Effective Senior Surgical Residents as Defined by Their Peers: A Qualitative Content Analysis of Nontechnical Skills Development.
Effective Senior Surgical Residents as Defined by Their Peers: A Qualitative Content Analysis of Nontechnical Skills Development.
复制标题
同龄人定义的有效高级外科居民：非技术技能开发的定性内容分析。
DOI：
10.1097/sla.0000000000005106
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发表时间：
2023-03-01
影响因子：
9
通讯作者：
Lipman J
中科院分区：
文献类型：
--
作者：
Coe TM;Jogerst KM;Petrusa E;Phitayakorn R;Lipman J
This study aims to define an effective senior resident and understand the process of leadership and nontechnical skill development in the transition from junior to senior surgery resident. General surgery residents are responsible for patient care, technically demanding operations, and diverse care team management. However, leadership skill development for the transition from junior to senior resident roles is often overlooked. We conducted 15 semi-structured focus groups with surgery residents from an urban, academic institution. Focus group transcripts were inductively coded. Using content analysis and constant comparative methodology, primary codes were refined into categories and organized into higher-level themes. Thirty-three general surgery residents completed fifteen focus groups. Six themes were identified. Three themes describe the process of becoming an effective senior resident: how to define a senior resident’s scope of practice, the transition process, and the importance of personal investment. Three themes were identified regarding effective seniors: ideal traits, teachable skills and the team and patient impact. Surgery residents define an effective senior resident as the team member with the highest level of experience who manages the big picture of patient care. The transition is improved by personal engagement and acknowledgement of the transition. Ideal traits of effective seniors, including emotional intelligence and inherent personality traits, allow a resident to more naturally assume this role; however, teachable skills, such as communication, expectation setting and competence, can be taught to improve one’s effectiveness. The actions of a senior resident impact the team and patient care, underscoring the importance of understanding this role. This is a qualitative analysis of how general surgery residents define an effective senior resident and navigate the current process of leadership and nontechnical skills development in the transition from junior to senior surgery resident. Six themes were identified: how to define the scope of practice of a senior resident, the transition process, the importance of personal investment, ideal traits of effective senior residents, teachable skills and the team and patient impact. Recommendations for programs to support this transition are provided.
