Table 2.

Results From the Impact-effort Surveys in Order of Impact Rank (1 = Highest Impact)

Impact Rank	Improvement Target	Impact	Effort
Surgeons		(n = 3)	(n = 3)
1	Improve OR efficiency	3	2
2	Hire division nurses	3	2
3	Surgeon recruitment and retention	3	1
4	Improve respect and recognition	2	−1
5	Optional grand rounds	1	−2
6	Support reconstructive programs	1	2
7	Provide more protected time for division chief	1	−1
8	Change children’s OR leadership	0	1
9	Improve understanding and appreciate roles	0	−2
10	Provide additional clinic space	−1	2
11	Prioritize quality improvement protected time	−2	0
12	Involve microsurgeons in decision-making	−2	−3
13	Delete EHR secure chat	−3	−3
Nonsurgeons		(n = 4)	(n = 5)
1	One division nurse per surgeon	4	5
2	Inadequate staffing	4	5
3	Excessive workload	3	3
4	Align job roles/descriptions	1	2
5	Improve communication	1	−2
6	Clinic flow/templates	1	0
7	Fix prior authorizations	1	−1
8	Fix equipment	0	0
9	Professional inclusion	−3	−3
10	Professional opportunities	−4	−5

EHR, electronic health record. Supplemental Digital Content 3, http://links.lww.com/PRSGO/D843.