TY - JOUR
T1 - War stories
T2 - A qualitative analysis of narrative teaching strategies in the operating room
AU - Hu, Yue Yung
AU - Peyre, Sarah E.
AU - Arriaga, Alexander F.
AU - Roth, Emilie M.
AU - Corso, Katherine A.
AU - Greenberg, Caprice C.
PY - 2012/1
Y1 - 2012/1
N2 - "War stories" are commonplace in surgical education, yet little is known about their purpose, construct, or use in the education of trainees. Ten complex operations were videotaped and audiotaped. Narrative stories were analyzed using grounded theory to identify emergent themes in both the types of stories being told and the teaching objectives they illustrated. Twenty-four stories were identified in 9 of the 10 cases (mean, 2.4/case). They were brief (mean, 58 seconds), illustrative of multiple teaching points (mean, 1.5/story), and appeared throughout the operations. Anchored in personal experience, these stories taught both clinical (eg, operative technique, decision making, error identification) and programmatic (eg, resource management, professionalism) topics. Narrative stories are used frequently and intuitively by physicians to emphasize a variety of intraoperative teaching points. They socialize trainees in the culture of surgery and may represent an underrecognized approach to teaching the core competencies. More understanding is needed to maximize their potential.
AB - "War stories" are commonplace in surgical education, yet little is known about their purpose, construct, or use in the education of trainees. Ten complex operations were videotaped and audiotaped. Narrative stories were analyzed using grounded theory to identify emergent themes in both the types of stories being told and the teaching objectives they illustrated. Twenty-four stories were identified in 9 of the 10 cases (mean, 2.4/case). They were brief (mean, 58 seconds), illustrative of multiple teaching points (mean, 1.5/story), and appeared throughout the operations. Anchored in personal experience, these stories taught both clinical (eg, operative technique, decision making, error identification) and programmatic (eg, resource management, professionalism) topics. Narrative stories are used frequently and intuitively by physicians to emphasize a variety of intraoperative teaching points. They socialize trainees in the culture of surgery and may represent an underrecognized approach to teaching the core competencies. More understanding is needed to maximize their potential.
KW - Core competencies
KW - Narrative teaching
KW - Professionalism
KW - Surgical culture
KW - Surgical education
UR - http://www.scopus.com/inward/record.url?scp=83555162562&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=83555162562&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2011.08.005
DO - 10.1016/j.amjsurg.2011.08.005
M3 - Article
C2 - 22088266
AN - SCOPUS:83555162562
SN - 0002-9610
VL - 203
SP - 63
EP - 68
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 1
ER -