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SADATI, LEILA, YAZDANI, SHAHRAM, HEIDARPOOR, PEIGHAM. (1399). Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study. سامانه مدیریت نشریات علمی, 9(1), 34-43. doi: 10.30476/jamp.2020.87464.1308
LEILA SADATI; SHAHRAM YAZDANI; PEIGHAM HEIDARPOOR. "Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study". سامانه مدیریت نشریات علمی, 9, 1, 1399, 34-43. doi: 10.30476/jamp.2020.87464.1308
SADATI, LEILA, YAZDANI, SHAHRAM, HEIDARPOOR, PEIGHAM. (1399). 'Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study', سامانه مدیریت نشریات علمی, 9(1), pp. 34-43. doi: 10.30476/jamp.2020.87464.1308
SADATI, LEILA, YAZDANI, SHAHRAM, HEIDARPOOR, PEIGHAM. Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study. سامانه مدیریت نشریات علمی, 1399; 9(1): 34-43. doi: 10.30476/jamp.2020.87464.1308

Surgical residents’ challenges with the acquisition of surgical skills in operating rooms: A qualitative study

Journal of Advances in Medical Education & Professionalism
دوره 9، شماره 1، فروردین 2021، صفحه 34-43    اصل مقاله (518.7 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jamp.2020.87464.1308
نویسندگان
LEILA SADATI1؛ SHAHRAM YAZDANI2؛ PEIGHAM HEIDARPOOR* 3
1Virtual School of Medical Education & Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
22Department of Medical Education, Virtual School of Medical Education & Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Department of Community- Based Health Education, Virtual School of Medical Education & Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده
Introduction: Training in operating rooms is challenging. Specifically, surgical residents often experience a stressful environment in training arenas that, in turn, might affect their ability in the acquisition of the required qualifications. This study aims at the qualitative explanation of how the surgical residents acquire the surgical skills in operating rooms.
Methods: This qualitative study was conducted in 2019-2020 using the conventional content analysis method. Participants were selected using purposive sampling. Data were collected through 25 semi-structured in-depth interviews. Then, the interview transcriptions were analyzed in MaxQDA2 software using the content analysis method.
Results: The data were classified into two main categories, namely challenges/obstacles and strategies for dealing with the challenges. The data in the first category were further classified
into four subcategories, including burnout, confusion in technique selection, unequal learning opportunities, ignorance, and responsibility misassignment. Similarly, four subcategories of establishing communication channels with chief residents and faculty members, learning by the non-surgeon pathway, covert progress in the learning path, and taking advantage of force from a position of power in the learning path were considered for the second category.
Conclusion: Based on the findings of the study, surgical residents face serious challenges and obstacles in their training course. To address these challenges, the curriculum of the surgical course needs to be improved with the emphasis on the balanced responsibility assignment and enhanced human communication.
کلیدواژه‌ها
Skills؛ Education؛ Operating room؛ Qualitative research
سایر فایل های مرتبط با مقاله
مراجع
1. Appelbaum NP, Lee N, Amendola M, Dodson K, Kaplan B. Surgical resident burnout and job satisfaction: the role of workplace climate and perceived support. Journal of surgical research. 2019;234:20-5.
2. Drossard S. Structured surgical residency training in Germany: an overview of existing training programs in 10 surgical subspecialties. Innovative surgical sciences. 2019;4(1):15-24.
3. Malangoni MA, Biester TW, Jones AT, Klingensmith ME, Lewis Jr FR. Operative experience of surgery
residents: trends and challenges. Journal of surgical education. 2013;70(6):783-8.
4. Vergis A, Steigerwald S. Skill acquisition, assessment, and simulation in minimal access surgery: an evolution of technical training in surgery. Cureus. 2018;10(7).
5. Bell Jr RH, Biester TW, Tabuenca A, Rhodes RS, Cofer JB, Britt LD, et al. Operative experience of
residents in US general surgery programs: a gap between expectation and experience. Annals of
surgery. 2009;249(5):719-24.
6. Hurreiz H. The evolution of surgical training in the UK. Advances in medical education and practice.
2019;10:163.
7. The American College of Surgeons (ACS) Women in Surgery Committee, with input from the ACS
Committee on Diversity, developed the following updated Statement on Harassment, Bullying, and
Discrimination. The ACS Board of Regents approved the statement at its June 7−8, meeting in Chicago, IL; 2019. Available from: https://www.facs.org/about-acs/statements/117-harassment.
8. Leisy HB, Ahmad M. Altering workplace attitudes for resident education (AWARE): discovering solutions for medical resident bullying through literature review. BMC medical education. 2016;16(1):127.
9. Hashimoto DA, Bynum WE, Lillemoe KD, Sachdeva AK. See more, do more, teach more: surgical resident autonomy and the transition to independent practice. Acad Med. 2016;91(6):757-60.
10. Fayanju OM, Aggarwal R, Baucom RB, Ferrone CR, Massaro D, Terhune KP. Surgical education and health care reform: defining the role and value of trainees in an evolving medical landscape. Annals of surgery. 2017;265(3):459-60.
11. Sachdeva AK. Acquiring and maintaining lifelong expertise in surgery. Surgery. 2020;167(5):787-92.
12. DaRosa DA, Zwischenberger JB, Meyerson SL, George BC, Teitelbaum EN, Soper NJ, et al. A theorybased model for teaching and assessing residents in the operating room. Journal of surgical education. 2013;70(1):24-30.
13. Roberts NK, Williams RG, Kim MJ, Dunnington GL. The briefing, intraoperative teaching, debriefing model for teaching in the operating room. Journal of the American College of Surgeons. 2009;208(2):299-303.
14. Martin J, Regehr G, Reznick R, Macrae H, Murnaghan J, Hutchison C, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. British journal of surgery. 1997;84(2):273-8.
15. Gofton WT, Dudek NL, Wood TJ, Balaa F, Hamstra SJ. The Ottawa surgical competency operating room
evaluation (O-SCORE): a tool to assess surgical competence. Acad Med. 2012;87(10):1401-7.
16. Kotsis SV, Chung KC. Application of see one, do one, teach one concept in surgical training. Plastic and reconstructive surgery. 2013;131(5):1194.
17. Bould MD, Sutherland S, Sydor DT, Naik V, Friedman Z. Residents’ reluctance to challenge negative hierarchy in the operating room: a qualitative study. Canadian Journal of Anesthesia/Journal canadien d’anesthésie. 2015;62(6):576-86.
18. Elo S, Kyngäs H. The qualitative content analysis process. Journal of advanced nursing. 2008;62(1):107-15.
19. Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handbook of qualitative research.
1994;2(163-194):105.
20. Domaney NM, Torous J, Greenberg WE. Exploring the association between electronic health record use and burnout among psychiatry residents and faculty: a pilot survey study. Academic Psychiatry. 2018;42(5):648-52.
21. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical
errors among American surgeons. Annals of surgery. 2010;251(6):995-1000.
22. Apramian T, Cristancho S, Watling C, Ott M, Lingard L. Thresholds of principle and preference:
exploring procedural variation in postgraduate surgical education. Acad Med: Journal of the Association of
American Medical Colleges. 2015;90(11 Suppl):S70.
23. Apramian T, Cristancho S, Watling C, Ott M, Lingard L. “They have to adapt to learn”: Surgeons’
perspectives on the role of procedural variation in surgical education. Journal of surgical education.
2016;73(2):339-47.
24. Champagne BJ. Effective teaching and feedback strategies in the OR and beyond. Clinics in colon and
rectal surgery. 2013;26(04):244-9.
25. Horst PK, Choo K, Bharucha N, Vail TP. Graduates of orthopaedic residency training are increasingly
subspecialized: a review of the American Board of Orthopaedic Surgery Part II database. JBJS.
2015;97(10):869-75.
26. Meyerson SL, Sternbach JM, Zwischenberger JB, Bender EM. The effect of gender on resident autonomy in the operating room. Journal of surgical education. 2017;74(6):e111-e8.

