TY - JOUR
T1 - Strategies for New Skill Acquisition by Practicing Surgeons
AU - Jaffe, Todd A.
AU - Hasday, Steven J.
AU - Knol, Meghan
AU - Pradarelli, Jason
AU - Pavuluri Quamme, Sudha R.
AU - Greenberg, Caprice C.
AU - Dimick, Justin B.
N1 - Funding Information:
Funding/Support: Dr Dimick receives grant funding from the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), and BlueCross BlueShield of Michigan Foundation.
Publisher Copyright:
© 2017 Association of Program Directors in Surgery
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Objective: To understand how practicing surgeons utilize available training methods, which methods are perceived as effective, and important barriers to using more effective methods. Design: Online survey designed to characterize surgeon utilization and perception of available training methods. Setting: Two large Midwestern academic health centers. Participants: 150 faculty surgeons. Methods: Nominal values were compared using a McNemar's Test and Likert-like values were compared using a paired t-test (IBM SPSS Statistics v. 21.0; New York, NY). Results: Survey response rate was 81% (122/150). 98% of surgeons reported learning a new procedure or technology after formal training. Many surgeons reported scrubbing in expert cases (78%) and self-directed study (66%), while few surgeons (6%) completed a mini-fellowship. The modalities used most commonly were scrubbing in expert cases (34%) and self-directed study (27%). Few surgeons (7%) believed self-directed study would be most effective, whereas 31% and 16% believed operating under supervision and mini-fellowships would be most effective, respectively. Surgeons believed more effective methods “would require too much time” or they had “confidence in their ability to implement safely.” Conclusions: Practicing surgeons use a variety of training methods when learning new procedures and technologies, and there is disconnect between commonly used training methods and those deemed most effective. Confidence in surgeon's ability was cited as a reason for this discrepancy; and surgeons found time associated with more effective methods to be prohibitive.
AB - Objective: To understand how practicing surgeons utilize available training methods, which methods are perceived as effective, and important barriers to using more effective methods. Design: Online survey designed to characterize surgeon utilization and perception of available training methods. Setting: Two large Midwestern academic health centers. Participants: 150 faculty surgeons. Methods: Nominal values were compared using a McNemar's Test and Likert-like values were compared using a paired t-test (IBM SPSS Statistics v. 21.0; New York, NY). Results: Survey response rate was 81% (122/150). 98% of surgeons reported learning a new procedure or technology after formal training. Many surgeons reported scrubbing in expert cases (78%) and self-directed study (66%), while few surgeons (6%) completed a mini-fellowship. The modalities used most commonly were scrubbing in expert cases (34%) and self-directed study (27%). Few surgeons (7%) believed self-directed study would be most effective, whereas 31% and 16% believed operating under supervision and mini-fellowships would be most effective, respectively. Surgeons believed more effective methods “would require too much time” or they had “confidence in their ability to implement safely.” Conclusions: Practicing surgeons use a variety of training methods when learning new procedures and technologies, and there is disconnect between commonly used training methods and those deemed most effective. Confidence in surgeon's ability was cited as a reason for this discrepancy; and surgeons found time associated with more effective methods to be prohibitive.
KW - continuing medical education
KW - Medical Knowledge
KW - minimally invasive surgery
KW - Patient Care
KW - Practice-Based Learning and Improvement
KW - surgery
KW - surgical education
KW - Systems-Based Practice
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U2 - 10.1016/j.jsurg.2017.09.016
DO - 10.1016/j.jsurg.2017.09.016
M3 - Article
C2 - 28974428
AN - SCOPUS:85030255364
SN - 1931-7204
VL - 75
SP - 928
EP - 934
JO - Journal of surgical education
JF - Journal of surgical education
IS - 4
ER -