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Teaching Professionalism during and Posta Pandemic to Surgical Trainees: A Survey of the Impact of a Workshop on Trainers and Trainees
|Journal of Advances in Medical Education & Professionalism
|دوره 11، شماره 4، دی 2023، صفحه 193-204 اصل مقاله (628.67 K)
|نوع مقاله: Review article
|شناسه دیجیتال (DOI): 10.30476/jamp.2023.98395.1800
|NEIL ASHWOOD* 1؛ EDWARD STANHOPE2؛ IAN LAHART3؛ ANDREW P DEKKER4؛ JAMIE HIND5؛ AMTUL CARMICHAEL6
|1University of Wolverhampton, Research Institute, Wulfruna St, Wolverhampton WV1 1LY, United Kingdom
|2School of Health, Science and Wellbeing, Staffordshire University, Leek Road, Stoke-on-Trent, United Kingdom
|3School of Health, Science and Wellbeing, University of Wolverhampton, Research Institute, Wulfruna St, Wolverhampton WV1 1LY, United Kingdom
|4Department of Trauma & Orthopaedics, Queen’s Hospital Burton, Belvedere Road, Burton on Trent, DE13 0RB, United Kingdom
|5Department of Trauma & Orthopaedics, Oxford University, United Kingdom
|6Department of Surgery, University Hospitals Derby and Burton, Belvedere Road, Burton on Trent DE13 0RB, United Kingdom
|Introduction: Focussed professionalism training improves surgical trainees’ communication, information gathering, and counselling skills. This study reviews the impact of a professionalism workshop for surgical trainees within a large trust in the United Kingdom developed during the pandemic to support the trainees and help them develop resilience
and appropriate behaviours during the time of increased pressure.
Methods: A workshop involving case-based discussions and reflections on professionalism was developed from the themes and methods of training noted to be effective on a literature search of Medline, EMBASE, and PsycINFO databases carried out in May 2020. The impact of Covid on surgical trainees and educator’s professionalism training and the techniques of training preferred by trainees was evaluated by a survey of trainees and trainers after the intervention to evolve future training initiatives. During the workshop, a behavioural marker checklist was used to improve feedback on the observed behaviours.
Results: 83 trainers and trainees were surveyed following a professional behaviour workshop training 63 surgeons at various stages of training. Surgical list availability had reduced by at least 5-10 a month for all the trainees within the trust during the pandemic. Most trainees surveyed (49 (60%)) felt that this had reduced the opportunities to train technical skills and develop professional non-technical skills like teamwork and communication skills, adversely impacting the trainee’s clinical performance. The increased support offered by the workshop helped 50 trainees (80%) to improve non-technical skill performance objectively by referencing to behavioural markers and this was felt to have become
embedded in practice when surveyed 4 weeks later in 38 trainees (60%). The majority of those surveyed (47 (75%)) felt trainers and trainees had acted professionally during the pandemic and subsequently. The workshop discussions also helped (56 (67%)) trainers and trainees to consider how best to engage professionally with new ways of working as work, and training switched to virtual or telemedicine platforms during the pandemic.
Conclusion: Professionalism-based education facilitates surgical trainee development, making them stronger team members and helping to restore team working skills and embrace new working practices.
تازه های تحقیق
NEIL ASHWOOD (Google Scholar)
|Teaching؛ Professionalism؛ Surgical trainees؛ Survey
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