Introduction: Numerous factors and elements are effective in the professional development of any field of study, including the educational structure, the individual characteristics of learners, and the educational atmosphere prevalent in the educational environment. Understanding each of these factors and elements and the relationships among them can guide educational system administrators in the direction of professional development. Surgical residents’ professional development is no exception to this rule. As a consequence, the present research sought to explain and suggest a model for surgical assistant professional growth in Iranian operating rooms.
Methods: The present research was a grounded theory study based on a post-positivist approach, in which data analysis was performed using Clark’s situational analysis methodology by drawing three maps, situational map, social worlds/arenas map, and positional map.
Results: In the presence of human and non-human factors, cultural, political, historical, and social components, the ordered situational map demonstrated the complexity of the operating room learning environment. The social worlds/arenas map confirmed the existence of several communities of practice wherein surgical residents were present with different power roles, and the positional map showed role of the educational level in the acquisition of the
competence in the professional development pathway. Finally, the Triple Helix model of professional development was extracted, which has three components: psychological identity, social identity, and surgical competency.
Conclusion: The surgical residents’ professional development in operating rooms occurs due to the acquisition of surgical
competency along with the growth of individuals and socialization. As a result, all factors and components impacting the residents’ competence development process in this learning environment must be identified and their linkages clarified. |
- Sadati L, Yazdani S, Heidarpoor P. Exploring the surgical residents’ experience of teaching and learning process in the operating room: A grounded theory study. J Educ Health Promot. 2021; 10(1):176.
- Cogbill TH, Shapiro SB. Transition from Training to Surgical Practice. Surg Clin North Am. 2016; 96(1):25-33.
- George B, Bohnen J, Williams R. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2018; 266(4):582-94.
- Norrell K, Marasigan J, Bogener J. New paradigms in postgraduate surgical education. J Missouri State Med Assoc. 2017; 114(4):278-82.
- Mattar S, Alseidi A, Jones D, Jeyarajah D, Swanstrom L, Aye R, et al. General surgery residency inadequately prepares trainees for fellowship: Results of a survey of fellowship program directors. Ann Surg. 2013; 258(3):440-9.
- Sadati L, Yazdani S, Heidarpoor P. Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study. J Adv Med Educ Prof. 2021; 9(1):34-43.
- Nestel D, Burgess A. Surgical education and the theoretical concept of communities of practice. J Heal Spec. 2014; 2(2):49.
- Gandamihardja TAK. The role of communities of practice in surgical education. J Surg Educ. 2014; 71(4):645-9.
- Cruess RL, Cruess SR, Steinert Y. Medicine as a Community of Practice: Implications for Medical Education. Acad Med. 2018; 93(2):185-91.
- Wenger E, Trayner B. Introduction to communities of practice | Wenger-Trayner. UK: Wenger-Trayner; 2015.
- Gandamihardja TAK, Nestel D. Communities of Practice and Surgical Training. Advancing Surgical Education. Switzerland: Springer; 2019.
- Sajisevi M, Wilken R, Lee WT. The Role of Professional Identity Formation in Balancing Residency Service Versus Educational Needs. J Grad Med Educ. 2016; 8(2):154-5.
- Cruess RL, Cruess SR, Steinert Y. Teaching medical professionalism: supporting the development of a professional identity. UK: Cambridge University Press; 2016.
- Yazdani SH, Sadeghi Avval Shahr H, Afshar L. A Critical Review of Professional Socialization Models for Medical Students. Iran J Nurs. 2020; 33(126):82-102.
- Yazdani SH, Akbari-Farmad S. Providing the Meta- Model of Development of Competency Using the Meta-Ethnography Approach: Part 1: Reviewing the Available Models of Competency Development. J Med Educ. 2016; 15(2):65-74.
- Adele EC, Clarke CF, Rachel S. Review: Adele EC, Friese C, Washburn RS. Situational Analysis: Grounded Theory After the Interpretive Turn. Forum Qual Sozialforsch. 2018; 9(3):3138.
- Clarke AE, Washburn R, Friese C. Situational Analysis in Practice: Mapping Research with Grounded Theory. Angewandte Chemie International Edition. New York: Routledge; 2016.
- Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handb Qual Res. 1994; 2(6):105-17.
- Kopelman Y, Lanzafame RJ, Kopelman D. Trends in evolving technologies in the operating room of the future. JSLS. 2013; 17(2):171-3.
- Meek T. Design counsel: the role of clinicians in the prototyping and standard setting of anaesthetic equipment. Anaesthesia. 2017; 72:28-34.
- Attri JP, Sandhu GK, Mohan B, Bala N, Sandhu KS, Bansal L. Conflicts in operating room: Focus on causes and resolution. Saudi J Anaesth. 2015; 9(4):457-63.
- Torring B, Gittell JH, Laursen M, Rasmussen BS, Sorensen EE. Communication and relationship dynamics in surgical teams in the operating room: An ethnographic study. BMC Health Services Research. 2019; 19(1):528.
- Thomas J. Professional Socialization of Students in Four Types of Nursing Education Program. USA: Sagwan Press; 2018.
- Locklear CE. Professional Socialization and Identity Development of Social Work Students. USA: Saint Catherin University; 2017.
- Dimitriadis P, Iyer S, Evgeniou E. Learning in the surgical community of practice. Med Sci Educ. 2014; 24(2):211-4.
- Cupido N. Professional Identity Formation of Surgical Residents Over Their First Year of Postgraduate Training. 2019;1-78 .
- Sadeghi Avval Shahr H, Yazdani SH, Afshar L. Professional socialization: an analytical definition. J Med Ethics Hist Med. 2019; 12(17):1-14.
- Lave J, Wenger E. Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press; 1991.
- Dreyfus SE, Dreyfus HL. A Five-Stage Model of the Mental Activities Involved in Directed Skill Acquisition. Washington, DC: Storming Media; 1980.
- Ten Cate O. Trust, competence, and the supervisor’s role in postgraduate training. BMJ. 2006; 333(7571):748-51.
- Benner P. From novice to expert: Excellence and power in clinical nursing practice. Reading, MA: Addison-Wesley; 1984.
- Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing medical education to support professional identity formation. Acad Med. 2014; 89(11):1446-51.
- Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: A guide for medical educators. Acad Med. 2015; 90(6):718-25.
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