (20.0) | 8 (17.8) |  | ||||
  Most of the time (50-74%) | 14 (11.7) | 12 (16.0) | 2 (4.4) |  | ||||
  Always (75-100%) | 9 (7.5) | 9 (12.0) | 0 (0) |  | ||||
 Class/video | ||||||||
  Never (0%) | 86 (71.7) | 58 (77.3) | 28 (62.2) | .15 | ||||
  Rarely (1-24%) | 22 (18.3) | 9 (12.0) | 13 (28.9) |  | ||||
  Sometimes (25-49%) | 7 (5.8) | 4 (5.3) | 3 (6.7) |  | ||||
  Most of the time (50-74%) | 1 (0.8) | 1 (1.33) | 0 (0) |  | ||||
  Always (75-100%) | 4 (3.3) | 3 (4.0) | 1 (2.2) |  | ||||
How often do you or your team communicate patient risk to their referring provider? | ||||||||
 Missing | 1 (0.8) | 0 (0) | 1 (2.2) | <.001 | ||||
 Never (0%) | 12 (10.0) | 2 (2.7) | 10 (22.2) |  | ||||
 Rarely (1-24%) | 45 (37.5) | 25 (33.3) | 20 (44.4) |  | ||||
 Sometimes (25-49%) | 37 (30.8) | 26 (34.7) | 11 (24.4) |  | ||||
 Most of the time (50-74%) | 16 (13.3) | 14 (18.7) | 2 (4.4) |  | ||||
 Always (75-100%) | 9 (7.5) | 8 (10.7) | 1 (2.2) |  | ||||