外科教育清单作为手术室培训的辅助：外科医生的经验。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-01 DOI:10.1016/j.jsurg.2024.103377

Elizabeth Poppy Redman , William Spence

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引用次数: 0

摘要

背景：外科训练的一个重要方面发生在手术室内。然而，由于工作时间减少和COVID大流行等问题，在这种环境中获得学习机会的机会受到了影响。因此，需要最大限度地利用现有的每一个培训机会。外科教育检查表（SEC）是为了提高手术室教育讨论的质量和一致性而设计的工具。本研究的目的是探讨在实践中使用SEC的外科医生的生活经验。研究方法：采用目的性抽样的现象学方法。通过Zoom对参与者进行了七次半结构化访谈，参与者都是使用过SEC的外科顾问医生。使用反思性主题分析来确定关键主题。结果：产生了四个关键主题：检查表形式化了直觉，学员与培训师的关系是经验的核心，术前讨论促进了学习，常规反馈是理想的但困难的。讨论：将SEC引入手术室，通过为这些对话提供结构以及提示进行讨论，可以提高以教育为重点的讨论的质量和一致性，例如术前目标设定和术后反馈。学员与培训师的关系是这些行为的核心。培训师承认，不确定性可能会阻碍学员，而这样的工具可能有助于学员对自己的教育需求更加自信，并在培训师的眼中变得更加自信。如果SEC得到广泛实施，它可能有助于规范良好实践，以便所有外科医生，而不仅仅是自然教育者，都可以向他们的学员传授这一知识，并为学员提供一种工具，帮助他们确定自己的培训需求。

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The Surgical Education Checklist as an Adjunct to Training in the Operating Theatre: The Surgeons’ Experience

BACKGROUND

An important aspect of surgical training occurs within the operating theatre. However, access to learning opportunities in this environment has been compromised by issues including reduced working hours and the COVID pandemic. Every training opportunity that does exist, therefore, needs to be maximized. The Surgical Education Checklist (SEC) is a tool that has been designed with the ambition of improving the quality and consistency of education-focused discussions in the operating theatre. The aim of this research was to explore the lived experience of surgeons who have used the SEC in practice.

METHODOLOGY

Phenomenological methodology, using purposive sampling, was employed. Seven semi-structured interviews were conducted via Zoom with participants, all of whom were consultant surgeons who had used the SEC. Reflective thematic analysis was used to identify key themes.

RESULTS

Four key themes were generated: the checklist formalizes the intuitive, the trainee-trainer relationship is central to the experience, preoperative discussion improves learning, and routine feedback is ideal but difficult.

DISCUSSION

Introducing the SEC to the operating theatre may improve the quality and consistency of education-focused discussions, such as preoperative goal setting and postoperative feedback, by providing structure for these conversations as well as a prompt to have the discussion at all. The trainee-trainer relationship is at the core of these behaviors. Trainers acknowledge the uncertainty that can impede trainees and that a tool such as this may help enable trainees to be more assertive regarding their educational needs and become more confident in the eyes of the trainer.

If the SEC were widely implemented, it may help standardize good practice so that all surgeons, not just the natural educators, can deliver this for their trainees and provide trainees with a tool to help them be assertive about their training needs.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.