The Unfulfilled Need for Technical Skill Assessments Among Academic Cardiothoracic Surgeons.

The Unfulfilled Need for Technical Skill Assessments Among Academic Cardiothoracic Surgeons.
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DOI:
10.1053/j.semtcvs.2021.05.016
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发表时间:
2022
影响因子:
2.5
通讯作者:
Odell DD
Odell DD
中科院分区:
医学3区
文献类型:
--
作者:
Bharadwaj SN;Luc JGY;Love R;Antonoff MB;Odell DD

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技术技能是一个被证明的预测手术结果,但没有平台存在持续的技术技能发展后的培训。我们的目的是描述胸外科医生对技术技能反馈的感知需求。在胸外科教育合作小组下,一个心胸外科医生和学员小组在胸外科主任协会数据库中为心胸外科教师开发并分发了一份在线调查。该调查征求人口统计数据,认为需要建设性的反馈,分享批评的障碍,以及期望的同行评审员的偏好。140名外科医生回答了我们的调查(回答率:19.6% [140/713])。大多数受访者的从业时间超过15年(49.3%,69/140)。约76.4%(107/140)的应答者同意或非常同意接受有关其技术技能的反馈有助于他们提高,71.5%(100/140)的应答者希望获得个性化的技能反馈。虽然61.4%(86/140)的外科医生作为主治外科医生收到了有意义的技术技能反馈,但这种情况并不常见,63.3%(88/139)的最后一次收到反馈超过12个月。分享反馈的常见障碍包括缺乏共同做法、时间限制和等级障碍。大约66.2%(92/139)的参与者会花至少10分钟提供同伴反馈,以获得对自己技能的反馈,而45.3%(63/139)的参与者会花超过20分钟。胸外科主治医生在培训后发现了一个未得到满足的愿望,即对他们的技术技能进行持续的建设性反馈。外科医生认为批评促进了改进,并将投入大量时间参与同行反馈。一个交流技术技能反馈的平台是必要的。学术性心胸外科医生报告了对技术技能反馈的未满足的需求。心胸外科主治医师认为,对他们的技术技能提供建设性反馈的愿望尚未得到满足。应考虑建立一个交流技术技能反馈的平台。
Technical skill is a proven predictor of surgical outcomes, yet no platform exists for continual technical skill development following training. We aim to characterize the perceived need for feedback on technical skill among practicing thoracic surgeons. Under the Thoracic Education Cooperative Group, a panel of cardiothoracic surgeons and trainees developed and distributed an online survey for cardiothoracic surgery faculty in the Thoracic Surgery Directors Association database. The survey solicited demographics, perceived need for constructive feedback, barriers to sharing critiques, and preferences of desired peer reviewers. One hundred forty surgeons responded to our survey (response rate: 19.6% [140/713]). Most respondents had practiced for greater than 15 years (49.3%, 69/140). About 76.4% (107/140) of responders agreed or strongly agreed receiving feedback on their technical skills would help them improve, and 71.5% (100/140) desired individualized skills feedback. While 61.4% (86/140) of surgeons received meaningful technical skill feedback as attending surgeons, this was infrequent, with 63.3% (88/139) last receiving feedback over 12 months prior. Commonly cited barriers to sharing feedback included lack of common practice, time constraints, and hierarchical barriers. About 66.2% (92/139) of participants would spend at least 10 minutes providing peer feedback to receive feedback on their own skills, while 45.3% (63/139) would spend greater than 20 minutes. Attending thoracic surgeons identify an unmet desire for ongoing, constructive feedback on their technical skills following training. Surgeons feel critique fosters improvement and would devote significant time to engaging in peer feedback. A platform for exchange of technical skill feedback is warranted. Academic cardiothoracic surgeons report an unmet need for technical skills feedback. Attending cardiothoracic surgeons identify an unmet desire for constructive feedback on their technical skills. Development of a platform to exchange technical skill feedback should be considered.
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