27. de Costa J, Chen-Xu J, Bentounsi Z, Vervoort D. Women in surgery: challenges and opportunities. IJS
Global Health. 2018;1(1):e02.
28. Karim S, Duchcherer M. Intimidation and harassment in residency: a review of the literature and results of the 2012 Canadian Association of Interns and Residents National Survey. Canadian medical education journal. 2014;5(1):e50.
29. Patil VB, Raval RM, Chavan G. Knowledge and practices of health care professionals to prevent
surgical site infection in a tertiary health care centre. International Surgery Journal. 2018;5(6):2248-51.
30. Wagner JP, Lewis CE, Tillou A, Agopian VG, Quach C, Donahue TR, et al. use of entrustable professional activities in the assessment of surgical resident competency. JAMA surgery. 2018;153(4):335-43.
31. Piccinato CE, Rodrigues MdLV, Rocha LdA, Troncon LEdA. Characteristics of role models who influenced medical residents to choose surgery as a specialty: exploratory study. Sao Paulo Medical Journal. 2017;135(6):529-34.
32. Borman KR, Vick LR, Biester TW, Mitchell ME. Changing demographics of residents choosing
fellowships: longterm data from the American Board of Surgery. Journal of the American College of Surgeons. 2008;206(5):782-8.
33. Victorino GP, Organ Jr CH. Physician assistant influence on surgery residents. Archives of Surgery.
2003;138(9):971-6.
34. Gabel S. Power, leadership and transformation: the doctor’s potential for influence. Med Educ.
2012;46(12):1152-60.
35. Croghan SM, Phillips C, Howson W. The operating theatre as a classroom: a literature review of
medical student learning in the theatre environment. International journal of medical education. 2019;10:75.

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