Keegan Guidolin, MD; Han Yan, MD; Fayez Quereshy, MD, MBA
In the decade since its inception, the World Health Organization’s surgical safety checklist has fundamentally changed the conduct of surgery the world over. A critical component of the checklist — the “pause” or “time-out” — requires all operating room staff to stop other activities and together review critical information about the case to ensure that nothing is missed. Surgical trainees in Canada are transitioning to a competency-based medical education model; a core aspect of this model requires trainees to advocate for their own learning goals. We propose the use of a detailed and formalized preoperative pause as a means to enable superior and more targeted intraoperative learning for surgical trainees.
Accepted Sept. 17, 2019
Affiliations: From the Division of General Surgery, University of Toronto, Toronto, Ont. (Guidolin, Quereshy); the Division of Neurosurgery, University of Toronto, Toronto, Ont. (Yan); and the Toronto Western Hospital, University Health Network, Toronto, Ont. (Quereshy).
Competing interests: None declared.
Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.
Correspondence to: K. Guidolin, 2075 Bayview Ave, Room H317, Toronto ON M4N 3M5, firstname.lastname@example.org