Resident training in a teaching hospital: How do attendings teach in the real operative environment?
Am J Surg
; 214(1): 141-146, 2017 Jul.
Article
en En
| MEDLINE
| ID: mdl-28476201
ABSTRACT
BACKGROUND:
The study aim was to explore the nature of intraoperative education and its interaction with the environment where surgical education occurs.METHODS:
Video and audio recording captured teaching interactions between colorectal surgeons and general surgery residents during laparoscopic segmental colectomies. Cases and collected data were analyzed for teaching behaviors and workflow disruptions. Flow disruptions (FDs) are considered deviations from natural case progression.RESULTS:
Across 10 cases (20.4 operative hours), attendings spent 11.2 hours (54.7%) teaching, using directing (M = 250.1), and confirming (M = 236.1) most. FDs occurred 410 times, accounting for 4.4 hours of case time (21.57%). Teaching occurred with FD events for 2.4 hours (22.2%), whereas 77.8% of teaching happened outside FD occurrence. Teaching methods shifted from active to passive during FD events to compensate for patient safety.CONCLUSIONS:
Understanding how FDs impact operative learning will inform faculty development in managing interruptions and improve its integration into resident education.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Quirófanos
/
Enseñanza
/
Laparoscopía
/
Colectomía
/
Flujo de Trabajo
/
Internado y Residencia
/
Cuerpo Médico de Hospitales
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Am J Surg
Año:
2017
Tipo del documento:
Article