Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program

• Published in: Journal of the American College of Surgeons Vol. 230; no. 6; pp. 926 - 933
• Main Authors: El Hechi, Majed W., Bohnen, Jordan D., Westfal, Maggie, Han, Kelsey, Cauley, Christy, Wright, Cameron, Schulz, John, Mort, Elizabeth, Ferris, Timothy, Lillemoe, Keith D., Kaafarani, Haytham MA
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2020
• Subjects: Empathy; Female; Humans; Intraoperative Complications - psychology; Male; Occupational Stress - psychology; Occupational Stress - therapy; Peer Group; Postoperative Complications - psychology; Program Evaluation; Psychosocial Support Systems; Surgeons - psychology
• ISSN: 1072-7515; 1879-1190; 1879-1190
• DOI: 10.1016/j.jamcollsurg.2019.10.015

Surgeons are prone to feelings of sadness, guilt, and anxiety when involved in major adverse events. We aimed to create and evaluate a second victim peer support program for surgeons and surgical trainees. The second victim peer support program was an intervention performed in the Department of Surgery at a tertiary care academic medical center. Surgical attendings and trainees participated as peer supporters or affected peers. In this article, we describe the design of the program and its 1-year impact, which was evaluated through the number of interventions attempted and realized and feedback received from all participants using an anonymous qualitative and quantitative survey. The program was established using the following 5 steps: creation of a conceptual framework, choice of peer supporters, training of peer supporters, multifaceted identification of major adverse events, and design of a systematic intervention plan. In 1 year, the program had 47 interventions distributed evenly between attendings and trainees; 19% of affected peers opted out of receiving support. Most participants expressed satisfaction with the program's confidentiality, the safe/trusting environment it provided, and the timeliness of the intervention (89%, 73%, and 83%, respectively); 81% suggested that the program had a positive impact on the department's “safety and support” culture and would recommend the program to a colleague. Several areas for improvement were identified, including the need to improve identification of events requiring outreach, and the desire for increased awareness of the program throughout the department. We successfully designed, implemented, and assessed the impact of the first surgery-specific peer support program in the US. Our 1-year experience suggests that the program is highly used and well received, albeit with opportunities for improvement. [Display omitted]