What embodies an effective surgical educator? A grounded theory analysis of resident opinion
What embodies an effective surgical educator? A grounded theory analysis of resident opinion
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DOI：
10.1016/j.surg.2020.04.056
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发表时间：
2020-10-01
期刊：
影响因子：
3.8
通讯作者：
Pei, Kevin Y.
中科院分区：
文献类型：
--
作者：
Dickinson, Karen J.;Bass, Barbara L.;Pei, Kevin Y.
背景：有效的外科教育是住院医师职业和个人发展的关键。很少有文献定义或评估有效的外科教育者，也没有对使用中的有效性的统一定义。外科住院医师的意见从未被定性地研究过。我们的目的是确定普通外科住院医师认为的有效外科教师的素质。方法：对同一高等专科学校的普通外科高级住院医师(研究生四年级和五年级)进行了定性和定量研究。对所有老年住院医生进行了深入的半结构化访谈，以确定有效教育工作者的总体意见。使用扎根理论进行主题分析。参与者完成了一项基于利克特的调查，以确定有效教育者的哪些品质是(1)最关键的，(2)在培训期间最常遇到的。结果：经过13次访谈(7次PGY-4，6次PGY-5)，数据饱和。受访者描述了有效的外科教育者所必需的态度、行为和认知。他们描述了实习生-培训员关系和学习环境的重要特征。在量化分析方面，良好的沟通、促进积极的学习氛围、及时的建设性反馈和技术专长被列为最关键的因素。结论：普通外科住院医师认为，有效的教育者认识到沟通和积极学习环境的重要性，能够适应学习者或环境，具有临床和技术专长，并与学习者建立联系。这一框架可以为教师发展计划提供信息，以改善外科教育。(C)2020 Elsevier Inc.保留所有权利。
Background: Effective surgical education is key to resident professional and personal development. There is little literature defining or assessing effective surgical educators and no common definition of effectiveness in use. The opinion of surgical residents has never been qualitatively studied. Our aim was to determine what general surgery residents perceive as qualities of effective surgical educators.Methods: A qualitative and quantitative study of general surgery senior residents (postgraduate year [PGY]-4 and-5) at a single tertiary academic institution was performed. In-depth semistructured interviews were conducted with all senior residents to determine the overall opinion of effective educators. Thematic analysis was performed using grounded theory. Participants completed a Likert-based survey to determine which qualities of an effective educator were (1) most critical and (2) had been most commonly encountered during training. Institutional review board approval was obtained.Results: Data saturation occurred after 13 interviews (7 PGY-4, 6 PGY-5). Interviewees described attitudes, behaviors, and cognitions essential for effective surgical educators. They described important attributes of the trainee-trainer relationship and learning environment. On quantitative analysis, excellent communication, promoting a positive learning climate, timely constructive feedback, and technical expertise were ranked as most critical. Residents most often encountered educators with excellent communication, who fostered a positive learning climate, with clinical and technical expertise, and who provided leadership or mentorship.Conclusion: General surgery residents believe effective educators recognize the importance of communication and a positive learning environment, are able to adapt to the learner or environment, have clinical and technical expertise, and form a bond with their learner. This framework can inform faculty development programs to improve surgical education. (c) 2020 Elsevier Inc. All rights reserved.