An interdisciplinary approach to safe opioid prescribing and administration for surgical patients at an academic medical center.

Aim And Objectives: To explore and understand the current practice, perceptions, and knowledge of general surgery trainees, advanced practice providers, and surgical nurses regarding opioid prescribing and administration. To this end, a novel opioid education and training was introduced to educate these practitioners on safe opioid practices in surgical patients.

Background: National awareness of the opioid epidemic has increased significantly in the last several years.

Does Race Influence Risk Assessment and Recommendations for Lung Resection? A Randomized Trial.

Background: Racial disparities in use of surgical therapy for lung cancer exist in the United States. Videos of standardized patients (SPs) can help identify factors that influence physicians' surgical risk estimation. We hypothesized that physician race and SP race in videos influence surgeon decision making.

The Influence of Physician and Patient Gender on Risk Assessment for Lung Cancer Resection.

Background: Women do not receive appropriate surgical therapy for lung cancer as often as men. Patient gender may influence treatment recommendations; less is known about the effect of physician gender on recommendations.

Methods: Gender-neutral vignettes representing low-risk, average-risk, and high-risk candidates for lung resection were paired with concordant videos of standardized patients (SPs).

The Impact of a Frailty Education Module on Surgical Resident Estimates of Lobectomy Risk.

Background: Frailty is a risk factor for adverse events after surgery. Residents' ability to recognize frailty is underdeveloped. We assessed the influence of a frailty education module on surgical residents' estimates of lobectomy risk.

The impact of perceived frailty on surgeons' estimates of surgical risk.

Background: Physicians are only moderately accurate in estimating surgical risk based on clinical vignettes. We assessed the impact of perceived frailty by measuring the influence of a short video of a standardized patient on surgical risk estimates.

Methods: Thoracic surgeons and cardiothoracic trainees estimated the risk of major complications for lobectomy based on clinical vignettes of varied risk categories (low, average, high).

Thoracic surgeons' perception of frail behavior in videos of standardized patients.

Background: Frailty is a predictor of poor outcomes following many types of operations. We measured thoracic surgeons' accuracy in assessing patient frailty using videos of standardized patients demonstrating signs of physical frailty. We compared their performance to that of geriatrics specialists.