Factors affecting the confidence of surgical trainees: a systematic review and thematic analysis.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-07-16 DOI:10.1017/S0022215125102788

Clare Perkins, Matthew Steward, Matthew Allen, Madeleine Sian Dale, Oliver McLaren

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引用次数: 0

Abstract

Objectives: Confidence among surgeons is required for complex decision-making and surgical ability. However, surgical trainees' confidence is decreasing. This systematic review aims to explore factors that affect the confidence of surgical trainees.

Methods: A systematic review was performed following the PRISMA guidelines. Pubmed®, Embase™, Scopus, ClinicalTrials.gov and grey literature were searched for primary research on factors affecting surgical trainee confidence.

Results: Eleven studies were included. Key factors positively impacting trainee confidence were receiving regular positive feedback, working with a supportive trainer and having a calm working environment and effective team dynamic. The main factors negatively impacting trainee confidence were experiencing undermining behaviour from trainers and stressful, time-pressured environments. Female gender was also associated with reduced confidence. Greater confidence was associated with higher perceived performance.

Conclusion: This work assimilates the factors impacting surgical trainees' confidence, which could guide training programmes to improve trainee self-confidence and therefore patient care.

查看原文本刊更多论文

影响外科受训人员信心的因素：系统回顾和专题分析。

目的：外科医生对复杂决策和手术能力的信心是必需的。然而，外科学员的信心正在下降。本系统综述旨在探讨影响外科培训生信心的因素。方法：按照PRISMA指南进行系统评价。检索Pubmed®、Embase™、Scopus、ClinicalTrials.gov和灰色文献，对影响外科实习生信心的因素进行初步研究。结果：纳入11项研究。积极影响学员信心的关键因素是定期收到积极反馈，与支持培训师一起工作，拥有平静的工作环境和有效的团队活力。对学员信心产生负面影响的主要因素是来自教练的破坏行为和压力大、时间紧迫的环境。女性也与自信心下降有关。更大的自信与更高的表现相关联。结论：本研究总结了影响外科学员自信心的因素，可以指导培训方案，提高学员自信心，进而提高患者护理水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.