Submission Type

Innovation Highlight


Introduction: We report on the use of a weekly academic checklist to monitor proposed improvements to a surgical residency program.

Methods: A single-center, retrospective analysis of residency improvements with an academic checklist of quality initiatives reviewed weekly at morbidity and mortality conferences. The positive response rate for each of the 11 items were reviewed. Trends of positive responses during the year were reviewed. The effectiveness of the checklist was also assessed with 2 internal surveys completed by faculty and residents.

Results: Over 15 months, the checklist was reviewed 46 times. The rate of a positive response for items varied from 0.40 to 0.80. Positive rates did not differ between the first and second halves of the study period. Among respondents, 82% of residents and 67% of faculty were either very satisfied or somewhat satisfied with the checklist showing adherence to changes/expectations for verbal feedback.

Discussion: Based on internal surveys, the use of an academic checklist was successful with operationalizing improvements to a surgical residency program over 15 months. Individual items of the checklist were completed 40% to 80% of the time, and this percentage did not change when comparing the first and second halves of the study periods. Much of the success is likely due to the weekly reminder to help change behaviors.

Conclusions: Weekly review of an academic checklist successfully operationalized educational improvements to a surgical residency program.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.