A comparison of faculty and resident perception of resident learning needs in the operating room.
A comparison of faculty and resident perception of resident learning needs in the operating room.
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DOI：
10.1016/j.jsurg.2007.07.007
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发表时间：
2007-09-01
影响因子：
2.9
通讯作者：
Bell, Richard H Jr
中科院分区：
文献类型：
--
作者：
Pugh, Carla M;DaRosa, Debra A;Bell, Richard H Jr
目标：本研究的目的是了解教师和住院医师对住院医师在经营管理方面的学习需求的看法。我们的假设是外科教师和住院医师对住院医师的学习需求有显著不同的看法。设计：本研究使用了一项27项调查，旨在确定（1）住院医师在手术室准备病例时使用传统学习资源的程度，（2）住院医师使用哪些基于网络的资源进行手术室准备，以及（3）尽管术前准备充分，但住院医师缺乏哪些手术管理主题。设置：本研究的设置是第90届美国外科医师学会临床大会会议期间的展览厅区域和每周一次的住院医师会议。本研究的参与者包括来自临床大会的教师和居民志愿者以及我们项目的居民的方便样本（N = 246）。在1-5分的量表上，5分表示经常使用，住院医师将他们最常用的资源评为主要手术文本（3.99）和同事的建议（3.97）。住院医师学习后认为准备最少的前3个手术管理主题是“器械使用”（67.7%）、“缝线选择”（65.3%）和“术野暴露”（50.0%）。教员认为住院医师准备最少的前3个手术管理主题是“解剖学”（73.9%）、“疾病自然史”（73.9%）和“手术选择”（69.6%）。卡方分析比较教师和居民的居民学习需求的看法显示显着差异（p < 0.05），在12个12手术管理topicsrated.CONCLUSION：在指导发展和正确使用学习技术的外科教育的关键一步是进行需求评估。教员和住院医师对住院医师在手术室的学习需求的看法之间的差距强调了住院医师需要被纳入与手术培训有关的需求评估。
OBJECTIVES: The purpose of this study was to gain an understanding of faculty and resident perception of residents' learning needs regarding operative management. Our hypothesis is that surgical faculty and residents have significantly different perceptions of residents' learning needs.DESIGN: This study used a 27-item survey designed to determine (1) the extent to which traditional learning resources are used by residents when preparing for cases in the operating room, (2) which Web-based resources residents use for operating room preparation, and (3) which operative management topics residents were deficient in despite preoperative preparation.SETTING: The settings for this study were the exhibit hall area during the 90th American College of Surgeons' Clinical Congress Meeting and a weekly resident conference.PARTICIPANTS: Participants for this study included a convenience sample of faculty and resident volunteers from the Clinical Congress and residents of our program (N = 246).RESULTS: On a scale of 1-5, with 5 indicating frequent use, residents rated their most frequently used resources as Major Surgical Texts (3.99) and Advice from colleagues (3.97). The top 3 operative management topics residents felt least prepared for after studying were "instrument use" (67.7%), "suture selection" (65.3%), and "operative field exposure" (50.0%). The top 3 operative management topics faculty felt residents were least prepared for were "anatomy" (73.9%), "natural history of disease" (73.9%), and "procedure choices" (69.6%). Chi-square analysis comparing faculty and resident perceptions of resident learning needs showed significant differences (p < 0.05) in 12 of the 12 operative management topics rated.CONCLUSION: A critical step in guiding development and proper use of learning technologies for surgical education is the conduct of needs assessments. The disparity between faculty and resident perception of residents' learning needs in the operating room underscores the need for residents to be included in needs assessments relating to surgical training.